Personal Information
Name: Designation:
Mobile: Email (Optional):
IT Service Request
Service Type Required Valid Reason for Request
Installation (Windows/Software)
Network Problem
Hardware
Other
Terms and Conditions
It is solely User responsibility for maintaining daily/weekly/monthly backup his data before
receiving will have no liability for any loss of data.
Do not remove, Tamper Asset Tag and Serial number as it require when submitting warranty
claim. Any person violating this shall be liable to
I, ……………………………………………, have read and fully understand the contents of this document. I agree
to the terms and conditions stated above
Handed Over By Received By
Requester IT Department
Steps Taken for Resolution of Problem (Filled by IT Staff)
IT Department