PBG-IT-TMP-MDM-001
SAP ID Creation & Authorization Request Form
GDC
Call Ref No
New SAP ID Authorization ID Deletion
Creation Request Request Request
Administrative Information (furnished/filled by the User)
Name
Company Login ID
(if exist)
Department Employee ID
Communication Information (furnished/filled by the User)
Email Location
Mobile/Extn Language EN-English
Technical Information (furnished/filled by functional team leader/BASIS Administrator)
Client No. System ID
Module Printer LOCL
………………………………………………………………………………………………………………...............................................
Description of the required authorization(s)
Details
Tran. Code Description Authorization Given Tested by Basis Tested by Functional
User trained and well versed in SAP application usage
Requester Dept Head Functional Head/Process PBG CIO/CFO
Owner
Name Name Name Name
Signature Signature Signature Signature
Date Date Date Date
Note: Complete form in all respects will only be accepted and entertained with the request for authorization. In case the existing
form is not sufficient to fill in all the details please attach additional sheets for details.