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A. Service Required
 
Add / Remove :
Applicable VPN Internet Gateway :
     
 
  B. Details of Policy Owner
  SITA is required to obtain certain information from users for access audit purposes.
   
  Full Name & Surname :
  National / Provincial Department :
  Other Institution :
  Email address :
  Telephone no ( ) :
  Cell no :
   
 
  C. Lockdown ACL
       
  Destination URL :
  ACL Name (optional) :
  Source IP's (Public Addresses) :
  NOTE: One entry per line (Approximately 50 lines)  
     
 
  D. Approval by accountable person - Security Undertaking
   
  I, the undersigned Security Policy Owner, hereby warrant that I am a duly authorised representative of the department as indicated above.
   
  I further warrant that the undertaking made here shall be held to be binding on the abovementioned department and that I am authorised to make such an undertaking.
   
  Therefore, I undertake that the provision of the applicable Security Policy for our Department as amended from time to time, shall be fully complied with in respect of the services applied for in this document, but specifically, without dilution or modification of the intent or definition of anything stated within the Network Security Policy.
   
NB: After entering all required information in the above form, please click the "Submit" button below in order to register your application and generate a service request form for signature. Please do NOT print this page from your browser and attempt to submit that as a service request - it will be summarily rejected.

 
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