Information Technology

Driving Digital Transformation

ELECTRONIC infrastructure Application V7.5

Please e-mail completed application to: danie.stoop@nwu.ac.za & alex.venter@nwu.ac.za

Section A: See notes at bottom of page.

Applicant	Title	Initials	Surname
Signature	Date
Telephone	Staff Number	Department
The Director of the indicated OU code, hereby approves that the business case associated with this application, is aligned with the NWU’s strategic intent, accepts financial responsibility for the request and the assets related to this project. You will be quoted first and can then either accept or reject the quote.
Director	Details of Director
Title	Initials	Surname
Signature	Date
Staff member responsible for accepting and/or creating financial transactions on KFS in relation to this project
Title	Initials	Surname
Telephone	Staff Number	Department
Asset data and staff member on whose name and staff number, assets will reflect
Title	Initials	Surname
OU Code	Asset Representative’s NWU number
Asset Location: Please state where the service is required	Campus(es)
Building(s)
Room number(s)
Business Case Explained
What: Please describe your expectations, in as much detail as possible.
Why: Please state business case behind this application from an NWU perspective. This assist in approving the application.
When: Please give your timeframe for the delivery of the requested service(s).
Financing: Indicate and describe the source(s) of funds for this project and/or financial arrangements made.	Sponsored by IT	Fund Stream 1	Other Fund Stream
A Service Billing for the full amount is required upon ordering the services. “Approver/Completion” = Sharon Lynette Reynolds Pers Nr: 13181483

Notes:

IT-Electronic Services will return incomplete forms to the applicant.

IT-Electronic Services will always quote first. Financial liability only begins once the client accepts our quote in writing.

Where IT-Electronic Services cannot adhere to the required timeframe, ITES negotiate new delivery dates with the applicant.

Maintenance of standard equipment are budgeted centrally, whilst the cost of servicing non-standard equipment, lies with the client.

All Service Billings must be authorised by Capital Asset Management (Danika Alberts, x99 4506) before creation.

Section B Office Use

Date form received	ES Project Number
Title of Project...	Scope of Project..
Optional DHET Funding amount	Optional IT Capital amount
Optional Client Funding amount	Optional USAF Funding amount
In-Construction notice sent	KUALI account used
Completion notice sent	Amount received	R

Original details: (13181483) C:\Users\13181483\Desktop\Project Application Form IT-ES.docm
1 October 2019

File reference: 5.8 IT/ES