Project Change Request 112020

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PROJECT CHANGE REQUEST FORM Version: 02

Revision: 07
Information Technology Division (ITD) Effective Date:
11/2020
International Islamic University Malaysia

PART A: PROJECT INFORMATION (*must be completed by PM)

Project Title :

Project ID : Current Expected :


Completion Date (ECD)

Reason for :
Change
Request

Type of Change (√ check the relevant boxes)

⎕ Scope : ⎕ Work Process :

⎕ Technology : ⎕ Extension of ECD :

⎕ System/ : ⎕ Others :
Function
Enhancement

Impact on project due to change:


(e.g: additional resources/ project
cost needed)

Risk Assessment
Risk Risk Status Timeline
Risk Descriptions Risk Owner
ID (open/close) Mitigation Plan (dateline)
e.g. e.g. Requirement is e.g. Functional e.g Open e.g. BPI to be e.g. 30th
R1 yet to be determine Project Manager held again May2018

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PART B: APPROVAL
*This form must be reviewed by ITG representative before being approved by relevant parties.
*Case 1: If the Change is initiated by University PM, this form is prepared by IIUM Technical PM.
*Case 2: If the Change is initiated by the Vendor Technical PM, this form is prepared by Vendor Technical PM.
*Case 3: If the Change is initiated by the Functional PM, this form is prepared by Functional PM

Prepared by: Checked by:

______________________________________ ____________________________________________
Vendor Technical Project Manager / Deputy Director/ Director
IIUM Technical Project Manager/ Functional
Project Manager
Name :
Name :
Post : Date :

Date : Remarks (if any):

Reviewed by: To be deliberated in ITD Weekly Meeting No.______


dated _______________________

Recommended

_________________________________________
ITG Representative Recommended with amendments

Name : Not Recommended


Post :

Date :

Recommended by: Approved by:

_______________________________________ ____________________________________________
University Technical Project Manager/ Project Director/ Project Sponsor
Functional Project Manager

Name : Name :
Post : Post :

Date : Date :

Remarks (if any): Remarks (if any):

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PART C: PROJECT ANALYSIS (*To be completed by ITG after approval)
Received by ITG:
ITG Representative: Date:

Impact Analysis: Person Suggested Implementation/


*Impact *Importance
responsible Notes

* Impact & Importance: High/ Medium/Low

Enclosed New Timeline from OnTrack (Report No.1): Yes No

Change ID :

Remarks (if any) :

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