Please note! This form can be completed online, with digital signature
HPRM is the corporate Electronic Document and Records Management System available to authorised personnel. Please fill in the form and send to
HPRM System Administrator (email: [email protected]).
SECTION ONE – APPLICANT DETAILS
Business Unit/Section : ______________________________________ Phone No: ____________________________
Surname: _________________________________Given Name: ________________________________ Title: _____
Position: _______________________________________________________________________________________
FAN ____________________
Email: ______________________________________________________________
SECTION TWO – INFORMATION OR ASSISTANCE REQUEST
Please provide details of the issue or the information you require.
Details:
This issue is critical and prevents me from carrying out my duties
Yes
No
Signature ______________________________________________ Date ____________________
SECTION THREE – HPRM ADMINISTRATOR ONLY
Action / response:
Signature: _____________________________________ Date: _____________________________
PRINT
EMAIL