TM

SCHOOLBROADBAND

IP ADDRESS CHANGE REQUEST FORM

IP ADDRESS CHANGE/ADDITION REQUEST FORM

1.0

Description
The purpose of this document is to describe any change/addition requests on IP
address in TM School Broadband Service package. The change request outlined
in this document is to satisfy any update policy requirements from user.

2.0

Site Details:
School Details

School Name* : SK PONTIAN BESAR

Address *: JALAN PT. IBRAHIM
Postcode*: 82000

Town*: PONTIAN

State*: JOHOR

School Code*: JBA6028

School Personnel Details

Headmasters Name*: HJ. SARKAWI BIN BANJAR

Tel Number*: 07-6860572

HP Number: 017 716 3541

Fax Number*: 07-6860572

Email Address:
skpontianbesar@yahoo.com.my

IT Coordinators Name*: YUSNI BIN AMIR

Tel Number*: 07-6860572

HP Number: 012 736 7115

Fax Number: 07-6860572

Email Address: yusurya@yahoo.com

IT Coordinator Name 2 :
Tel Number:

HP Number:

Fax Number:

Email Address:

Package Subscribed:
*Compulsory Field

3.1 For IP Change Request:

IP Address Change Request Form ver 1.0

TM
SCHOOLBROADBAND

IP ADDRESS CHANGE REQUEST FORM

Current IP Address
10. 73.136.1 10.73.136.62

Subnet mask
255.255.255.192

No. Of Additional PCs

55 pc

Reasons for change request

1. Penambahan bilangan computer dalam makmal .
2. Penambahan bilangan computer pentadbiran , bilik guru dan bilik-bilik
khas.
3. 22 daripada 28 guru dan staf memiliki laptop peribadi.
4. Sekolah ini selalu dijadikan tuan rumah untuk kursus-kursus yang
melibatkan ICT.

Terms & Conditions for IP Address Change :

1. Request must be submitted minimum 3 working days from the required effective
date.
2. School must complete the IP Change Request Form with School Headmasters
signature and stamp and fax it to SchoolBroadBand Project Office : 0322407057/03-22408287.
3. School is allowed to apply for IP address request/change, 3 times within the
contract period.
4. School request has to be approved by TM Government Sales before any new
request is processed.
5. School Broadband Helpdesk will confirm with School whether the request is
approved within 2 days from Request Date.
6. Reconfiguration/ Process ( if any) will take effect 3 working days after the request
receive date.
7. School Broadband Helpdesk to notify school when the new request is completed.
I/ We herewith certify that the entire change request listed is completed successfully in
accordance to the system requirements and the TM networking system.
School Representative:

Stamp:

.........................................................
..........
Signature:
Date:
Name:

H/P:

IP Address Change Request Form ver 1.0

TM
SCHOOLBROADBAND

IP ADDRESS CHANGE REQUEST FORM

End of Document

IP Address Change Request Form ver 1.0