Change and Variation Proposal

1.1.Tracking Information

Number
Date Submitted:
Initiator:
Name:
Department / Division:
Signature:
Date:
Delivery Owner:
Name:
Department / Division:
Signature:
Date:
Technical Strategy Owner:
Name:
Department / Division:
Signature:
Date:

2.Requirements

2.1.Change Purpose / Technical Requirement

2.2.Priority

High Priority:

Medium Priority:

Low Priority:

2.3.NPA / NMSA

April 4, 2012

NMSA Change:

3.Solutions

3.1.Contract Background

3.2.Technical Solution

3.2.1 Current Offered Solution

3.2.2 Requested Change in Scope

3.2.3 Proposed Solution

3.3.Scope of Work

3.4.Delivery Timeline

3.5.Responsibility Matrix

State the Responsibility Matrix for the project delivery of the change of request as follows:

Task	Customer	Client	3rd Party
	√
		√
			√

3.6.Impacted Departments / Service Areas

Call Centre	Collection	Commissioning	Core Network	Coverage (RF)
Customer Care	DC Infrastructure	ERP	External Parties	Fraud Management
General Admin	Human Resources	IN	LAN / WAN	Legal
Logistics	Mediation	Managed Services	MIS	NMS / OMC
Provisioning	Revenue Assurance	Service Architecture	Transmission	VAS
Other (Please specify)

3.7.Impact Details

3.8.Supporting Documents / Attachments

4.Commercials

4.1.Price List

Attach the price list for additional components in the change of request as template. This is to be accompanied by detailed hardware BOM.

4.2.Contract Check

In-Scope:

Out-of-Scope:

4.3.Budget Check

Within Budget:

Over Budget:

No Budget:

5.Implementation Approval

	Name	Department / Division	Signature	Date
Acknowledged by (Business Owner / Initiator / GM)
Technical Solution Proposed by
Technical Solution Provided by
Technical Solution Approved by (CTO)
Commercial Solution Approved by (CFO)

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