IT Requisition Form
Official request for hardware, software, or access
New Independent Requisition
Name
*
Subsidiary
*
-- Select Subsidiary --
Selgate Corporation
Selgate Healthcare
Selangkah Ventures Sdn Bhd
Selcare Clinic Sdn Bhd
Selcare Dental
Selcare Diagnostics
Selcare Insurance
Selcare Management
Selcare Nursing
Selcare Pharmacy
Department
*
-- Select Department --
Group Management (MGMT)
Legal & Compliance (LCIC)
HR & Admin (HRA)
Group Finance
Group Procurement
Internal Audit
Marketing & Communications (MKTG)
Information Technology (IT)
Projects & Meditach (PP)
Operations (OPS)
Hospital Development (HOSP)
Hospital Central Region
Healthcare Compliance (ISO)
Healthcare Warehouse
State Programs
Call Center
Call Center (Hospital)
Selcare Management (SMSB)
Yayasan Selgate
Selcare Insurance
Selcare Pharmacy
Selcare Dental
Selcare Diagnostics
Selcare Nursing
Selcare Clinic (Medical)
The KL Clinic
SVSB - Product & Technology
SVSB - BD & Operations
SVSB - General / Corporate
Position
*
Item Requested
*
-- Select Item to Request --
Standard Laptop
High-End Laptop (Design/Dev)
Desktop PC
Monitor
Printer / Scanner
Adobe Creative Cloud
Microsoft 365 License
VPN Access
Shared Folder Access
Justification / Reason
*
Email Address
*
Select Domain
@selangkah.my
@selcare.com
@selcareclinic.com
@selcaredialysis.com
@selcarenursing.com
@selcarepharmacy.my
@selgatecorporation.com
@selgatehealthcare.com
Phone Number
*
Note:
IT assets under RM 1,000 require GM approval, while assets exceeding RM 1,000 require CEO approval.
Submit Requisition