| | PROJ6003 - CHANGE REQUEST FORM |
| | 1. BASIC INFORMATION ON THE CHANGE REQUESTED |
| | Project name |
| | Identification of changes |
| | Request placed by | | | | Contact details |
| | Description of requested change |
| | Date of raising the request | | | Requested deadline for dealing with the change request |
| | Priority | Low | Medium | | High | Essential |
| | Justification for change |
| | Comments |
| | Annexes or references | Yes | No | | Name of the annexe or reference |
| | 2. ANALYSIS OF THE CHANGE REQUEST |
| | Impact on the objective/outputs |
| | Impact on the budget |
| | Impact on the schedule |
| | Impact on the quality |
| | Other impacts |
| | Comments |
| | Recommendations Y/N; procedure |
| | Analysis carried out by | | | | Date |
| | TO BE COMPLETED BY THE SPONSOR/PM/CCB: |
| | 3. DECISION ON CHANGES |
| | Decision | Authorised | Authorised with amendments | | Rejected | More information required |
| | Justification of the decision |
| | Comments |
| | Who will provide information |
| | Approved by | | | | Date |
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ChangeRequestFormTemplate_PRINTforWeek3Activity_A31.xlsx
