South32 GEMCO MobiliseMe™

Training Requisition

REQUEST TYPE:

INITIATOR NAME:

INITIATOR EMAIL:

INITIATOR MOBILE (numbers only):

SCOPE OF WORK (What you require?):

BUSINESS CASE (Why?):

TARGET AUDIENCE (Who?):

ORGANISATIONAL UNIT (WORK AREA):

DEPARTMENT/FUNCTION:

SUPERINTENDENT NAME:

DEPARTMENT AUTHORISATION (Superintendent / Lead or 1UP):

TRAINING LEAD APPROVAL:

PREFERRED VENDOR:

PREFERRED DELIVERY OR DEPLOYMENT DATE:

PREFERRED DELIVERY MODE (IF APPLICABLE):

APPROXIMATE COST (IF KNOWN):

PREFERRED DELIVERY LOCATION (IF APPLICABLE):