Telephone Directory Amendment Form V9.2
All sections to be completed in block capitals and submitted via your telephone contact. One change per form please.
Section A – Telephone Contact Details Of The Person Completing This Form
Your Name : Please select
Your Tel: CHANGE of Staff Details Please complete sections B to D
Your Fac/Dept: DELETE Staff Details Please complete section B
Cost Code: NEW Staff Details Please complete sections C to D
Section B – Previously Held Details (if this line was used by a member of staff who has now left or changed number please supply details here)
Title: Forename: Surname: Extension:
If Section B shows the deletion of a member of staff
from a previously shared extension then please list here Remaining
all members of staff who will be left using this extension. Name(s):
Section C – New or Amended Staff Details SECTION D – NEW OR CHANGED EXTENSION Facilities
Dialling Facilities Dog ‘n’ Bone only
(tick all areas required) Campus: (Student phone card ) :
Surname: Local: National: Higher Rate National (0871 etc)* :
Job Title: * International & Higher Rate must be signed below by
your Head of Department or Dean of Faculty.
Is Voicemail required for this extension ?: Yes No
Is this extension to be ex-directory? Yes No
Section: Is this extension in a Pickup Group?** Yes No
** If yes, please show an existing extension that is in
the requested pickup group:
This Person’s Additional Notes Relating to this change:
Extension Number :
Is this to be a shared
If the extension is shared, then please state name of
the person that will be sharing.
If any extra features are required, i.e. diverts, Hunt Groups, etc, then please
complete an ITS works request form from the ITS web pages.
User’s Fax: ITS works request completed Yes
(the user’s email address must be supplied)
All fields in these sections are required, failure to complete all required fields will result in the form being returned.
Signature of Head of Department or Dean of Faculty required for International or Higher Rate National service.
Position: Signature: Date: / /
Below this line is for IT Telephone Services use only
PROTEUS Web ALCATEL User
COS: TAC: V-MAIL: V-Pwd:
directory directory directory Advised:
RETURN FORMS BY POST TO: Telephone Services, Room 1E08b, Frenchay Campus
RETURN FORMS BY EMAIL TO: email@example.com
RETURN FORMS BY FAX TO: 0117 32 82051
Version 9.2 21/05/2008 N. Stone & MH Lane D:\Docstoc\Working\pdf\2c31ff3a-3e06-4973-84c7-458c54ed76f9.doc