SayPro Monitoring & Evaluation (M&E) System Access Request Form

Issued by: SayPro Monitoring, Evaluation and Learning Royalty
Managed by: SayPro Monitoring and Evaluation Monitoring Office
📧 Contact: mesupport@saypro.online  🌐 Website: www.saypro.online

1. Applicant Information

• Full Name: __________________________________________
• Employee ID / Staff Number (if applicable): ______________________
• Job Title: __________________________________________
• Department / Unit: __________________________________
• Email Address: ______________________________________
• Phone Number: ______________________________________
• Work Location / Region: _______________________________

2. Access Details

• Type of Access Requested:
  ☐ New Access  ☐ Change Access  ☐ Remove Access
• Level of Access Requested (Check all that apply):
  ☐ View Only
  ☐ Data Entry
  ☐ Data Analysis
  ☐ Report Generation
  ☐ Administrative / Full Access
• System(s) Required (Select all that apply):
  ☐ SayPro Performance Monitoring Dashboard
  ☐ SayPro Indicator Tracking Tool
  ☐ SayPro Beneficiary Database
  ☐ Mobile Data Collection App
  ☐ Other (Specify): __________________________________
• Reason for Access Request:
  (Explain why access is needed, including project names, responsibilities, etc.)

3. Supervisor / Line Manager Approval

To be completed by the applicant’s supervisor or authorizing manager

• Name: __________________________________________
• Title: ___________________________________________
• Email Address: ___________________________________
• Phone Number: ___________________________________

I confirm that this access is required for the applicant’s official duties and approve this request.

• Signature: _________________________  Date: _______________

4. ICT / System Administrator Use Only

Request Reviewed By: ____________________________________
Role Assigned: __________________________________________
Access Granted On: _____________  User Account ID: ______________
Notes:

• ☐ Access Provisioned  ☐ Request Declined
• ☐ User Informed  ☐ Orientation Scheduled (if applicable)

5. Applicant Declaration

I understand that access to SayPro M&E systems is granted for official use only. I agree to use the system responsibly, maintain data confidentiality, and report any misuse or data breaches immediately.

• Signature of Applicant: ___________________________
• Date: ___________________

Submission Instructions

• Email the completed form to: mesupport@saypro.online
• Or submit via SayPro Internal Portal: [Insert link]