1. PROJECT CHANGE REQUEST
CONFIDENTIAL
PROJECT CHANGE REQUEST
Project Title:
Project Code:
Project Manager :
Technical Leader:
Project Custodian:

2. Introduction
To seek recommendation/approval from PMC/PSC on project change request for ….. (please state the purpose for this change request)

3. Summary of the change request (CR)
Approved Duration:
Proposed New Duration:
Approved Budget:
Proposed New Budget:
Approved Objectives:
Proposed New Objectives :
Approved Deliverables:
Proposed New Deliverables :
List out the originally approved vs. the proposed changes

4. Project Progress Update
Planned
Actual
Variance
Physical Progress
Financial Progress
(actual expenditure)
Overall summary of project progress
Give the overview on the current stage/ activities of the project, the physical progress % and also the financial progress ( PSR slide can be used, but limit to only 1 to 2 slides)

5. Justification for change in project schedule
Please state your justification here:
List out the schedule impact analysis
For changes in schedule only, Pls delete if not applicable

6. Justification for change in project schedule (2)
Please insert original g/chart & proposed g/chart
For changes in schedule only, Pls delete if not applicable

7. Justification for change in project budget
State your justification here:
Changes in budget due to :
additional manpower required for the project ,
additional tool required,
due to increase in duration thus need to cover the additional manpower cost and SFOR cost
For changes in project budget only, Pls delete if not applicable

8. Detail breakdown (Original Vs Revised)
Approved
Proposed revision
Manpower
Equipment & Tools
Material
Incidental
Total Budget
Total Value
(+15% management fee)
For changes in project budget only, Pls delete if not applicable

9. Justification for change in project objective
State your reason and justification here
For changes in project objective only, Pls delete if not applicable

10. Recommendation: The PMC/ PSC is recommended to approve….
Project xxx….
…with new project value of RM xxx….
…..with new completion date of xxxxx
etc…..

11. THANK YOU

12. Appendix 11