Instructions for Using This Document (To Be Deleted in Final Version of Module)

Module 4 – Systems Integration page 1 of 5

Module Order Form 4 – Systems Integration

INSTRUCTIONS FOR USING THIS DOCUMENT (TO BE DELETED IN FINAL VERSION OF MODULE) This is the Module Order Form for use with Module 4 – Systems Integration. The yellow highlighted sections need to be completed.

QITC Module Order Form 4 – Systems Integration – Issued August 2017 - Version 1.0.0 Module 4 – Systems Integration page 2 of 5

Module Order Form 4 – Systems Integration The following Module Order Form to be completed if the Customer is procuring Systems Integration (refer to clause 3 of Module 4). 1. Commencement of Integration Services Clause 3.1 of Module 4 <>

2. Integration Services Clause 3.2 of Module 4 <>

3. System <>

4. Requirements Specifications for Integration Services (or annex specifications to the Module Order Form) <>

5. Implementation planning Clause 3.4 of Module 4 <>

6. Detailed Specifications Clause 3.5 of Module 4 Documents comprising the Detailed Specifications <>

7. Interfaces Clause 3.6 of Module 4 Supplier Interfaces

<> Customer Interfaces <>

8. Delivery Dates Clauses 3.4, 3.5, 3.7, 3.8 and 3.9 of Module 4 Implementation planning <> Detailed Specifications <> Data Migration Plan <> Installation and configuration <> Integration <>

9. Site Clause 3.7 of Module 4 <>

10. Data Migration Services and Data Cleansing Services Clauses 3.9 - 3.10 of Module 4 Data Migration Services Are Data Migration Services required?

Extraction of Customer Data <>

Data Cleansing Services Are Data Cleansing Services required?

No <> Date for completion of Data Cleansing Services <>

11. Data Tools Clauses 3.11 of Module 4 <>

12. Ancillary services Clause 3.13 of Module 4 <>

13. Warranty Period Clause 3.14 of Module 4 <>

QITC Module Order Form 4 – Systems Integration – Issued August 2017 - Version 1.0.0