Appendix E – Framework Waiver Request Form
| No: 381000091275 | Date(g): 24/5/2017 | Date(h): 28/8/1438 |
Effective from May 24 2017 - May 23 2017
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Request for Waiver from the SAMA Cyber Security Framework
A submission to the deputy governor of Saudi Central Bank IT Risk Supervision
The Saudi Arabian Monetary Authority (Saudi Central Bank) will consider requests for waiver from a member organization (MO) from its Cyber Security Framework based on the information submitted using the form below. A separate form must be completed for each requested waiver. Please note that all required fields must be properly filled in before Saudi Central Bank will begin the review process.
Requestor Information
| REQUESTOR'S SIGNATURE* x | REQUESTOR'S POSITION* | DATE* |
| REQUESTOR'S NAME* | MEMBER ORGANIZATION OF REQUESTOR* | |
| FRAMEWORK CONTROL*: |
| DETAILED DESCRIPTION OF WHY CONTROL CANNOT BE IMPLEMENTED*: |
DETAILED DESCRIPTION OF AVAILABLE OR SUGGESTED COMPENSATING CONTROLS*:
|
Approvals
| 1. MO’s CISO APPROVAL* | DATE* | |
| 2. MO’S CYBER SECURITY COMMITTEE APPROVAL* | APPROVER’S POSITION* | DATE* |
* Denotes required fields