Delegate Account Application Form
Application Type
New account Renew existing delegate account
If renewal, specify login-id(s)
Account Manager Details
Email address
Internal address for correspondence
Internal Telephone Number
I have read and agree to abide by the University's Acceptable Use Policy
I understand that the system administrator may at times have to take appropriate
actions which may affect my work in order to maintain a properly functioning
Signature of Account Manager
Account Length
There are two types of account structure, depending on whether you are being sponsored by
a JCU organisation or by an affiliated organisation. Please choose the appropriate account
type below:
Type 1 - JCU organisation
Number of years account required
Type 2 - Affiliated organisation
Number of years account required
1 Year
1 Year
Affiliated types
Queensland Parallel Supercomputing Foundation (QPSF) Member
Student Association member
College or Halls of Residence staff member
Other affiliated organisation
Authorisation Details
Name of authorising Division or
Email address of person authorising
Telephone number of person
Signature of person authorising
Submit Form
click to sign
click to edit