External Account Application Form
Application Type
New account Renew existing delegate account
If renewal, specify login-id(s)
Full Name of User to be
Registered (eg Fred John
Bloggs)
Any PREVIOUS Login
ID/Username at JCU
Internal address for
correspondence
Internal Telephone Number
Date of Birth (for verification
purposes)
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
system.
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
department
Email address of person
authorising
Telephone number of person
authorising
Signature of person authorising
Submit Form
click to sign
signature
click to edit