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Application Form for a New User Account on a NCI National Facility system.

• To connect an existing user to a project (or to remove a user), the Principal Investigator just needs to send a quick email request to . Please do not fill in this form.

• To connect a new user requiring a login on the system or to nominate an extra person to be listed as an associated researcher (no login required on the system) to an existing project, please complete and submit the web form below. The Principal Investigator will be automatically emailed for approval.

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Projects	Specify one or more project codes (of existing projects) which a user is to be connected to:

Details of Researcher (Required for people without an existing username on the system.)

Surname	First Name	Middle Initial	Position Held	E-Mail Address	Telephone	Department	Faculty or Division	University or Institution	State	Country	Post code

Conditions of Use

This new user has been informed of and agrees to abide by the APAC National Facility conditions of use and other policies found at http://nf.apac.edu.au/policies/. This user agrees to not share their password with anyone else.

NO YES

Click the appropriate button to submit your request:

• 
  (connected user name on the system not required)

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