JCU - External Account - User Registration Form

This form should be used to register visiting academics, staff or students, for an account on the central systems and for internet access.

You will be required to supply your date of birth, for verification purposes only. For more information on account fees please refer to the web page, Account Fee Structure.

Please enter details below, then print this form and forward via internal post or in person to Information Technology and Resources, Townsville. For urgent requests, the form can be faxed to (4781)5230. A separate form should be completed for each account to be created. Account information will be posted to the account holder at the internal JCU address supplied.

The account will not become active until a validity check is performed by Operations staff.

Any misuse of computing facilities will result in account disablement as per the Conditions for Use of University Computing Facilities Item 18. Further information on this topic can be found in the document Help Avoid Abuse of the Email Aliases.

Please contact operator@jcu.edu.au if you have any queries.

Account Details

Full Name of User to be Registered (eg Fred John Bloggs)
Internal Address for Correspondence

Internal Telephone Number
Any PREVIOUS Login ID/Username at JCU
Date of Birth (for verification purposes)
	* I have read and agree to abide by the University's Conditions for Use of University Computing Facilities * 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 Person Registering for Account

Payment Type

There are two types of fee structure, depending on whether you are being sponsored by a JCU organisation or by an affilliated organisation. Please choose the appropriate fee type below:

Type 1 - JCU organisation
Number of Months Account Reqd (max 12)

Type 2 - Affilliated organisation
Number of Months Account Reqd (max 12)

	Queensland Parallel Supercomputing Foundation (QPSF) Member
	Student Association Member
	College or Halls of Residence Staff Member
	Other affilliated Organisation at James Cook University

Name of Authorising Department
Posting Code of Authorising Department
Signature of Person Authorising Posting Code
Telephone Number of Person Authorising (for verification purposes)
Email Address of Person Authorising (for verification purposes)
Date of Birth of Person Authorising (for verification purposes)

External Account - User Registration Form

Account Details

Payment Type

Authorisation Details