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Use this on-line form to request an MSD IT network username on behalf of someone else.

Please read the information found in Accessing the MSD IT Services network.

If a large number (>10) of accounts are to be created at this time, please contact our Service Desk: or ring 80030.

Mandatory fields are marked with a red asterisk

University Card

The seven digit number above the user's University Card bar code
University Status of the account user (printed under the name on the University Card)

Personal Details of the Account User

Please supply a 'phone number for the person who will use the account. This should preferably be a Medical Sciences Division department extension number but an external or mobile phone number may be supplied if preferred. This will enable us to contact the account holder if necessary.
Contact details for the person who will use the account. This MUST be a University email address as our user activation process will only send details to a University email address. If the account user does NOT have a University email address you must enter an alternative here but please explain why in the additional information box below.
Please indicate if the account user is a member of a specific research group within the Department
Please add any other information or requirements relevant to the creation of this account

Proxy Applicant Details

Your e-mail address. You will also be notified once the new account has been created.
We may need to contact you by phone.
Please indicate your departmental role if completing a proxy application. If you are either an Administrator or HR Officer we will accept that authority to request an appropriate unit affiliation.