Your Name*

Your Email*

Category* (Select a category that best describes your request to reduce delays from rerouting) -- Select a Category -- Asset related AV related Booking (Venue/Room) Building & Facilities Code-Crunch Computer Clusters & Unix Servers Computer Room Desktop PC/Notebook/Network Printer Events related Intranet Application Systems (e.g. https://mysoc.nus.edu.sg/app/{AppName}) IPTel (Zoom/Headset) NCL related Network & Connectivity Practical Exam Smartcard related SoC Mail, Account Virtual Machine Visitor NUSNET Account Website Services (exclude NUS/SoC Web-related Applications) Windows Services Others

Subject*

Specify the building of the equipment/request* -- Select -- COM1 COM2 COM3 COM4 AS6 I4
Specify the room/office unit of the equipment/request*

Specify the location*

Specify your Student/Staff Card ID*

Department* -- Select -- CS DISA SoC Dean's Office Staff-in-charge NUSNET ID* Visitor Last Name or Surname* Visitor First Name* Visitor Display Name* Visitor Title* -- Select Prof Assoc Prof Dr Mr Mrs Mdm Miss Ms Er Emeritus Professor Emeritus Consultant Justice Dato' Senator Tan Sri Professor Sir Dr Ir Prof Dr Maj Mg Radm Vadm Adm Asst Prof Adj Prof Adj Asst Prof Adj Assoc Ambassador Visitor Job Title* Visitor Organization* Email Domain* -- Select -- Partner Visitor Visitor Organization Address* Visitor Alternate Email* Visitor Country Code* Visitor Mobile number* Purpose of Access* Account Required Period*
to

Provide request details*

Attach screenshots(s)/supporting file(s) (if any)
Use Ctrl/Cmd + select to choose multiple files. Total maximum of 25MB allowed.