Please print this form using the PRINT button on your browser. Fill in the blanks, sign it & put it in Chris Cardi's mail envelope in 110 Donner.
Please enter your name: ____________________
Your title: ____________________
End date of your fellowship, residency or student job: ____________________
Your phone number: ____________________
Your page number: ____________________
Your supervisor's name: ____________________
Your signature on this form indicates that you agree to conform to the computing policies of the department and the university. You are responsible for your account and all logins performed under your username.
Your signature:_________________________
Date: _________________________________
For help or to report problems:
Refer to documentation, see http:/www.pet.upenn.edu/ or, contact
Janet Saffer,Physicist, phone: 662 3095, email: saffer@rad.upenn.edu ;
Chris Cardi, Sys. Admin., phone: 662 7212, email: cardi@rad.upenn.edu ;
Rich Freifelder, Physicist, phone: 662 7213, email: rich@rad.upenn.edu .
To be filled in by Sytstems Administrator
username:_________________ passwd: ___________________
host(s): _____________________________________________
expiration: ________________ date issued:_________________
approved use:______________ UID/GID____________________
