Apply

Dichroweb - Account Application Form

To apply for a DichroWeb accout on-line, complete the form below. When your details have been verified, DichroWeb will email to you an agreement form and generate an account. The account will be activated when you print out and return the signed form (by uploading it at http://dichroweb.cryst.bbk.ac.uk/html/sendform.shtml; you can also send it by surface mail or FAX) and you will be notified by email. (NB. Do not print out this web-form, only the form that we email to you is acceptable and will contain a unique reference number.)

We aim to make the procedure as fast as possible but please be patient if you have to wait for a few days especially if you return your form by post or FAX.

NB: Due to increased activity from form-filling spam robots we have had to increase the security checks on this form. This should not cause any problems for human users, but if you experience difficulties, please let us know - cdweb[at symbol]mail.cryst.bbk.ac.uk

Required fields
Title*
First Name*
Last Name*
Academic* E-mail. (This address will be used to send you the form that you need to sign to activate your account.) It must be an academic email address related to the university or institution that you work at, not a generic email domain such as yahoo, hotmail, gmail etc.
Academic Mailing Address (please include department and university/instituion.)*
University or Institution
Department
Postal Address
City or State
Post / Zip code*
Country*
Academic* Telephone Number (including international dialling code)
Academic FAX Number (including international dialling code)
Place of Work is : University Research Institute Other (Organisation, Company etc)
NB: You will be asked to sign a statement agreeing that DichroWeb will not be used for any paid (contract) work.

Position*
Name of Supervisor*
(If you are a Professor/Lecturer, please write "HEAD of LAB." instead of a name here.)

Optional fields
Webpage of your department (if available).
Any additional information/comments you would like to give.


* The details you provide must refer to a verifiable academic or not-for-profit organisation. Details will be verified before accounts are created.