Dichroweb - Account Application Form
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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 FAX or postal mail. (NB. Do not print out this web-form,
only the form that we email to you is acceptable.)
We aim to make the procedure as fast as possible
but please be patient if you have to wait for a few days.
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
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Required fields
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| Title* |
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| First Name* |
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| Last Name* |
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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.
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Mailing Address (please include department and university/instituion)*
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| University or Institution |
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| Department |
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| Postal Address |
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| City or State |
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| Post / Zip code* |
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| Country* |
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Academic* Telephone Number (including international dialling code)
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Academic* FAX Number (including international dialling code)
IMPORTANT - Please check your FAX number carefully as this is how we WILL
send out your account details.
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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.
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Position*
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| Name of Supervisor* |
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(If you are a Professor/Lecturer, please write "HEAD of LAB." instead of a name here.)
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Optional fields
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Webpage of your department (if available).
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Any additional information/comments you would like to give.
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* The details you provide
must refer to a verifiable academic or not-for-profit organisation.
Details will be verified before accounts are created.
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