eResearch SA User Request Form

eResearch SA User Account Request Form

Complete this form if you require an account with eResearch SA. In order to be successful you may be required to use a university email account from within Australia.

* = Mandatory Field

Your first name:*

Your last name:*

Your email address:*

Please use your University or Company Email - no personal emails eg gmail, yahoo etc...

Your phone number:*

Are you a student?*

Yes I'm a student.
If a student, who is your supervisor ?
No I'm not a student.
If not a student, what is your position ?

What is your Research Group called ?*

Your institution or organisation?*

University Of Adelaide:
University Of South Australia:
Flinders University:
Government of South Australia:
Other

Other Institution/Organisation :

Other School/Department :

If Other, please specify who you are collaborating with at an SA institution
I am collaborating with :

Tell us about your related work and study:*

Which eResearch SA services are you interested in?*

High Performance Computing
Data Storage
Data Management
Video Collaboration Tools
Web Collaboration Tools
Visualisation

Other services:

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Please Read the Following Conditions of Use Carefully

Do you Accept These Conditions ?

eResearch SA - For Researchers