External Username/ID Card/Library Access Request, Service Application Forms, Information Technology Services, University of Otago, New Zealand

You can use this form to request a University username in order to access IT services and obtain a University ID card for anyone who is not either an enrolled student or who has an employment agreement (including Honorary staff) with the University.

Please read the University Username and ID Card Guidelines and Information (.pdf, 484KB) before you start.

Note: access to resources and other IT services (e.g. email, Blackboard, Library, etc.) must be requested separately.

Allow 5 working days for your request to be completed.

See the University Username and Password webpage for further information about University usernames.

Fields marked with an * are required.

Applicant DetailsTitle First Name* Middle Name Surname* Known Name

Date of Birth*

This must be correct for identification purposes.

Address* Alternate Address Phone* Mobile Email* Campus Code* Company name (if you are a contractor)

Application TypeType* Explanation

Department Details

University Department Details.

Department*

ID Card required?* Yes No

This is required for Library Borrowing and Door Access.

Termination Date for Username/ID Card*

You can select up to 2 years from the current date.

Declaration *Yes, I have read the Guidelines and Information document and agree to comply with University policies and guidelines.
Please read the University Username and ID Card Guidelines and Information (.pdf, 484KB)

Authorisation Details

Your request for an external username must be approved by your Head of Department or delegated authority. Please enter their details below. An email message will be sent to them when you submit this form. Once we receive their response approving your access, we will action this request.

First Name* Surname* Username* Email* Account code*

GL_______7775___ or PL_____________7775___

Human Check

Please complete the below to prove you are human

External Username/ID Card Access Request