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Access to campus resources, remote desktop access, WebVPN, Banner Access (off campus)
Title
A short description to explain the nature of a ticket.
Please select who this request is for.
Employee
Vendor
Instructions for vendor request form:
Please attach a completed vendor request form below.
Attachment
File attachments associated with the ticket.
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Building:
Room number:
Supervisor's Name:
Supervisor's Email:
Supervisor's Telephone:
Action needed:
Action needed:
Add new user
Change current user ID
Need more access
Terminate current user ID
Purpose for VPN access:
Purpose for VPN access:
Advanced Banner Access
Basic Banner Access
Server Access (Please list the following server)
Method of access:
Method of access:
Remote Desktop
SSH
VNC
Web Browsing
Telnet
File Transfer
Other
Operation System:
Operation System:
Linux
OS X
Windows 7
Windows 10
Windows 11
You are connecting with:
NCCU Computer
Personal Computer
Is GlobalProtect already installed on your computer?
No
Yes
Is anti-virus installed on the computer?
Yes
No
Duration of access (From date):
(mm/dd/yyyy)
Duration of access (To date):
(mm/dd/yyyy)
AD username:
I certify I have completed this request fully and accurately to the best of my knowledge.
I certify I have completed this request fully and accurately to the best of my knowledge.
The submission of this request serves as signature authorization.
Other Fields
Your name
Your first name
Your last name
Your email address
Your phone number
Verification Code