Alliance Healthcare Australia – On-boarding

Please fill in and submit form for new user setup.  Please ensure accuracy of names, as post modification will require the account to be deleted and created again to avoid user profile corruption.

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Your details

Enter your full name
Email address to receive a copy of this form
Email address to receive the new login details

New user details

ex Firstname.Lastname
(Internal use)
(Internal use)
(Internal use)
User Email Access Type
Department
Office 365 Version
Network Drive access: (SEED-Share added automatically)
Hardware Needed