National University of Singapore
School of Computing
Smart Card / Temp Card Access Application Form

1. Fill in relevant information and return the completed form to S15 #01-05 Workshop.
2. Users may be liable for any loss of equipment during their period of access.
3. Users are not allowed to bring unauthorized person into the labs at all times.
4. Student, Please tick appropriate box and seek approval from your Supervisor and Lab Coordinator.

To Be Completed By Applicant's

Applicant's Full Name (as in staff/matric card):      

NUS Dept: SoC  IS CS Others:  Staff Card No:

For staff: Designation: Tel No: Building:   Room No:

For All Students:         Matric No:              Version No:   

Email:   Expiry Date / Duration of Access:

Reason For Application: 

 Lab To Access:

    Building:      Room No:                   Lab's Name:                     Lab Coordinator Name & Signature:

Applicant's signature:       Date of Application:
 

To Be Completed by Admin Staff

Name:           Signature:    Date:
 

To Be Completed by Supervisor

Name:                    Supervisor Approval:    Yes OR No

Signature:                     Date:
 

FOR OFFICE USE

Temporary Card Issued No:     

Access Given:                             Group A     Group B     Group C     Group D

Approved By Smart Card Staff:        Date of Approval:

Removed By Smart Card Staff:        Date of Removal: