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ATLAS REGISTRATION FORM Please complete all sections and return this form to the ATLAS SECRETARIAT Bldg 40-4-D01 Fax 41227678350 NEW USER PLEASE TICK ONE OF THE FOLLOWING CHANGE OF INSTITUTE SURNAME FIRST NAME DATE OF BIRTH DAY/MONTH/YEAR CONTRACT EXTENSION SEX M/F NATIONALITY CERN IDENTIFICATION NUMBER CERN OFFICE CERN PHONE NUMBER HOME INSTITUTE NAME EMAIL ADDRESS START DATE start date of new contract END DATE PHOTO PERMISSION YES NO PROFESSION please cross only one Physicist Engineer Physicist with PhD Engineer with PhD Undergraduate/Summer student Physics PhD Student Engineer without PhD Technician or equivalent Physics masters/ diploma student Engineering Student Administrator/Other ATLAS MAILING LISTS You will automatically be added to the ATLAS-GEN mailing list. For most of all other mailing lists you can subscribe yourself directly on https //groups. cern*ch/Pages/atlas. aspx It should be noted that some mailing lists are generated from the ATLAS database or maintained by their administrator. For sensitive lists eg. Physics oriented only addresses registered in the ATLAS database or in the CERN Central database can be used* If by mistake other addresses have been entered they will be automatically removed* Access to the existing HyperNews forums is provided at https //espace. cern*ch/atlas-forums/default*aspx. From there you can subscribe to the forums and get access to the archive. Additional information on Mailing Lists HyperNews and Information Access and Protection can be found at the TWiki site https //twiki. cern*ch/twiki/bin/view/Atlas/ AUTHORSHIP QUALIFICATION Please note that a new qualification procedure has been put in place and now the team leader is responsible for inputing the qualification period in the database. Once your registration in the ATLAS Database is complete your team leader will receive an automatic prompt email informing them of what they must do. This is obligatory if you want to start qualifying as ATLAS Author and have access to the physics analyses information* YOU WILL NOT BE REGISTERED WITHOUT THIS COMPLETED FORM BEING SIGNED BY YOUR TEAM LEADER TL OR DEPUTY TEAM LEADER DTL TL/DTL SIGNATURE TL/DTL NAME printed TL/DTL CERN ID NUMBER. For most of all other mailing lists you can subscribe yourself directly on https //groups. cern*ch/Pages/atlas. aspx It should be noted that some mailing lists are generated from the ATLAS database or maintained by their administrator. aspx It should be noted that some mailing lists are generated from the ATLAS database or maintained by their administrator. For sensitive lists eg. Physics oriented only addresses registered in the ATLAS database or in the CERN Central database can be used* If by mistake other addresses have been entered they will be automatically removed* Access to the existing HyperNews forums is provided at https //espace. For sensitive lists eg. Physics oriented only addresses registered in the ATLAS database or in the CERN Central database can be used* If by mistake other addresses have been entered they will be automatically removed* Access to the existing HyperNews forums is provided at https //espace. cern*ch/atlas-forums/default*aspx. From there you can subscribe to the forums and get access to the archive.

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