NERSC User Form

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NERSC User Form

Please fill out this form so that we can create NERSC accounts for you.

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* Indicates required question

First Name *

Your answer

Middle Initial

Your answer

Last Name *

Your answer

Cal ID *

NERSC Username

Your answer

Citizenship *

Your answer

Email Address *

Your answer

Telephone *

Your answer

Organization *

(UC Berkeley, etc.)

Your answer

Mail stop

Your answer

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