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NASA Badge Information: *
If you have a NASA Badge, please provide the badge number and color. If you do not have a NASA Badge enter the code "N/A" in this field.

Principal Investigator's Computational Project: *
Check with your Principal Investigator for the Computational Project to be entered in this field. If you are a new Principal Investgator, you must use the NCCS User Administration Request Form: (Paper Form) .

NASA Agency UserID (AUID): *
If you do not have a NASA AUID, you must use the NCCS User Administration Request Form: (Paper Form) .

Preferred Shell Program: *

sh csh ksh tcsh bash

First Name: *

Preferred Nickname:

Middle Initial:

Last Name: *

Office Telephone Number: *

Alternate Office Telephone Number:

Office Facsimile (Fax) Telephone Number:

Employer: *

E-mail Address: *

Office Address: *

City: *

State (or Province): *

U.S. ZIP or Postal Code: *

Country: *

Because of the need for additional information and documentation required by the Homeland Security Presidential Directive 12 (HSPD-12), the NCCS User Administration On-line: New Userid Request Web-Interface can not be used to request an NCCS userid for a foreign national, a legal permanent resident or a naturalized U.S. citizen. If you are a foreign national, a legal permanent resident or a naturalized U.S. citizen, you must use the NCCS User Administration Request Form: (Paper Form) .

NCCS Identification Question and Answer:

Please provide a question and an answer to be used as an identification code. This code is not a password and is only used by NCCS personnel as a means of confirming your identity when discussing sensitive information such as passwords.