Registration Form

Full Name

Affiliation

Phone Number

Group

Preferred Environment

Life Number

Desired Username Usernames must be all lowercase and max 12 characters.

Second Choice Username

SSH Key Content

SSH Key Fingerprint

Please provide the contact details of a person (e.g., PI, Supervisor, or BNL Staff member) who can verify your request.

Do NOT enter your own contact details in this section.

Contact Full Name

Contact Email

Contact Phone Number

Additional Comments