Apply for a new user account

First name (Optioneel)

Surname (Optioneel)

Email address (Optioneel)

Phone number (Optioneel)

(full : 32 3 821 xx xx or +32 3 275 xx xx)

Primary department (Optioneel)

Secondary department (Optioneel)

Remarks (in case you select ‘other’ in the department fields, you need to fill in this field) (Optioneel)

If you need read or/and write access to a study, please add the EDGE-number in here.

RIZIV number (Optioneel)

Activate account (Optioneel)

It is possible to create an account without activating it. When activated, the user will receive an e-mail and after choosing a password, (s)he will be able to log in EDGE. (S)he has one week to activate the account. After one week, the link will expire. In that case, please contact your Lead Administrator.

User is a member of existing team in EDGE (Optioneel)

In EDGE, teams can be created so that you are able to add a group of users with one click to a project. Please use the template ‘Applying for a new team’ for this first.

UZA Staff ID (Optioneel)

(6 digits)

Applicant e-mail address (Optioneel)

Contact

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