L-U N I V ER SI T À T A ’ M A LT A M sida – M SD 2 0 8 0 M A LT A U N I V ER SI T Y O F M A LT A M sida – M SD 2 0 8 0 M A LT A IS-SERVIZZI TAL-IT IT SERVICES Department*: UoM IT Account ITS-F07 Details of Person Responsible for Department’s Account Name: .......................................................... Surname: ................................................................................. Address: ................................................................................................................................................................... ................................................................................................................................................................... Tel.: .......................................................... ID Card / Passport No.: .......................................................... Contact email address: ............................................................................................................................................ Department Name: .................................................................................................................................................... Name of Head of Dept.: ............................................................................................................................................ Dept. Address: .......................................................................................................................................................... ......................................................................................................................................................... Dept. Tel.: ........................................... Preferred email address: ............................................ @um.edu.mt Existing University email addresses (if any): ........................................................................................................ *Department refers to Faculty, Department, Institute, Committee etc. Note: Please attach a letter from the head of the department, stating clearly who the person responsible for the department’s account is, together with this application. UoM IT Account Agreement I, the undersigned, have read the IT Services Rules located at www.um.edu.mt/itservices/policies/rules, and agree to subject the department to them. I assume full responsibility to ensure proper use of the departmental email account. The department will be responsible for keeping IT Services informed should the person responsible for this account change. Date: ............................................................. Signature: ........................................................................... For Office Use Only Date Received: ...................................................................... Authorised: ............................................................ Date Sent: .............................................................. Tel: +356 2340 4100 ● Email: itservices@um.edu.mt ● Web: www.um.edu.mt/itservices