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  1.                                WSMR DECSYSTEM-20
  2.                     USERID REQUEST AND DIALUP AUTHORIZATION
  3. _______________________________________________________________________________
  4. 1. Requested Action (check one)                  | 2. Printed Name of User
  5.   __          __             __                  |
  6.  |__| NEW    |__| CHANGE    |__| CANCEL          |
  7. -------------------------------------------------------------------------------
  8. 3. Organization Name and Mailing Address:        | 4. Phone | a. Commercial
  9.                                                  |          |
  10.                                                  |          |------------------
  11.                                                  |          | b. AUTOVON
  12.                                                  |          |
  13. -------------------------------------------------------------------------------
  14. 5. Userid/Mailbox Name
  15. _______________________________________________________________________________
  16.                              PASSWORD PROTECTION
  17. AR 380-19 prohibits users from revealing passwords to anyone, even though they
  18. may be employed on the same project and hold identical clearances.
  19. _______________________________________________________________________________
  20. 6. Signature of User                             |7. Date
  21.                                                  |
  22.                                                  |
  23. -------------------------------------------------------------------------------
  24. 8. I verify that this user is authorized to (check one or more)
  25.     __
  26.    |__| Use a DDN mailbox on the WSMR DECSYSTEM-20.
  27.     __
  28.    |__| Charge computer runs against a valid WSMR DECSYSTEM-20 project.
  29.     __
  30.    |__| Perform the duties of TASO IAW AR 380-19.
  31. -------------------------------------------------------------------------------
  32. 8a. Printed Name of Supervisor|8b. Signature of Supervisor  |8c. Date
  33.                               |                             |
  34.                               |                             |
  35. -------------------------------------------------------------------------------
  36. 8c. Supervisor's Office Symbol|8d. Supervisor's Phone Number
  37.                               |                             
  38. -------------------------------------------------------------------------------
  39. 9. TASO:  I verify that (check one):                                    
  40.     __
  41.    |__| This terminal user is authorized to use terminal equipment under my
  42.          jurisdiction.
  43.     __
  44.    |__| I am acting as own TASO and agree to perform the duties of TASO
  45.          IAW AR 380-19.
  46. -------------------------------------------------------------------------------
  47. 9a. Printed Name of TASO      |9b. Signature of TASO         |9c. Date
  48.                               |                              |
  49.                               |                              | 
  50. -------------------------------------------------------------------------------
  51. 9d. TASO's Office Symbol      |9e. TASO's Phone Number
  52.                               |                        
  53. ===============================================================================
  54. PLEASE DO NO WRITE BELOW THIS LINE
  55. -------------------------------------------------------------------------------
  56. 10. Request Number   | 11.  __                          
  57.                      |     |__| Approved as Requested      __
  58.                      |      __                            |__| Rejected
  59.                      |     |__| Changed  
  60. -------------------------------------------------------------------------------
  61. 12. Signature of ISSO
  62. _______________________________________________________________________________
  63. 13. Comments
  64.  
  65.  
  66. _______________________________________________________________________________
  67. ASQNC-TWS FORM 91 
  68. 1 Feb 91
  69.           Replaces STEWS-IM Form 11, 1 Apr 87, which is obsolete.
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