KNOWLEDGE CENTRE EXTRANET USER APPLICATION FORM PLEASE COMPLETE THIS

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17204 VERSION 2 PAGE 4 OF 4 DEMONSTRATE KNOWLEDGE
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Knowledge Centre



Knowledge Centre

Extranet User Application Form



Please complete this form and ask a manager at the Trust to e-mail it to the Knowledge Centre Team at [email protected]



About You


Surname


First Name


Job Title


e-mail address


Phone Number & Trust Extension (If you have one)


Employer


Place of Work


Employer Address


Site


Building


Post Code



Trust Manager


Surname


First Name


Job Title


e-mail address


Extension No







By completing & e-mailing this document back to the KC Team, you and your manager acknowledge responsibility for the use of the Trust Extranet and agree to abide by the Knowledge Centre Policy that can be found on the Knowledge Centre Intranet.




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