= Application form for JLAN SSL-VPN (Ver.20210707) =

I agree with "Compliance on use" and apply as follows.
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 1. Name (Surname, Given name) and Affiliation
    [ex: Kikou, Taro (HIGH ENERGY ACCELERATOR RESEARCH ORGANIZATION, KEK)] 
    Please write your organization name, accurately.

 2. Mnemonic (Note 1) @post.j-parc.jp
    [JLAN related notification mails including completion of JLAN application will be sent to this address.]


 3. Group (Note 2)


 3.1 Contact person in charge


 3.2 Email address to the contact person (Required for Hadron group)
 

 4. Phone number
     (Dial In)      -     -          (Extension):


 5. Email address (Note 3)


 6. Classification of application (New, Modified, Continued or Abolished)


 7. OS and version for client (Note 4)
    OS:
    Version:


 8. Browser for client (Note 4)
    Browser:

 9. Name of anti-virus software and version for client (Note 4)
    Name of software:
    Version:


10. Detail countermeasure for computer security :
    [ex: Automatic OS updates,  No P2P (Winny, WinMX, KaZaA, Share etc.) software are installed, etc... ] 


11. JLAN hosts and its service which you want to access via SSL-VPN must be registered.
    IP address, administrator E-mail address of the host and service name by the host such as SSH, Web, so on. are required to fill the following lists.
    * The following services of the hosts are not required to be registered. These services are available by default.
      (1) Access by http and https to www-intra.j-parc.jp
      (2) Access by https (Web Mail) to post.j-parc.jp
      (3) Access by http and https to the Internet site
    * Please mark (x) if you request the following service. You can take shortcut detailed input.
      ( ) Access by mailer to post.j-parc.jp such as POPs, IMPs or SMTP
      ( ) Access by ssh to KEKCC 

    * Target Host list
         Servise, Protocol, Port, IP address, Email address of administrator
    --------------------------------------------------------------------------
    (ex.)
    [ 1] ssh,  TCP, 22, 192.168.0.1, xxxx1@post.j-parc.jp
    [ 2] http, TCP, 80, 192.168.0.2, xxxx2@post.j-parc.jp
    --------------------------------------------------------------------------
    [ 1]
    [ 2]
    [ 3]
    [ 4]
    [ 5]
    [ 6]
    [ 7]
    [ 8]
    [ 9]
    [10]
    [11]
    [12]
    --------------------------------------------------------------------------


12. Purpose of use and Needs
    * Please write reasons why you need to access from outside J-PARC.
    * If reasons are not clear, it may be unauthorized.  Please be forewarned.


13. Remarks (Note 5)


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"Compliance on use"
(1) I will pay attention to the computer security by constantly taking countermeasures against latest virus and vulnerability.
(2) If registered data in this form is changed, apply for the change certainly and keep the latest information.
(3) You have to apply for abolishment when you will not need to use the service any more.

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 [Notes]
(Note 1) In Mnemonic column, please input your user ID for J-PARC mail system.
         * Those who don't have Mnemonic.
          Please apply for J-PARC mail system prior to this application.
(Note 2) Please choose one from the following;
           Accelerator Division
           Accelerator Control Group
           Materials and Life Science Division
           Hadron Group(Particle and Nuclear Physics Division)
           Neutrino Group(Particle and Nuclear Physics Division)
           Safety Division
           Information System Section
           Transmutation Section 
           Cryogenics Section
           Administration Division
(Note 3) Please input an email address of your home institute if you have.
(Note 4) Available client platforms for SSL-VPN connection are following;
         http://is.j-parc.jp/uo/page_network/sslvpn_man/english/service/SSL-VPN_platforms_new2.html
(Note 5) If you applicant have your special notes to  the J-PARC infomation section, 
           please write them here.
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