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[b]FORM DA-5 ACCESS REQUEST[/b]



[b][u]Applicant Details[/u][/b]



[b]Name[/b]

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[b]Current department (Choose one)[/b]



[__] Civilian

[__] Engineering

[__] Research

[__] Security

[__] Command





[b]Current title[/b]

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[b][u]Application Details[/u][/b]



[b]Desired access (choose any number)[/b]



[u]Staff[/u]



[__] Bar

[__] Chapel Office

[__] Crematorium

[__] Hydroponics

[__] Janitorial Equipment

[__] Kitchen

[__] Mailroom

[__] Maintenance

[__] Morgue

[__] Technical Storage



[u]Engineering[/u]



[__] Atmospherics Controls

[__] Construction Site

[__] Engine

[__] Engineering

[__] Engineering Control

[__] Engineering Power

[__] External Airlock

[__] Mechanical Lab

[__] Mining Outpost Shuttle



[u]Supply[/u]



[__] Cargo Bay

[__] Cargo Bot

[__] Delivery Hangar

[__] Mining Outpost Control

[__] Mining Outpost Proper

[__] Mining Outpost Shuttle



[u]Research and Medical[/u]



[__] Chemical Lab

[__] Med-Sci

[__] Medical

[__] Medical Equipment

[__] Research Sector

[__] Robotics

[__] Toxins Research

[__] Toxins Storage



[u]Security[/u]



[__] Armory

[__] Forensics

[__] Security

[__] Security Equipment

[__] Security Weapons



[u]Command[/u]



[__] AI Upload

[__] Captain's Quarters

[__] Chief Engineer's Office

[__] Emergency Storage

[__] EVA

[__] Head's Quarters/Bridge ID Computer

[__] Medical Director's Office

[__] Personal Locker

[__] Research Director's Office

[__] Teleporter



[b]Reason for request[/b]

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[b]Time of request[/b]

__:__



[b][u]Authorisation[/u][/b]



[b]Signature of applicant[/b]

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[b]Signature of Head of Personnel[/b]