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MAXC LOGIN ACCOUNT APPLICATION
and SECURITY ACKNOWLEDGEMENT
(Form to be used by Xerox Non-PARC or Non-Xerox employees only)

Directory Name: Password:
(Preferably your last name)(6 or more letters and/or digits and unpronounceable)

Originator’s Name:MAXC AccountIVY Account
(Please Print)
Organization: Project(s):

Mailing Address:Anticipated Termination Date:

Colleague at PARC sponsoring the account:
Phone:

Xerox permanent employeeReason for Account:
Xerox temporary employee
Non-Xerox employee

Security Acknowledgement ~ Access to Maxc is provided under the following conditions:

1.The password issued to obtain access to Maxc will be kept in the strictest confidence. No one else should be
allowed to use your password.
2.In the event that the Maxc system or its users should change or destroy any of the information that you have stored
or processed in Maxc, neither Xerox or any of its users will be held accountable for the resulting loss.
3.Since Xerox personnel have access to information in Maxc, it will be assumed that none of the information stored
or processed by you is confidential to you or your organization, and that Xerox personnel have the right to access
and to use this information.
4.Any information proprietary or confidential to Xerox that is obtained in conjunction with the use of Maxc will be
held in confidence and not disclosed to other individuals or organizations.

I acknowledge and accept these conditions.

Originator’s Signature: Date:

Supervisor’s Name:Date:
please print
Supervisor’s Signature:Phone:

Do not write below this line

MailboxFile Access OnlyFull Service
User Groups:
Directory Groups: Person responsible for this directory if owner
File Protection: terminates:
Directory Protection:
Disk Limit:
Project Group: Additional Subsystems::

Remarks:


Maxc Account No. Date created: by:

Authorizing Signature: Date:


MAXC USER ACCOUNT STATUS:

ActiveInactiveTerminated
Date of Termination

Filed on [Indigo]<Forms>MaxcNon-ParcDirectory.Press