Application ID card request

Application for QMUL Access Control ID Card

The completed form will be submitted to mile-end-security @qmul.ac.uk with the attached JPEG picture. Cards will be produced within 24 working hours.
- All applicants should complete Section A
- If you require your card to be programmed for Access Control then Section B must be completed by your Head of Department or Building Manager.
- If you are an existing card holder and additional Access Control is required or the expiry date requires updating then a new form will be required
- If you wish to register to use Queen Mary Libraries, please take your card to any Queen Mary Library
All fields with the asterisk* must be completed or application will be rejected.

Section A - Name and details of post held
Name*

First NameLast Name
Email*
example@example.com
Payroll Number*
User ID*
Post Held*
Department*
Please select an option*

Permanent staffVisitor/HonoraryResearcherContractor
Please copy the below information from your contract as necessary if permanent leave the date blank
Site*

Mile EndWhitechapelCharterhouse SquareAll
Duration of Visit FROM*

DayMonthYear
Duration of Visit TO*

DayMonthYear

Section B - Security Accesss Control requirements (if applicable)
Please specify Building Access and Timings Requirements (if you know the name of the security reader).

(Example, Queens Building 9-5 Mon-Fri, Geography Building 24/7 7 days a week)
Please fill in all details requested*
Upload a ID/Passport style headshot*

Jpg format only. Max 2 Images
Cancelof
Budget Code*
ID card
Signature*

Clear
Date*

DayMonthYear
Should be Empty:

Application for QMUL Access Control ID Card