AUT Masjid access request v1

Masjid Access Request

Access request form below is only for current AUT staff and students.
Name*

First NameLast Name
AUT Email*
Must be @aut.ac.nz or @autuni.ac.nz official email, example: yusuf@aut.ac.nz or ywj0125@autuni.com
Phone Number

Country CodeArea CodePhone Number
Staff ID (if applicable)
AUT student OR staff ID
Access Card Number (if applicable)
If you have a white access card please enter the number above. If you don't have an access card, leave it blank.
Upload a photo of your AUT ID card (front only)*

Cancelof
Purpose of Access (select main reason)

Daily prayersFriday prayersResearch / Interfaith visitOther
if 'Other' selected, enter reason:
When you get access card, please be aware of following new card responsibilities;
- Full responsibility for the safe keeping of the card(s) issued. This must not be given to anyone else.
- Cardholder to advise Security immediately if card(s) is lost or stolen. Phone 0800AUTSAFE ( 24/7), or report in person to Security offices during business hours.
- Acknowledgement that a replacement fee of $30 applies to any card(s) lost or will be chargeable under the Department you’re working with the approval of your Manager
- Access card(s) issued to be returned to Security Office at the end of term with AUT.
Declaration

By submitting the form:
- I understand that this mosque is dedicated to Muslim prayer and worship.
- I agree to respect its purpose and etiquette by keeping it clean, quiet, and used only for prayer, reflection, or approved activities.
- I will not share my access card with others.
Should be Empty:

Masjid Access Request