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Application for purchase under the Staff Computer Scheme

Note that only new permanent academic staff, new academic staff on contracts of minimum three years duration, and existing academic staff with a computer that is 5 years or older are eligible under this scheme.

Obtain a quote from an official NUI Galway supplier Web site or account manager.
This order will not be processed until you e-mail the supplier quote to issadminnuigalway.ie.
Fill out all boxes below and click the "Submit" button to log a Staff Computer Scheme request. You will receive an automatic e-mail acknowledgement.

* Required Fields

Employee

Name:

Job Title:

Department:

Commencement date:
(Applicable to new staff only)

Staff ID Number:

Mobile Phone Number:

Phone Ext:

E-mail address:

Applicable Scheme:

Note The Registrar's scheme is to allow academic staff replace their office computer, if it is older than 5 years.

Location

Building:

Room Number:

Wall Box No:

The Wall Box is used for connecting to the network and looks similar to a telephone socket. It has an ID number written on it e.g. BS2-A-01

Computer

Chosen computer supplier:

Computer model

Quotation Number

Printer (Optional)

Chosen printer supplier

Printer Model

Quotation Number

Cost

Amount as per supplier quote ex. VAT
Computer Cost, ex VAT :
Printer Cost, ex VAT :
VAT Total @23%:
Total order value inc VAT:

Scheme Allowance:

Surplus to Department:

Any surplus for total amounts exceeding €1,200 (inclusive of VAT) is charged to your own department. Authorisation from the department head is required.

Have you informed your Head of Department/Budgetholder that you are making an application for purchase under the Staff Computer Scheme?
(Please note that your request cannot be processed on the system unless the 'Yes' button is ticked)

YesNo

Head of Deparment/Budgetholder Name:

Head of Deparment/Budgetholder Email:

Department recurrent account code:

IMPORTANT: In addition to submitting this form, you must e-mail the supplier quote to issadminnuigalway.ie

Please note that a copy of this form will be sent to the email address you entered above. You can print off this email if you require a paper copy of the details entered here.

Information Solutions and Services
Phone: Admin: eMail: Support ICT Regulations
This page was last updated February 24, 2012.