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Downloadable Data Definition Document

User Manual

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Registration & Security Policy

New Centre and User Registration

Important Notice

This form is intended only for new sites/centres that are requesting access to the NED / MEDR web application for the first time.

Centre Information

1 *

Institution Name

2 *

Institution Short Name
(for display and reporting purposes)

Head of Department

i	Title (e.g: Prof Dr., Dr.)
ii	Full Name
iii	Designation

Site Coordinator

i	Full Name
ii	Designation

Establishment Details

1 *

Sector

If other, please specify

2 *

Institution Address

Address
Town/City		Postcode
State *		Region *

3 *

Contact Information
(At least one contact person is required for registration purposes)

Work Phone (1) *		Extension Number (1)
Work Phone (2)		Extension Number (2)
Email *		Fax Number

Notes / Remarks (if any)

Access Setting

(check at least one)

Access NED

Access NED Sub-Registry (e.g., CSR, Monthly Census, KPI, IOL, Retinoblastoma, Diabetic Eye, AMD)

Access MEDR

Access MEDR Registry (e.g., MySIG)

User Information

#	Access rights by user group:
1	Doctor in Charge / Site Coordinator	Own centre data: View / Add / Update / Request Delete data; access Report, Aggregated Report and Data Download module.
2	Doctor / Optometrist	Own centre data: View / Add / Update / Request Delete data; access Report and Data Download module.
3	Nurse / MA	Own centre data: View / Add / Update / Request Delete data.
4	Data Entry Personal	Own centre data: View / Add / Update / Request Delete data.

Instructions

i) Fill in the User Authorisation List below to grant access to your centre's records. Refer to the table above for definitions under the "User Group" column.
ii) Your centre must have at least one user account. Click the green "Add" button to add a user.

User Authorisation List
No.	Title e.g., Mr, Ms, Dr	Full Name *	Role / Designation	User Group *	Mobile phone Number	Email Address * This will be used for password recovery. Duplicate email addresses are not allowed.

* I certify that the individuals listed above are appropriately trained, understand the importance of maintaining data confidentiality and integrity, and are authorized to perform the tasks described above.

Verification Code
(Enter the characters you see)

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