Extranet User Access Request Form (SA 8205-5)
(NON-Saudi Aramco Employees)
Section (A) User Information
*Last Name *First Name M.I. Saudi National ID Tel:
Passport / Iqama *Mobile:
Nationality : Fax:
*Email: Designation:
Network ID : Create Delete NETWORK ID
APPLICATION ACTION REQUESTED: Add Modify Delete Renew Other (specify)
NETWORK ID
Section (B) Extranet Application Access
Extranet Application Name: Application Administrator: YES NO
* Extranet Application Role Action Required (Add/Remove)
1
2
3
4
5
YES, I have read and accepted the Saudi Aramco Computer Use Agreement (NON-Employee) SA-9696
Applicant Printed Name and Signature Date
Section (C) Employer’s Information
Employer Name & Stamp (if applicable) Saudi Aramco Registration ID/Contract or Date:
PR # /Other
Tel:
Section (D) APPROVAL – SPONSORING DEPARTMENT
Manager or Authorized Signature Approval Department Name Date Telephone
Name & Signature
Section (E) COMPLETED BY
Name Signature Date
* - Indicates Mandatory Field
Saudi Aramco: Company General Use
Document Classification: General Company Use
Procedure for completing the SA 8205-5:
This form is required to request a Extranet User ID as well as grant access to Extranet applications deployed in Saudi Aramco Extranet
for individual users that are not employees of the Saudi Aramco company; such as Contractor employees, consultants, Joint Venture
employees, designated medical facility users, employees of Affiliates and Subsidiaries, or any non-employee who requires access to
Saudi Aramco Extranet applications and resources.
This form must be filled in conjunction with the SAUDI ARAMCO COMPUTER USE AGREEMENT (NON-EMPLOYEE) SA-9696.
Descriptions of the fields are as follows:
1 Last Name The Last Name of the User
2 First Name The First Name of the User
3 M.I The Middle Initial of the User
4 Passport/NIN/Iqama #: User’s Passport; or user’s National Identification Number; or user’s
Iqama number.
5 Nationality The Nationality of the User
6 Tel & Fax: The Telephone and Fax Number of the User
7 Mobile The Mobile Number of the user ***Mandatory***
8 Email The Email of the User***Mandatory***
9 Network ID Action Requested to Create or Delete a Network ID
10 Action Requested Actions Requested are to modify, delete, renew, other action. Also,
the network Id is required if the action is not to create a new network
ID.
11 Extranet Application Name The Name of the Application Required to Be Accessed
12 Application Administrator If the User is an Administrator of this application or not.
13 Extranet Application Role The Name of The Application Role to be Granted/Removed
***Mandatory***
14 Action Required What Action is Required (Add/Remove)
15 Applicant Name and Signature: The User name and Signature (hand-written) and Date: MM/DD/YY.
Also, It is required that the user has read and accepted the Saudi
Aramco Computer Use Agreement (NON-Employee) by check-in the
Yes box.
16 Employer Name & Stamp: Name of the Employer Company and its stamp (seal). If no Employer
is available, name and stamp is not required.
17 Saudi Aramco Registration ID / Identification Number of the Contracting Company at Saudi Aramco;
Contract or PR # / Other: or Contract Number of Contract with Saudi Aramco (Required in case
of Contracting Companies); or PR Number: Purchase Request
Number.
18 Date and Tel: MM/DD/YY & The Telephone Number of the User’s Employer.
19 Sponsoring Department Name Name of SAO Sponsoring Department; Authorized Signature by
Manager or Authorized Signature Manager or Delegate.
Approval:
20 Department Name The Name of The Sponsoring Department
21 Date MM/DD/YY.
22 Telephone The Telephone Number of the Sponsoring Department
23 Name The Name of the Person Who Performed the Required Action
24 Signature The Signature of the Person Who Performed the Action
25 Date MM/DD/YY.
Saudi Aramco: Company General Use
Document Classification: General Company Use
