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Submitted URL: http://emc.force.com/EducationSupport/edservices_case_creation?type=Registration%20Support&selectedLanguage=English&u...
Effective URL: https://emc.secure.force.com/EducationSupport/edservices_case_creation?type=Registration%20Support&selectedLanguage=English&u...
Submission: On April 24 via api from US — Scanned from DE
Effective URL: https://emc.secure.force.com/EducationSupport/edservices_case_creation?type=Registration%20Support&selectedLanguage=English&u...
Submission: On April 24 via api from US — Scanned from DE
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</tr>
</tbody>
</table>
<div id="page:form:block:mySection">
<div class="pbSubsection">
<table class="detailList" border="0" cellpadding="0" cellspacing="0"></table>
</div>
</div>
<div id="page:form:block:section">
<div class="pbSubsection">
<table class="detailList" border="0" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<th class="labelCol vfLabelColTextWrap first " scope="row"><label for="page:form:block:section:caseTyp"><span class="assistiveText">*</span>Case Subtype</label></th>
<td class="data2Col first ">
<div class="requiredInput">
<div class="requiredBlock"></div><select id="page:form:block:section:caseTyp" name="page:form:block:section:caseTyp" onchange="DisplayInfo();">
<option value="All Other Support">All Other Support</option>
<option value="Certificate Support">Certificate Support</option>
<option value="Course/Curriculum Support">Course/Curriculum Support</option>
<option value="Course Completion Support">Course Completion Support</option>
<option value="Course Schedule Support">Course Schedule Support</option>
<option value="Dell EMC Account Support">Dell EMC Account Support</option>
<option value="Dell EMC Proven Professional Support">Dell EMC Proven Professional Support</option>
<option value="eBook Support">eBook Support</option>
<option value="Knowledge and Skills Analysis Support">Knowledge and Skills Analysis Support</option>
<option value="Legacy EMC Corporate Compliance Training Support">Legacy EMC Corporate Compliance Training Support</option>
<option value="On Demand Learning Center">On Demand Learning Center</option>
<option value="Partner Program Support">Partner Program Support</option>
<option value="Purchase Options and Pricing">Purchase Options and Pricing</option>
<option value="Registration Support" selected="selected">Registration Support</option>
<option value="SureSkills">SureSkills</option>
<option value="Technical Support">Technical Support</option>
<option value="Training Reseller Partner Support">Training Reseller Partner Support</option>
<option value="Video ILT Streaming Support">Video ILT Streaming Support</option>
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</div>
</td>
</tr>
<tr>
<th class="labelCol vfLabelColTextWrap " scope="row"><label for="page:form:block:section:rtype"><span class="assistiveText">*</span>Request Type</label></th>
<td class="data2Col ">
<div class="requiredInput">
<div class="requiredBlock"></div><span><select id="page:form:block:section:rtype" name="page:form:block:section:rtype" style="width: 360px; height: 15px">
<option value="">--None--</option>
<option value="I would like to register for training">I would like to register for training</option>
<option value="I would like to reschedule my training">I would like to reschedule my training</option>
<option value="I am unable to attend but I would like my colleague to take my place">I am unable to attend but I would like my colleague to take my place</option>
<option value="I would like to cancel my training">I would like to cancel my training</option>
<option value="I would like to change the training that we originally ordered">I would like to change the training that we originally ordered</option>
<option value="I would like details of your cancellation policy">I would like details of your cancellation policy</option>
<option value="I would like to activate training purchased by my company">I would like to activate training purchased by my company</option>
<option value="We have purchased training but I cannot find this in my account">We have purchased training but I cannot find this in my account</option>
<option value="I have not received any joining instructions/details of my class">I have not received any joining instructions/details of my class</option>
<option value="I would like my class instructor’s name">I would like my class instructor’s name</option>
<option value="My training has expired">My training has expired</option>
<option value="I would like information regarding a Dell EMC subscription">I would like information regarding a Dell EMC subscription</option>
<option value="I would like the balance available on my subscription">I would like the balance available on my subscription</option>
<option value="I would like to renew my subscription">I would like to renew my subscription</option>
<option value="I have a subscription but am being prompted for payment">I have a subscription but am being prompted for payment</option>
<option value="I need details of Dell EMC recommended hotels at my class location">I need details of Dell EMC recommended hotels at my class location</option>
<option value="I need details of parking provisions at my class location">I need details of parking provisions at my class location</option>
<option value="I need to speak to my Dell EMC Sales Representative">I need to speak to my Dell EMC Sales Representative</option>
<option value="I need to submit my Purchase Order">I need to submit my Purchase Order</option>
<option value="I entered my Purchase Order but no results were found">I entered my Purchase Order but no results were found</option>
<option value="I require a receipt/invoice for training purchased online">I require a receipt/invoice for training purchased online</option>
<option value="I am having difficulty purchasing training online">I am having difficulty purchasing training online</option>
<option value="I would like the training balance available to my organization">I would like the training balance available to my organization</option>
</select></span>
</div>
</td>
</tr>
<tr>
<th class="labelCol vfLabelColTextWrap " scope="row"><label for="page:form:block:section:first"><span class="assistiveText">*</span>First Name</label></th>
<td class="data2Col ">
<div class="requiredInput">
<div class="requiredBlock"></div><input id="page:form:block:section:first" maxlength="40" name="page:form:block:section:first" size="20" style="width: 360px; height: 15px" type="text">
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</td>
</tr>
<tr>
<th class="labelCol vfLabelColTextWrap " scope="row"><label for="page:form:block:section:last"><span class="assistiveText">*</span>Last Name</label></th>
<td class="data2Col ">
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<div class="requiredBlock"></div><input id="page:form:block:section:last" maxlength="40" name="page:form:block:section:last" size="20" style="width: 360px; height: 15px" type="text">
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</td>
</tr>
<tr>
<th class="labelCol vfLabelColTextWrap " scope="row"><span class="helpButton" id="01I70000000QPoq.00N70000002stzV-_help"><label for="page:form:block:section:j_id9">Contact Telephone Number</label><img
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<td class="data2Col "><input id="page:form:block:section:j_id9" maxlength="30" name="page:form:block:section:j_id9" size="20" style="width: 360px; height: 15px" type="text"></td>
</tr>
<tr>
<th class="labelCol vfLabelColTextWrap " scope="row"><label for="page:form:block:section:cmpny"><span class="assistiveText">*</span>Company Name</label></th>
<td class="data2Col ">
<div class="requiredInput">
<div class="requiredBlock"></div><input id="page:form:block:section:cmpny" maxlength="40" name="page:form:block:section:cmpny" size="20" style="width: 360px; height: 15px" type="text">
</div>
</td>
</tr>
<tr>
<th class="labelCol vfLabelColTextWrap " scope="row"><label for="page:form:block:section:j_id10">Street Name</label></th>
<td class="data2Col "><input id="page:form:block:section:j_id10" maxlength="40" name="page:form:block:section:j_id10" size="20" style="width: 360px; height: 15px" type="text"></td>
</tr>
<tr>
<th class="labelCol vfLabelColTextWrap " scope="row"><label for="page:form:block:section:j_id11">City</label></th>
<td class="data2Col "><input id="page:form:block:section:j_id11" maxlength="40" name="page:form:block:section:j_id11" size="20" style="width: 360px; height: 15px" type="text"></td>
</tr>
<tr>
<th class="labelCol vfLabelColTextWrap " scope="row"><label for="page:form:block:section:j_id12">Post/Zip Code</label></th>
<td class="data2Col "><input id="page:form:block:section:j_id12" maxlength="20" name="page:form:block:section:j_id12" size="20" style="width: 360px; height: 15px" type="text"></td>
</tr>
<tr>
<th class="labelCol vfLabelColTextWrap " scope="row"><label for="page:form:block:section:country"><span class="assistiveText">*</span>Country</label></th>
<td class="data2Col ">
<div class="requiredInput">
<div class="requiredBlock"></div><select id="page:form:block:section:country" name="page:form:block:section:country">
<option value="">--None--</option>
<option value="Aaland Islands">Aaland Islands</option>
<option value="Afghanistan">Afghanistan</option>
<option value="Albania">Albania</option>
<option value="Algeria">Algeria</option>
<option value="American Samoa">American Samoa</option>
<option value="Andorra">Andorra</option>
<option value="Angola">Angola</option>
<option value="Anguilla">Anguilla</option>
<option value="Antarctica">Antarctica</option>
<option value="Antigua and Barbuda">Antigua and Barbuda</option>
<option value="Argentina">Argentina</option>
<option value="Armenia">Armenia</option>
<option value="Aruba">Aruba</option>
<option value="Australia">Australia</option>
<option value="Austria">Austria</option>
<option value="Azerbaijan">Azerbaijan</option>
<option value="Bahamas">Bahamas</option>
<option value="Bahrain">Bahrain</option>
<option value="Bangladesh">Bangladesh</option>
<option value="Barbados">Barbados</option>
<option value="Belarus">Belarus</option>
<option value="Belgium">Belgium</option>
<option value="Belize">Belize</option>
<option value="Belux">Belux</option>
<option value="Benin">Benin</option>
<option value="Bermuda">Bermuda</option>
<option value="Bhutan">Bhutan</option>
<option value="Bolivia">Bolivia</option>
<option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
<option value="Botswana">Botswana</option>
<option value="Bouvet Island">Bouvet Island</option>
<option value="Brazil">Brazil</option>
<option value="British Ocean Territory">British Ocean Territory</option>
<option value="Brunei Darussalam">Brunei Darussalam</option>
<option value="Bulgaria">Bulgaria</option>
<option value="Burkina Faso">Burkina Faso</option>
<option value="Burundi">Burundi</option>
<option value="Cambodia">Cambodia</option>
<option value="Cameroon">Cameroon</option>
<option value="Canada">Canada</option>
<option value="Cape Verde">Cape Verde</option>
<option value="Cayman Islands">Cayman Islands</option>
<option value="Central African Republic">Central African Republic</option>
<option value="Chad">Chad</option>
<option value="Chile">Chile</option>
<option value="China">China</option>
<option value="Christmas Island">Christmas Island</option>
<option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option>
<option value="Colombia">Colombia</option>
<option value="Comoros">Comoros</option>
<option value="Congo">Congo</option>
<option value="Congo, The Democratic Republic of the">Congo, The Democratic Republic of the</option>
<option value="Cook Islands">Cook Islands</option>
<option value="Costa Rica">Costa Rica</option>
<option value="Cote D'Ivoire">Cote D'Ivoire</option>
<option value="Croatia">Croatia</option>
<option value="Cuba">Cuba</option>
<option value="Cyprus">Cyprus</option>
<option value="Czech Republic">Czech Republic</option>
<option value="Denmark">Denmark</option>
<option value="Djibouti">Djibouti</option>
<option value="Dominica">Dominica</option>
<option value="Dominican Republic">Dominican Republic</option>
<option value="East Timor">East Timor</option>
<option value="Ecuador">Ecuador</option>
<option value="Egypt">Egypt</option>
<option value="El Salvador">El Salvador</option>
<option value="England">England</option>
<option value="Equatorial Guinea">Equatorial Guinea</option>
<option value="Eritrea">Eritrea</option>
<option value="Estonia">Estonia</option>
<option value="Ethiopia">Ethiopia</option>
<option value="Falkland Islands (Malvinas)">Falkland Islands (Malvinas)</option>
<option value="Faroe Islands">Faroe Islands</option>
<option value="Fiji">Fiji</option>
<option value="Finland">Finland</option>
<option value="France">France</option>
<option value="French Guiana">French Guiana</option>
<option value="French Polynesia">French Polynesia</option>
<option value="French Southern Territories">French Southern Territories</option>
<option value="Gabon">Gabon</option>
<option value="Gambia">Gambia</option>
<option value="Georgia">Georgia</option>
<option value="Germany">Germany</option>
<option value="Ghana">Ghana</option>
<option value="Gibraltar">Gibraltar</option>
<option value="Greece">Greece</option>
<option value="Greenland">Greenland</option>
<option value="Grenada">Grenada</option>
<option value="Guadeloupe">Guadeloupe</option>
<option value="Guam">Guam</option>
<option value="Guatemala">Guatemala</option>
<option value="Guernsey">Guernsey</option>
<option value="Guinea">Guinea</option>
<option value="Guinea-Bissau">Guinea-Bissau</option>
<option value="Guyana">Guyana</option>
<option value="Haiti">Haiti</option>
<option value="Heard and MC Donald Islands">Heard and MC Donald Islands</option>
<option value="Heard Island and McDonald Islands">Heard Island and McDonald Islands</option>
<option value="Holland">Holland</option>
<option value="Honduras">Honduras</option>
<option value="Hong Kong">Hong Kong</option>
<option value="Hungary">Hungary</option>
<option value="Iceland">Iceland</option>
<option value="India">India</option>
<option value="Indonesia">Indonesia</option>
<option value="Iran (Islamic Republic of)">Iran (Islamic Republic of)</option>
<option value="Iraq">Iraq</option>
<option value="Ireland">Ireland</option>
<option value="Isle of Man">Isle of Man</option>
<option value="Israel">Israel</option>
<option value="Italy">Italy</option>
<option value="Jamaica">Jamaica</option>
<option value="Japan">Japan</option>
<option value="Jersey">Jersey</option>
<option value="Jordan">Jordan</option>
<option value="Kazakhstan">Kazakhstan</option>
<option value="Kenya">Kenya</option>
<option value="Kiribati">Kiribati</option>
<option value="Korea, Democratic People's Republic of">Korea, Democratic People's Republic of</option>
<option value="Korea, Republic of">Korea, Republic of</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Lao People's Democratic Republic">Lao People's Democratic Republic</option>
<option value="Latvia">Latvia</option>
<option value="Lebanon">Lebanon</option>
<option value="Lesotho">Lesotho</option>
<option value="Liberia">Liberia</option>
<option value="Libyan Arab Jamahiriya">Libyan Arab Jamahiriya</option>
<option value="Liechtenstein">Liechtenstein</option>
<option value="Lithuania">Lithuania</option>
<option value="Luxembourg">Luxembourg</option>
<option value="Macau">Macau</option>
<option value="Macedonia, The Former Yugoslav Republic of">Macedonia, The Former Yugoslav Republic of</option>
<option value="Madagascar">Madagascar</option>
<option value="Malawi">Malawi</option>
<option value="Malaysia">Malaysia</option>
<option value="Maldives">Maldives</option>
<option value="Mali">Mali</option>
<option value="Malta">Malta</option>
<option value="Marshall Islands">Marshall Islands</option>
<option value="Martinique">Martinique</option>
<option value="Mauritania">Mauritania</option>
<option value="Mauritius">Mauritius</option>
<option value="Mayotte">Mayotte</option>
<option value="Mexico">Mexico</option>
<option value="Micronesia (Federated States of)">Micronesia (Federated States of)</option>
<option value="Middle East">Middle East</option>
<option value="Moldova, Republic of">Moldova, Republic of</option>
<option value="Monaco">Monaco</option>
<option value="Mongolia">Mongolia</option>
<option value="Montenegro">Montenegro</option>
<option value="Montserrat">Montserrat</option>
<option value="Morocco">Morocco</option>
<option value="Mozambique">Mozambique</option>
<option value="Myanmar">Myanmar</option>
<option value="N/A">N/A</option>
<option value="Namibia">Namibia</option>
<option value="Nauru">Nauru</option>
<option value="Nepal">Nepal</option>
<option value="Netherlands">Netherlands</option>
<option value="Netherlands Antilles">Netherlands Antilles</option>
<option value="New Caledonia">New Caledonia</option>
<option value="New Zealand">New Zealand</option>
<option value="Nicaragua">Nicaragua</option>
<option value="Niger">Niger</option>
<option value="Nigeria">Nigeria</option>
<option value="Niue">Niue</option>
<option value="Norfolk Island">Norfolk Island</option>
<option value="Northern Ireland">Northern Ireland</option>
<option value="Northern Mariana Islands">Northern Mariana Islands</option>
<option value="Norway">Norway</option>
<option value="Oman">Oman</option>
<option value="Pakistan">Pakistan</option>
<option value="Palau">Palau</option>
<option value="Palestinian Territory,Occupied">Palestinian Territory,Occupied</option>
<option value="Panama">Panama</option>
<option value="Papua New Guinea">Papua New Guinea</option>
<option value="Paraguay">Paraguay</option>
<option value="Peru">Peru</option>
<option value="Philippines">Philippines</option>
<option value="Pitcairn">Pitcairn</option>
<option value="Poland">Poland</option>
<option value="Portugal">Portugal</option>
<option value="Puerto Rico">Puerto Rico</option>
<option value="Qatar">Qatar</option>
<option value="Reunion">Reunion</option>
<option value="Romania">Romania</option>
<option value="Russian Federation">Russian Federation</option>
<option value="Rwanda">Rwanda</option>
<option value="Saint Helena">Saint Helena</option>
<option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
<option value="Saint Lucia">Saint Lucia</option>
<option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option>
<option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
<option value="Samoa">Samoa</option>
<option value="San Marino">San Marino</option>
<option value="Sao Tome and Principe">Sao Tome and Principe</option>
<option value="Saudi Arabia">Saudi Arabia</option>
<option value="Scotland">Scotland</option>
<option value="Senegal">Senegal</option>
<option value="Serbia">Serbia</option>
<option value="Seychelles">Seychelles</option>
<option value="Sierra Leone">Sierra Leone</option>
<option value="Singapore">Singapore</option>
<option value="Slovakia">Slovakia</option>
<option value="Slovenia">Slovenia</option>
<option value="Solomon Islands">Solomon Islands</option>
<option value="Somalia">Somalia</option>
<option value="South">South</option>
<option value="South Africa">South Africa</option>
<option value="South Georgia and the South Sandwich Island">South Georgia and the South Sandwich Island</option>
<option value="Spain">Spain</option>
<option value="Sri Lanka">Sri Lanka</option>
<option value="Sudan">Sudan</option>
<option value="Suriname">Suriname</option>
<option value="Svalbard and Jan Mayen Islands">Svalbard and Jan Mayen Islands</option>
<option value="Swaziland">Swaziland</option>
<option value="Sweden">Sweden</option>
<option value="Switzerland">Switzerland</option>
<option value="Syrian Arab Republic">Syrian Arab Republic</option>
<option value="Taiwan">Taiwan</option>
<option value="Tajikistan">Tajikistan</option>
<option value="Tanzania, United Republic of">Tanzania, United Republic of</option>
<option value="Thailand">Thailand</option>
<option value="Timor-Leste">Timor-Leste</option>
<option value="Togo">Togo</option>
<option value="Tokelau">Tokelau</option>
<option value="Tonga">Tonga</option>
<option value="Trinidad and Tobago">Trinidad and Tobago</option>
<option value="Tunisia">Tunisia</option>
<option value="Turkey">Turkey</option>
<option value="Turkmenistan">Turkmenistan</option>
<option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
<option value="Tuvalu">Tuvalu</option>
<option value="Uganda">Uganda</option>
<option value="Ukraine">Ukraine</option>
<option value="United Arab Emirates">United Arab Emirates</option>
<option value="United Kingdom">United Kingdom</option>
<option value="United States">United States</option>
<option value="United States Minor Outlying Islands">United States Minor Outlying Islands</option>
<option value="Uruguay">Uruguay</option>
<option value="Uzbekistan">Uzbekistan</option>
<option value="Vanuatu">Vanuatu</option>
<option value="Vatican City State (Holy See)">Vatican City State (Holy See)</option>
<option value="Venezuela">Venezuela</option>
<option value="Vietnam">Vietnam</option>
<option value="Viet Nam">Viet Nam</option>
<option value="Virgin Islands, British">Virgin Islands, British</option>
<option value="Virgin Islands, U.S.">Virgin Islands, U.S.</option>
<option value="Wallis and Futuna">Wallis and Futuna</option>
<option value="Western Sahara">Western Sahara</option>
<option value="Yemen">Yemen</option>
<option value="Yugoslavia">Yugoslavia</option>
<option value="Zambia">Zambia</option>
<option value="Zimbabwe">Zimbabwe</option>
</select>
</div>
</td>
</tr>
<tr>
<th class="labelCol vfLabelColTextWrap " scope="row"><label for="page:form:block:section:pref"><span class="assistiveText">*</span>Preferred Language</label></th>
<td class="data2Col ">
<div class="requiredInput">
<div class="requiredBlock"></div><select id="page:form:block:section:pref" name="page:form:block:section:pref">
<option value="Chinese (中文)">Chinese (中文)</option>
<option value="English (English)" selected="selected">English (English)</option>
<option value="French (Français)">French (Français)</option>
<option value="German (Deutsch)">German (Deutsch)</option>
<option value="Japanese (日本語)">Japanese (日本語)</option>
<option value="Korean (한국어)">Korean (한국어)</option>
<option value="Portuguese (Português)">Portuguese (Português)</option>
<option value="Spanish (Español)">Spanish (Español)</option>
</select>
</div>
</td>
</tr>
<tr>
<th class="labelCol vfLabelColTextWrap " scope="row"><label for="page:form:block:section:badge">Dell EMC Employee Badge Number</label></th>
<td class="data2Col "><input id="page:form:block:section:badge" maxlength="15" name="page:form:block:section:badge" size="20" style="width: 360px; height: 15px;" type="text"></td>
</tr>
<tr>
<th class="labelCol vfLabelColTextWrap " scope="row"><label for="page:form:block:section:email"><span class="assistiveText">*</span>Dell EMC Account Email Address</label></th>
<td class="data2Col ">
<div class="requiredInput">
<div class="requiredBlock"></div><input id="page:form:block:section:email" maxlength="80" name="page:form:block:section:email" size="20" style="width: 360px; height: 15px;" type="text">
</div>
</td>
</tr>
<tr>
<th class="labelCol vfLabelColTextWrap " scope="row"><label for="page:form:block:section:email1">Additional Notification Email 1</label></th>
<td class="data2Col "><input id="page:form:block:section:email1" maxlength="80" name="page:form:block:section:email1" size="20" style="width: 360px; height: 15px;" type="text"></td>
</tr>
<tr>
<th class="labelCol vfLabelColTextWrap " scope="row"><label for="page:form:block:section:email2">Additional Notification Email 2</label></th>
<td class="data2Col "><input id="page:form:block:section:email2" maxlength="80" name="page:form:block:section:email2" size="20" style="width: 360px; height: 15px;" type="text"></td>
</tr>
<tr>
<th class="labelCol vfLabelColTextWrap " scope="row"><label for="page:form:block:section:email3">Additional Notification Email 3</label></th>
<td class="data2Col "><input id="page:form:block:section:email3" maxlength="80" name="page:form:block:section:email3" size="20" style="width: 360px; height: 15px;" type="text"></td>
</tr>
<tr>
<th class="labelCol vfLabelColTextWrap " scope="row"><label for="page:form:block:section:email4">Additional Notification Email 4</label></th>
<td class="data2Col "><input id="page:form:block:section:email4" maxlength="80" name="page:form:block:section:email4" size="20" style="width: 360px; height: 15px;" type="text"></td>
</tr>
<tr>
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<tr>
<td class="data2Col " colspan="2">"If you do not have a Dell EMC Account <a href="https://www.dell.com/Identity/global/LoginOrRegister/ffe8cec9-6142-430d-a90a-88bf736701e3?feir=1" target="_blank">click here</a>"</td>
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