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Video Teleconference Request Form
Unit Name
*
Is this a "Secure" Video Tele-Conference?
*
Yes
No
Purpose
*
Requestor Name
*
Requestor E-mail must be a current DoD Exchange address ending with ...@mail.mil:
*
Phone Number
*
Start Date
*
+
End Date
*
+
Start Time
*
🛈
End Time
*
🛈
Is this a NGB Sponsored VTC?
*
Yes
No
Please provide all VTC information:
*
This is the location where you will be watching the videoconference
(Example: JFHQ 137 or LTC Tandberg's Desktop)
Participants
🛈
Point of Contact
Phone Number
Location
IP Address
1
Point of Contact
Phone Number
Location
IP Address
2
Point of Contact
Phone Number
Location
IP Address
3
Point of Contact
Phone Number
Location
IP Address
4
Point of Contact
Phone Number
Location
IP Address
5
Point of Contact
Phone Number
Location
IP Address
6
Point of Contact
Phone Number
Location
IP Address
7
Point of Contact
Phone Number
Location
IP Address
8
Point of Contact
Phone Number
Location
IP Address
9
Point of Contact
Phone Number
Location
IP Address
10
Point of Contact
Phone Number
Location
IP Address