Applicant request for technical assistance

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Your name:
(John Doe)

Phone number:
(e.g. 123 - 456 - 7890)

Your email address:
Please use your internet address.
(e.g. jdoe@us.ibm.com)

City:


State/Region:


Country:


Nature of inquiry
Select an inquiry type Errors or bugs Operational issues Searching for a job Submitting resume System performance Usability issues Other

Technical issues/Feedback: *
If other, include details of issue.


Would you be willing to work with our technical support team to help resolve issue?
Yes No


Date issue occurred:
(mm/dd/yyyy)

Time issue occurred:
(hh:mm AM or PM) e.g. Eastern, Central, etc

Operating system you use:
Select an operating system Windows Vista Windows XP and SP2 Windows XP and SP1 Windows XP Windows 98 Windows 95 Windows NT Macintosh Linux Other

   If other, please specify or specify SP number if Windows:
   

Browser type:
Select a browser Internet Explorer 7.0 Internet Explorer 6.0 Internet Explorer 5.0 Internet Explorer 4.5 Mozilla Mozilla Firefox Netscape 9 Netscape 8 Netscape 7 Netscape 6 Netscape 5 Opera Other

   If other, please specify:
   

Privacy settings of browser:
Example - In IE 6.0: Accept all cookies, Low, Medium, Med. High, High, Block all cookies


Popup blocker:
Do you have one installed or enabled?
Yes No Unknown

Sequential steps that lead to issue:
Please list all steps that lead to the error.

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