LIFENET USER IDENTIFICATION 12 LAST NAME 20 FIRST NAME 20 MIDDLE INITIAL 1 NAME TITLE (IF APPLICABLE) 10 INSTITUTION 80 MAIL STOP (IF APPLICABLE) 40 STREET ADDRESS (1ST LINE) 80 STREET ADDRESS (2ND LINE) 80 CITY 40 STATE 3 COUNTRY 20 ZIP CODE 10 AREA CODE 3 PHONE NUMBER 20 INSTITUTION (SHORT FORM) 10 TIME ZONE 10 NETWORK ID 2 NODE ID 12 REMOTE USER ID 20 DOMAIN ID 20 FAX NUMBER 25 OTHER NETWORK ID 2 OTHER NODE ID 12 OTHER USER ID 20 OTHER DOMAIN ID 20 ACCESS CONTROL CODE 2 COMMENTS 40 EMAIL USAGE 1 NOTIFICATION 1 AUTO INFO 4 PRIMARY EMPLOYMENT SPECIAILTY 4 SECONDARY EMPLOYMENT SPECIALTY 12 PRIMARY WORK ACTIVITY 4 SECONDARY WORK ACTIVITY 4 PRINCIPLE EMPLOYER 4 LOCATION 20 DEPARTMENT 60 EXTRA SPACE FIELD 276