Service Desk registration

Are you an employee or contractor with a @merck or @msd email address?(Required)

Yes, I am an employee or contractor with a @merck or @msd email address.

No, I’m an external consultant or agency.

First Name(Required)

Last Name(Required)

Business email(Required)

Please use your own professional email address. No generic emails or public email services allowed (Gmail, Yahoo, etc)

Region(Required)

Company Name(Required)

Company Country(Required)

Company URL(Required)

This field is hidden when viewing the form

Company URL

Please do not delete this field – it is maintained here to keep the data intact. We had to update this to the URL field after a security update rendered URLs unusable in standard text fields.

Company Phone number(Required)

Company Address(Required)

Company Account Manager Name(Required)

Company Account Manager Email(Required)

MSD/Merck Primary Contact Name(Required)

MSD/Merck Primary Contact Email(Required)

What is your purpose for DMS Connect access?(Required)

Agency Certification

Requirements documentation

General Information

What types of projects you will be involved in?(Required)

Website Development

Mobile Application Development

Social Media

Project name or description(Required)

Phone

This field is for validation purposes and should be left unchanged.