The process could bring up the create account interface with the firs last email and userId populated from the excel/csv file,
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What you could do is create a PM that has a task for a user to upload the document, then call the smart service to import to the DB (it is in this plugin: https://community.appian.com/b/appmarket/posts/excel-tools), then let the user see the data and decide on which to approve via a form. The array of the ones that they approve can then MNI through create user (https://docs.appian.com/suite/help/20.4/Add_User_Smart_Service.html).Hope that helps to get you started!