Step 1 of 2: Name and lab information
First name: *
Last name: *
Gender:
Birthdate (yyyy-mm-dd): *
Type of user:
Company / University: *
Department: *
Laboratory / Group: *
Project name:
Practical coach:
Supervisor:
Access card number:
Start date (yyyy-mm-dd):
End date (yyyy-mm-dd):
Access hours:
Supplementary info: Specify if you are going to use instrument in other departments than your own.:
*
Help