LIMS - User access

Apply for access to this lab

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):	* * *
Supplementary info: *	*
I agree that this lab saves birth date and gender information about me. *

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