LIMS - User access

Apply for access to this lab

Step 1 of 2: Name and lab information
First name: *	*
Last name: *	*
Type of user:
Company / University: *	*
Department: *	*
Laboratory / Group: *	*
Project name: *	*
Practical coach:	*
Supervisor: *	*
Start date (yyyy-mm-dd):	* *
End date (yyyy-mm-dd):	* * *
Access hours:
Informations supplémentaires:
Je reconnais avoir pris connaissance du document qui me permettra de gérer mon profil et m'y conformer. *

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