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CORE FACILITY REGISTRATION FORM

 
 
 Please take a little time to fill in this form.  You will need to be registered
 to book the Core facilities.  This eases the administrative burden helping us to 
 help you!

                       ALL FIELDS ARE REQUIRED!

 Last Name:         * 
 First Name:        * 

 
 Please choose a username and password that you will remember!!
 

 Username:          * 
 Password:          * 
 Confirm Password:  * 
 E-Mail Address:    * 
 LAB HEAD/SUPERVISOR: * 
 Lab Head Email Address: * 

 The following question is to give us an indication of your requirements.
 Your response will not restrict your use of the facilities.
 
 What is your	      CMMI
 affiliation?  *      Natural Sciences and IS
                      Imperial College
                      External
 
PLEASE NOTE: Core Facilities are expensive to run and therefore a charge is levied. PLEASE make
sure you have your supervisors permission before you REGISTER or BOOK any of the Core Instruments.                      

Click here if you have your supervisors permission: