the registration form [DOC format, 30KB].

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University of Otago

School of Surveying

310 Castle Street Dunedin

Spatial Ecology Research Facility Access Request Form

If you require access to the SERF lab please fill in the following and return completed to

Bevan Pelvin in room G17 at the School of Surveying or by email to bevan.pelvin@otago.ac.nz

.

Your login details will be provided by the Survey IT group upon receiving the completed form.

Contact Details

Name: __________________________________________________

Department or School:______________________________________

Student/Staff ID Card user name:_____________________________

Student/Staff ID Card No: __________________________________

Phone Number: ___________________________________________

Email Address: ___________________________________________

Access Details

Date Requested: __________________________________________

Length of Access Required: _________________________________

Reason for requiring access to the Spatial Ecology Research Facility:

______________________________________________________________

______________________________________________________________

______________________________________________________________

______________________________________________________________

______________________________________________________________

______________________________________________________________

______________________________________________________________

______________________________________________________________

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