RESPONSIBLE CARE AND USE OF LABORATORY ANIMALS Course intake / month: ___________________________________ Application Requirements 1. For cheque payment, please make in favour of "National University of Singapore" and forward to NUS, Comparative Medicine (CM), Centre for Life Sciences, 28 Medical Drive, #05-02, Singapore 117456. Please write your full name, department and contact on the reverse side of the cheque. 2. Application should be made two weeks before course commencement. Late submission will not be entertained. 3. No refund will be entertained once registration is confirmed by CM (generally 7 working days before course commencement). 4. Seats will be allotted on a first-come-first-serve basis. 5. Participants should bring along clean lab coat for the hands-on sessions. 6. Certificate of attendance will be issued upon full completion of the course. 7. Please fax or email your application using the reply slip below to Ms Koh Ser Hwee. ------------------------------------------------------------------------------------------------- REPLY SLIP TO: Ms Koh Ser Hwee (email: serhwee@nus.edu.sg or fax: 68733905) Full name : Staff/Student matrix no : Department : Email : Contact : Research grant no : PI’s name & signature : Please circle the course : RCULA / RCUF RCULA certificate number1 Animal species training requirement (please circle the training needed) Mouse Rat Aseptic Surgery Rabbit* Pig* G/Pig* Barrier & BioContainment lectures *Only available on odd months (Jan, Mar, May, Jul, Sep, Nov). Venue a) Lecture @ Centre for Life Sciences (CeLS) Auditorium 1 b) Animal Species Training @ MD2 If you had already attended the RCULA course before, please provide the RCULA certificate number.