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First Name*

Last Name*

UMCG ID (5 digit number) or date of birth*

Telephone number*

Email address*

Institute*

Department*

Supervisor*

Obligatory for (PhD) students

Project number*

Are you going to use Genetically Modified Organisms on the Microscopy Center? **

GMO number

It is not allowed to have Genetically Modified Organisms on the UMIC without the appropriate GMO number entered.

METc number

If your rechearch is approved by the Medisch Etische Toetsingscommissie,enter the approval number.

Aim of your research

Describe the aim of your research in short.

Which microscopes will you use

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Registration New Users