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Email:

Title (honorific)

Type in either the English or Hebrew title/honorific (Mr., Mrs., etc.) then click. In most cases the translation will automatically appear. For special honorifics, please enter the translation manually.

Enter first name

Enter last name

Enter Hebrew title

Enter Hebrew first name

Enter Hebrew last name

Gender Male Female

Enter phone number

Enter alternative phone number

Nationality I have an Israeli ID Indian Other

Enter nationality

Enter ID number

Department Other

Enter dept

Company Other

Enter company

Status requested User Lab entry Hands-on Administrator

A 'user' may submit samples for service. Someone with 'lab entry' status may enter the lab unattended to deliver and collect samples but not use the instruments unattended. Someone who is 'hands-on' may use the instruments. An 'administrator' is a member of the laboratory staff.

Approved status User Lab entry Hands-on Administrator

Username for lab. computers

Supervisor/billing contact

Enter first name of supervisor/billing contact

Enter last name of supervisor/billing contact

Approved as supervisor/billing contact true false suspended

Department in Hebrew (if in Israel otherwise English) Other

Enter department in Hebrew

Company name in Hebrew (if in Israel otherwise English) Other

Enter company name in Hebrew

Enter Company number Other

Enter Company number

Enter billing address in Hebrew (if in Israel otherwise English) Other

Enter billing address in Hebrew (if in Israel otherwise English)

Enter billing zip code Other

Enter billing zip code

Enter billing country in Hebrew (if Israel otherwise English) Other

Enter billing country in Hebrew (if Israel otherwise English)

Enter door-lock id numberGenerate lock ID No.

Enter door-lock card code

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