subject_line
Request for Building Access - HUDSON / MHRP / TRF & E Block
Firstname:
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Surname :
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I confirm that I have a Monash University ID Card (m-pass). This will be the card to which your access will be programmed
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Staff/Affiliate Card
Student Card
Monash University Staff/Student ID :
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Monash Health ID :
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Is this a new appointment ?
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Yes
No
Your Phone Ext No ?
Your Building / Room Number ?
Supervisors Name : (Surname, Firstname)
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Supervisors Extension #
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I am a :
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Staff
Student
Visitor
Sabatical Scientist
Other
Other
Do you have a Doctoral Degree?
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Yes
No
Year Awarded :
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Is this staff Research Active ?
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Yes
No
Position Title :
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Position
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Visitor
Sabbatical Scientist
Other
Other
Type of Student
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Honours
PhD
Masters
Other (please note)
Other (please note)
In the :
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Centre for Cancer Research (CCR)
Centre for Innate Immunity and Infectious Diseases (CIIID)
The Ritchie Centre (TRC)
Monash Centre for Health Research and Implementation (MCHRI)
Centre for Reproductive Health (CRH)
Centre for Endocrinology and Metabolic Disease (CEM)
Centre for Infectious disease (CID)
Other (Please note)
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I would like access to the
HUDSON BUILDING
External Doors
Hudson Reception Door
Hudson Reception Foyer
Hudson Level 2 Walkway
Hudson Level 3 Tissue Lab
Hudson Level 3 Microscope room
Hudson Level 3 Walkway
Hudson Level 3 Room 3.21
Hudson Store
I would like access to the
MHRP BUILDING
External Doors (MHRP)
MHRP Level 1 South Stairwell
MHRP Level 1 MIHSR
MHRP Level 2 MIMR
MHRP Level 3 MIMR
MHRP Level 4 PHI
Goods Lift
MHRP L3.16
Forcefield System Room L3.25
Forcefield System Access Level 4
I would like access to the
MHTP TRF
BUIL
DING
External Doors (TRF Building)
Platform Tech Floor (granted after successful completion of a relevant induction)
Special Access
I would also like access to :
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No Special Access
Tissue Culture Labs on Level 3
Level 1 MHRP (SPHPM)
Enter the Email Address of the person who is to be notified when the card is ready
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Notes / Comments
Issued Card ID (Office Use Only):
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