First Name
Last Name
For Students Only:
Dept. of Study
Degree Program
Expected Graduation Date
If you work in another lab at NJIT or Rutgers:
Lab Phone Number
Lab Room Number
Building:
User Email:
Instruments you are going to use
Research Advisor
Advisor's Phone Number
Account Number at NJIT to Charge for the Use of Instruments
For Outside Users Only:
Company Name
Business phone number
User E-mail
Instruments you are going to use

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