ANS Registration Form (Zeiss PALM)

Required fields are marked with an asterisk (*).
Personal Details
Instrument training request
I would like to be trained on the following instrument *
Charging Details
Affiliation *
Documentation submission
Medical Building OHS induction *
SOP & RA: I have read and understood the below SOP & RA *
Press SUBMIT only ONCE. It takes some time to upload the files. If you have any issues, please email the forms to