[YMF] New User Registration Form (ver. 25Sep2022)

Page 1 of 4 - Basic Information

25%
Purpose of Registration

Purpose of Registration Lab access and use of equipment Equipment rental (choose this ONLY for taking equipment out of YMF)
Name Name First Last
Position/Title

Undergraduate, Master, Ph.D, Research Associate, Scientist, Engineer, Researcher, Professor, etc.
User Email
User Affiliation

User Affiliation York University Other Academic Institution Industry
Department of York
Student/Staff Card Number
Must be 14 characters. Currently Entered: 0 characters.
It is the number on the BACK of your card. Your card number cannot be all ZEROES.
Passport York Username

This will be used for registration and login to the equipment booking system (nemo.yorku.ca). Registered users can use the Passport York username and password for login.
Institution Name
Department
Company Name
Email Address for Invoices

for example, the email of Accounts Payable
Mailing Address for Invoices Mailing Address for Invoices
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
for example, the mailing address of Accounts Payable
Supervisor's Name Supervisor's Name First Last
Supervisor's Email