Request for Electronic service

Please complete all your details as requested below

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Please submit one request per ticket

PLEASE DO NOT BRING ANY EQUIPMENT TO THE WORKSHOP FOR REPAIR UNTIL REQUESTED TO DO SO

Name (required)

University Username (required)

Grant No/Cost Center

Brief Description of Equipment (required)

PAT No (required)

Room No (required)

Telephone (required)

Email (required)

Date and Time (format dd/mm/yy hh:mm) (required)

Service required

Type of Service

1. Process control
2. Diagnostic/repair
3. New project
4. Modification
5. Soldering
6. Other (specify)

Details of service required (required)