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Faculty of Health Sciences
Please note: All bookings must be done within 48 hours in advanced to allow reasonable response time. Response to booking requests will only fall within working hours of weekdays.
Staff Name:
Staff Number:
Staff Email:
Name of your Department:
Name of HoD:
HoD Approval received:
Item Requested:
Why is a Loan Device needed?:
Intended Use / Purpose for the device:
Is there any specialized Software needed (please specify)?:
Starting Date:
Return Date: