Visitor Registration Form
Please provide the following details and ensure that the information provided is accurate and valid.
Full Name
*
Email
*
Mobile Number
*
Birth Date
Gender:
Select Gender
Female
Male
Prefer not to say
Company Name
*
Designation
*
Purpose of Visit
*
Person in charge
*
Visit Date
*
Visit Time
*
Select date
I agree to receive any updates and news from Malaysian Genomics Resource Center Berhad (MGRC).
I do not agree to receive any updates and news from Malaysian Genomics Resource Center Berhad (MGRC).
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SAFETY ACKNOWLEDGEMENT FOR VISITORS
1. Visit plant areas only when accompany by your host(s). Follow their guidance during the visit.
2. Please take care your children & make sure they are staying with you at all times.
3. No smoking or vaping is allowed in the building.
4. Photography inside the building by visitors is strictly prohibited, unless with permission.
5. In case of emergency that require for evacuation, follow the instructions given by your host(s).
6. In case if any injury, please report to your host(s) for further actions.
7. Only 3 person is allowed to be using the elevator at one time.
I have read and agree to the safety guidelines outlined.
Acknowledge & Submit
Visitor Registration Form
Visitor Registration Form