NIMBB Visitor Access Form

NIMBB Visitor Access Form

Please make sure that all visitors are fully vaccinated and follow the minimum health protocols of the NIMBB.
Name of personnel filing request*

Last NameFirst Name
Email of personnel filing request*
Please use your up.edu.ph email account
Mobile number of personnel filing request*
09XX-XXX-XXXXFormat: (000) 000-0000.
Admin Office (check this option if you have no lab affiliation)ABLDMBELFGLLMCBMELMTRLNBLPIGGLPMBPVLPSILSML
Requested start date and time of access*

MonthDayYear
Date
Hour MinutesAM/PM Option
Requested end date and time of access*

MonthDayYear
Date
Hour MinutesAM/PM Option
Rooms or facilities to be accessed by visitors?*
Purpose of the visit?*
Names and affiliation of visitors requesting access to NIMBB*
List down the names of visitors and their corresponding agency affiliation.
Should be Empty: