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 Name
First Name
Email of personnel filing request
*
Please use your up.edu.ph email account
Mobile number of personnel filing request
*
09XX-XXX-XXXX
Format: (000) 000-0000.
Office/ Lab Affiliation
*
Admin Office (check this option if you have no lab affiliation)
ABL
DMBEL
FGL
LMCB
MEL
MTRL
NBL
PIGGL
PMBPVL
PSIL
SML
Requested start date and time of access
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Requested end date and time of access
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/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.
Submit
Should be Empty: