Registration for shared rooms WAD

Booking requested for following rooms

Rooms (e.g. WAD J-123) *

Details of applicant

UZH Shortname

Title

First name *

Last name *

Institute or Clinic or Department *

University or Hospital or Company *

Street and street no. *

Zip code and town

Phone or cell phone ( +41 44 63 XXXXX) *

Email *

Cost center manager