JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
LABORATORY ANIMAL TRAINING PROGRAMME
Animal Research and Service Centre (ARASC) Main Campus, Universiti Sains Malaysia, Penang, Malaysia
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Title
*
Choose
Prof.
Assc. Prof.
Dr.
Mr.
Ms.
Name
*
Your answer
Contact Number
*
Your answer
Address
*
Your answer
Designation (Student/Lecturer/RO etc)
*
Choose
Lecturer
Student
Lab. Tech.
Other
Institution / Department
*
Your answer
Please select types of laboratory animal for training :
*
RAT
MICE
RABBIT
Required
Please select package below :
*
GROUP : RM420/USM, RM500/Non-USM (per person) - Rat or Mice (Covered all procedures; participants : 4-5 person per session)
EXCLUSIVE : RM550/USM, RM800/Non-USM - Rat or Mice (Covered all procedures, one to one session)
EXCLUSIVE : RM750/USM, RM1,000/Non-USM - Rabbit (Covered all procedures, one to one session)
OTHERS : Rat & Mice (Dissection) + RM300/session
Required
Term of Payment
*
Choose
Q Form
Local Order
Bank transfer
Online transfer
Title of Research/Final Year Project
*
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
