Ramsay Registration Form

for the Document Request Service

All hospitals except GPH, HPH, MBH & JHC

To register with the Library please fill in this form and submit online. In a few days you will receive an email confirming your registration and containing your PIN (Personal Identification Number). Your PIN is required on the Document Request form.

Please note that the fields with a * must be completed.

First Name	Last Name
*	*

Hospital	Department / Ward
*	*

Group	Position
*	*

Status	Finish date ( if not permanent )
*

Area of interest?	Additional Notes
*

Contact details :
Email	Confirm Email
*	*

Work ph.	Home ph.
*



Home address	Pager	Mobile


	Fax



Thank you for your request. Any questions? Please ask