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Visitor sign-in form

This form is used to inform the Bragg Institute when you are coming to visit the Bragg Institute and what is the purpose of your visit. Each member of your party should complete this form when a number of people are visiting from an organisation.

In the future we intend to use the information collected in this form to streamline the Bragg Institute visitor/facility user sign-in process.

On arrival at ANSTO visitors should proceed to the Reception Centre. As a visitor you must register with the Bragg Institute at least 48 hours in advance, failure to do so may result in refusal of entry. You will be required to show photo identification.

Internet connection in Stevens Hall for AINSE researchers and Bragg Institute visitors

Please Complete the Following :

First Names :

Surname :

Affiliation :

Street Address :

City :

State/Province :

Postal Code :

Country :

Telephone :

Fax (optional) :

Email Address :

*

Nationality :

Status/Position :

Who are you Visiting?* :

* an email will be sent to this person and to the Bragg Institute User Office

 

if other please specify:

Purpose of Visit :

Date of Arrival :

Format: DD-MM-YYYY

Date of Departure :

Format: DD-MM-YYYY

Do you have a Valid ANSTO Badge? :

Comments (optional) :