LMVA Network
version 4.0

USERNAME APPLICATION FORM

Note: If you don't have a UBIT name, you CANNOT use this form. Please send an email to discovery@nsm.buffalo.edu to find out how to obtain access

Laboratory Principal Investigator:  

Date:

Name: Last First

Department:

Address:

Telephones: Office Lab

E-Mail Address:  Note: Please give the email address you regularly use

UBIT USERNAME:  

PERSON NUMBER: Note: For those w/o NSM accounts, your initial password will be your person #

Student Post-doc Fellow Other

16 digit Barcode# 5081 2803 *This number is found in the lower right
                                                                                         corner of your UB ID card