Laboratory Seating Chair Registration Form
Register and track laboratory seating chairs with detailed identification, location, and maintenance information.
Chair ID / Serial Number
*
Chair Type / Model
*
Location in Laboratory (Room/Area)
*
Current Condition / Status
*
Please Select
Good
Needs Repair
Under Maintenance
Out of Service
Date of Purchase / Acquisition
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Assigned User or Department
Last Maintenance Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Upload Chair Photo (optional)
Upload a File
Drag and drop files here
Choose a file
Cancel
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Contact Person Name
*
First Name
Last Name
Contact Email Address
*
example@example.com
Register Chair
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