DBMR application and request form

For:

  • New DBMR personnel

  • Campus account

  • Unicard

  • Insel badge

  • Microsoft Teams phone number

  • Office keys

  • Building access

  • DBMR Team website entries

How to:

  1. Fill out the form below

  2. Ensure that all information is correct and up to date

  3. Click “Download Form” at the end to generate a PDF

  4. Collect all required signatures from the listed people on the last page of the PDF

  5. Don't forget to read and sign the safety guidelines in the chapter 7.1

  6. Email the signed documents to: sekretariat.dbmr@unibe.ch

  7. *Note: If you need a unicard, please attach the uploaded photo to the email as well.


1. Submitter

1.1 Choose the correct option *

Request is made by the applicant.

Request is made on behalf of the applicant (submitter).

2. Personal details of the applicant

2.1 Name

2.2 Gender *

2.3 Date of birth *

2.4 Private address

2.5 Nationality *

2.6 Private phone number *

2.7 Private email address *

3. Professional details

Contact information

3.1 University email address

3.2 Insel email address

3.3 Student email address

3.4 External email address

Association with DBMR

3.5 Programs *

3.6 Lab *

3.7 Core facility *

3.8 Central area *

3.9 Academic title

3.10 Category of position *

3.11 DBMR function *

Supervisor

3.12 Supervisor or contact person

3.13 Supervisor email *

Duration of stay at DBMR

3.14 Hired permanently? *

3.15 Start date *

Please inform sekretariat.dbmr@unibe.ch in case of a contract extension and submit an updated form.

Employment

3.17 Employer *

3.18 Institute / Clinic *

3.19 University personnel number

3.20 Insel personnel number

Workplace

Where is your primary workplace located?

3.23 Workplace location *

3.24 Office room number

3.25 Office phone number

3.26 Lab room number

3.27 Lab phone number

4. Requests

4.1 Campus account

4.2 Unicard

4.3 Insel badge

4.4 Microsoft Teams phone number

4.5 Key *

4.6 Entry on the DBMR Team Website

5. Subscriptions

The DBMR sends regular emails about grant opportunities, awards, and events.

Please indicate if you wish to receive:


Information about open grant calls

Information about DBMR events

Information about DBMR awards

6. Comments

Please use this field if the available choices in the entire form do not describe your situation or if you have additional comments.

Note: In accordance with section 6.2 of the Data Protection in the IT Domain – University of Bern, particularly sensitive personal data must not be entered in this field. This includes, but is not limited to, information concerning health, religious, ideological or political views, ethnicity, social welfare matters, or police and criminal proceedings. Please use this field only for organizational clarifications related to this request.

Thank you for completing this form! Please send the form signed accordingly to the sekretariat.dbmr@unibe.ch