LSHTM Open Data Kit - Device Request
This form should be used to request loan of Android devices, power packs and 3G Wifi dongles
Please indicate the numbers of devices and powerpacks you need
Smart-Phone (Google Nexus 7)
Android tablet (Google Nexus 5/Asus ZenPad 8)
10,000 mAh power pack
20,000 mAh power pack
3G Wifi Dongle (sim free)
Please indicate the expected dates for the loan period
Principal Investigator / Line manager / Project Supervisor
Please give the name and email address of the principal investigator/ project supervisor of the study
ALL Students must enter the name of an LSHTM staff member who is willing to act as PI.
Principal Investigator Name
Principal Investigator Email
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