B. Braun in Malaysia Factory visit request form

Request

Thank you for your interest to visit our factories. Please fill up the request form and submit it. Kindly be sure to complete all fields with an asterisk (*).

Organization / Hospital

State / Country

Salutation of requester

Dr.

Mr.

Mrs.

Miss

Name of requester

Name of requestor (per NRIC / Passport)

Telephone number of requester

E-Mail of requester

Date of Visit

Objective of the visit

Factory visit option(s)

Option 1 - Tour to intravenous catheter production & window view

Option 2 - Tour to Aesculap surgical instruments production & window view

Option 3 - Tour to pharmaceutical solutions production & window view

Factory visits are conducted in the morning starting from 9:30 a.m. The maximum number of visitors per tour is twenty people.

Factory visit option	Description	Location	Duration (mins)
Tour to intravenous catheters production and window view	An overview of the making of safe intravenous catheters (IVC)	Braun 8 Building	90
Tour to Aesculap surgical instrument production and window view	An overview of the making of hand-held surgical instruments	Braun 8 Building	90
Tour to pharmaceutical solution production and window view	An overview of the making of basic care and critical care pharmaceutical solutions	Braun 8 Building	90

The protection of the personal data of our customers is very important to us and we take it very seriously. Your personal data is subject to data protection and will only be collected and stored for approach reasons. Under no circumstances will we pass on your personal data to third parties outside of the B. Braun group or use or store them for any other purposes. Our staff has been trained to handle personal data and is obliged to comply with the data protection regulations.

Data protection

I have read the data protection policy and agree with processing of my personal data according to the data protection policy. I can cancel this approval at any time.