Please enable JavaScript in your browser to complete this form. - Step 1 of 501Account Registration Specimen Tube Number *Username *Password Confirm Password Your password must be 8 characters or longer, and should contain at least one uppercase letter, at least one number, and at least one symbol.Email Address *The test report will be sent to the email provided. To receive the report on time, please avoid using hotmail or livemailMobile Number *The test report will be sent to the mobile phone number.I have read and agree to the Terms & Conditionsand Privacy Policy .Next02Account InformationEnglish Name *First NameLast NameChinese NameGender *MaleFemaleDate of Birth *PreviousNext03ID card or travel documents Please fill in at least one of the following items. (If the test report is to be used for immigration purposes, the travel document number used at the time must be filled in. ID Type *Hong Kong Identity CardChinese Resident Identity CardMacao Resident Identity CardMainland Travel Permit for Hong Kong and Macau Residents (i.e. Home Visit Permit)Other passports or travel documentsHong Kong Identity Card *Please enter all letter(s) and digits for HKID Card number without the bracket, e.g. A1234567 for HKID card no. A123456(7)Travel Document NumberThe report is used for travel clearance purposes *YesNoTypes of Travel DocumentsHKSAR PassportMainland Travel Permit for Hong Kong and Macau Residents (i.e. Home Visit Permit)Chinese PassportOther passports or travel documentsTravel Document NumberPreviousNext04Specimen CollectionCollection Method *Pick up service（+ $180 additional fee）Drop-off serviceCombin pickup*A maximum of four samples collection for each $180 payment. *All pick up information is subject to the initial customer registration, which including pick up time, address, and contact person *Indicaid Lab reserves the right to charge extra shipping fee for more then 4 samples *Should you have any enquiries, please contact us at cs@indicaid.com / Tel 37008888Collection Date and Time *------Samples must be submitted to the collection point within 48 hours after collection Please store in a light-proof environment at 15-30ºC before submission. Improper collection, handling and storage may affect the test results. Recipient’s address *Collection PointShop3 Central 88, 88-89 Des Voeux Road Central, Hong KongINDICAID Lab Shop No. 3, 88-98 Des Voeux Road Central, Hong Kong Sample collection time at each collection point Samples must be submitted to the collection point within 48 hours after collection Please store in a light-proof environment at 15-30ºC before submission. Improper collection, handling and storage may affect the test results. results.PreviousNext05Confirm informationPlease confirm the information Untitled Untitled Specimen Tube Number Username Untitled Email Address Mobile Number Untitled Untitled English Name Chinese Name Gender Date of Birth Untitled Untitled ID Type Hong Kong Identity Card Travel Document Number The report is used for travel clearance purposes Types of Travel Documents Travel Document Number Untitled Untitled Collection Method Collection Date and Time Recipient’s address Collection Point Untitled Untitled Untitled Untitled I confirm that the above information is correct.PreviousRegister
