【生醫光學影像核心平台】A10-1 倒立式共軛焦顯微影像系統(Confocal FV3000-1號機) 使用登記表
🗣️使用總時數以一小時為單位,不足一小時則以一小時計。
(例如:使用總時數為30分鐘,則需選擇1 hr的選項;若使用總時數為1小時30分鐘,則需選擇 2 hrs。)
請勿冒用他人名義使用,違者取消使用資格
📌非外籍生,請勿填寫英文或英文縮寫。請填寫完整姓名資訊,切勿填寫名字或縮寫。
📌系所單位務必填寫實驗室負責人的所屬單位,實驗室負責人如為醫師,請填寫醫院科部別。
(例如:老師所屬單位為生理所,學生為基醫所學生,則單位須填寫生理所;老師若為內科醫師,學生為生化所學生,則單位請填寫內科。)
📌實驗室負責人請填寫PI的中文全名,切勿填寫英文名或縮寫。
(例如:老師為王小明(Peter),則請填「王小明」,請勿填寫Peter Wang或SMW等等。

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🗣️The total usage time is calculated in an hour, and an hour is used if it is less than an hour.
(For example, If the total usage time is 30 minutes, you need to choose the option of 1 hr; if the total usage time is 1 hour and 30 minutes, you need to choose 2 hrs. )
⛔ Only user who made an appointment could use the instrument, or we will cancel violator’s using certification.
📌Please fill in the full name information, do not fill in the first name or initials.
📌Department must fill in the affiliation of your PI. If your PI is a doctor, please fill in the department of the hospital.
(For example, If the PI belongs to the Institute of Physiology, but you are a student of the Institute of Basic Medicine, then the department must fill in the Institute of Physiology. 
If the PI is a doctor of Internal Medicine Department and the student is from the Institute of Biochemistry, then the department should fill in Internal Medicine.)
📌For the name of professor, please fill in the romanization of your professor's full name, don't fill in English name with last name.
(For example, the professor is 王小明(Peter) please fiil in Siao-Ming Wang, don't fill in SMW or Peter Wang.)
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Email *
使用日期/Date *
MM
/
DD
/
YYYY
使用者姓名/Name *
系所單位/Department *
主持人姓名/Professor *
實驗室分機/Ext. number *
開始時間/Start time *
Time
:
結束時間/End time *
Time
:
總使用時數/Total Usage Time *
使用目的/Purpose
*
使用鏡頭(可複選)/Objective lens (multiple answers)
*
*(O)為油鏡/Oil immersion lens
Required
使用狀況或建議/Feedback
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