Imaging Core carry-in laboratory equipment application form　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　
You can not bring laboratory equipment that you have not applied.
Once you have applied, you do not have to contact us every time you use it.
In case of long-term storage, please consult us separately.

User Entry field	
Date of application		
Institution name		
Department / laboratory name		
Laboratory head name / job title	Name：　　　　　　　　　　　　　　　　　　 signature/seal　　　　　　　　　　　　　　　　　　　　   	
Application permit number		
Laboratory	□Ｎ301　□Ｓ305　□Ｎ302	
Please fill in all laboratory equipment to bring in.
You need to apply it again when you carry-in the different type equipment.	ex）Pipetman
　　Heating pad
　　Liquid perfusion device
　　Pressure injector

Please delete the above (example) and fill it in.	

IRCN Imaging core entry field	
□ Acceptance
□ Not accepted
The reason of non acceptance