RNA样品品质检定送件单-阳明大学.DOCVIP

Project Code: ___________ Project Code: ___________ PAGE 6 PAGE 2 National Research Program National Research Program for Genomic Medicine Microarray Gene Expression Analysis Core Facility Total RNA QC Submission Form By NRPGM Microarray Gene Expression Core Facility Version 2.0 Mar /2008  Sample Submission Form (please fill the areas below) PI’s Name: _________________ PI’s Email: ____________________ Name: _____________Department: ______________Institute: _______________ Phone: ________________ Fax: ________________ Email: ____________________ Address: _________________________________________________________ Date of sample submission: __________________________ Sample Species: □ Human □ Mouse □ Rat □ other_________ Special request: □ I want to take back all of the remnant samples that I have delivered after the processing of the experiments. Sample information The volume of each total RNA sample should be more than 6 μl. Sample ID＊ Vol.(μl)＊ Conc. (ng/μl) Other information ＊ please fill in definitely. 依據【基因體醫學國家型科技計畫--核心設施行政業務管理手冊】規定，凡利用核心設施服務之實驗結果發表研究成果(含學術演講、論文、著作、專利..等)，務必於致謝部份感謝所使用之核心設施，並有義務經成果項目列表回報給核心設施。 陽明大學榮陽基因體研究中心（以下簡稱本中心）微陣列與基因表現分析核心設施接受基因體醫學國家型科技計畫支援，提供國內研究工作者有關基因體研究之技術服務、諮詢與合作。相關成果發表時之致謝聲明範例如下： 中文 感謝國立陽明大學榮陽基因體研究中心微陣列與基因表現分析核心設施，提供 ______________技術服務。此基因表現分析核心設施接受國科會基因體醫學國家型科技計畫支援 英文 The authors acknowledge the technical services (supports) provided by Microarray Gene Expression Analysis Core Facility of the National Yang-Ming University VGH Genome Research Center (VYMGC). The Gene Expression Analysis Core Facility is supported by National Research Program for Genomic Medicine (NRPGM), National Science Council. 附註：敝單位接受客戶對於實驗結果提出質疑的追溯期為半年，因此對於客戶樣品的保存期限也是半年。若您對實驗結果有任何疑義，請於半年內提出商議或要求進行再次確認實驗；若您要將送至敝單位的樣品取回，也請於半年內提出並簽署切結書，半年後敝單位將不接受任何申訴也不負樣品保管之責。 I’ve checked and confirmed the document of the submission form. I also realize the acknowledgement requirement of the service and I agree the requirement. P.I. Signature: _