徐文祥室仪器操作训练申请表-奈米科技中心.DOCVIP

PAGE 交通大學 奈米科技中心 實驗申請單 Application Form for instrument usage at Center for Nano Science Technology of NCTU 儀器名稱Name of Instrument 雙束聚焦離子束掃描式電子顯微鏡/ Dual-Beam Focus Ion Beam Microscope 申請人Applicant 學號: Student ID： 電話： Phone: 隸屬單位Department E-mail： 指導教授Advisor 申請事項Applied item □委託操作 Commissioned operation □自行操作 Independent operation □申請自行操作訓練Training 簡述樣品的型式及需求 (Description of sample and purposes) Utilities: □ a. TEM Lamella □ b. Metal deposition □ c. Nano-patterning □ d. Cross-sectioning □ e. Low kV SEM (commissioned only) □ f. Others 請簡述樣品及如為其他選項者請詳述所需之FIB相關製程 Please describe the details of your sample and fabrication 欲使用本設備者，請先至儀器介紹網頁.tw/facili.php詳讀【雙束聚焦離子束掃描式電子顯微鏡管理辦法】，以明瞭本設備之功能與使用規範。若因違反規定造成儀器污染或損壞時，儀器使用者所隸屬單位及其指導教授須負責賠償責任。本中心保留實驗終止、變更、取消之權利。Please read the FIB administration regulations on the website .tw/facili.php before filling out this form. In case of any violation leading to contamination or damage, we will seek compensation from the applicant, his institute, and his advisor. The center reserves the rights to terminate, change or cancel the experiment. 若您已詳讀本中心網頁上儀器使用規範維護管理辦法，請在此簽名並於實驗時繳交本單至儀器負責人。If you agree to the regulations stated on the website, please sign here and return this form to the instrument supervisor prior to conducting the experiment. 指導教授簽名(Signature of Advisor)：____________________________________________ 申請使用者簽名(Signature of Applicant) :_____________________________________________ 本欄由機台管理者填寫(Only for administrator) 儀器管理者意見(Comment of Administrator)： 儀器使用費(Fee for instrument usage) □ 1.單次委託費用____________元。(須經儀器管理者審核)。(Commissioning fee) (to be evaluated by instrument administrator) □ 2.自行操作學術會員NT$52000/30 hours (Independent operation, member of academic institute) □ 3.自行操作業界會員NT$100000/30 hours (Independent operation member of a corporation) □ 4.學界自行操作儀器訓練費NT$50000/25 hours (Cost of training for a member of an academic institute.) □ 5.業界自行操作儀器訓練費NT$100000/25 hours ( Cost of training for a member of a cor