1、固 態 電 子 系 統 大 樓 奈 米 科 技 中 心 使 用 者 基 本 資 料 表 (24小 時 時 段 )Basic Information Form for Users of the Center for Nanoscience and Technologyat the Solid-State Electronics Building (24 Hours)年Year 月Month 日Date 姓名Name性 別Sex學號No.請身份證字號ID Number出生年月日 Date of Birth貼隸屬單位Institute 照級別Grade 博士班 PhD_ 年級year 碩士班Mast
2、er _ 年級year 其他 Other_ 片E-mail Photo通訊地址Address手機電話Cellphone實驗室分機Lab Ext指導教授Advisor（簽名或蓋章 Signature or seal）申請區域AreaE-beam/Wet bench FEG-TEM AFM/X-ray/Cryo-TEM /光纖Optical Fiber/ 霍爾Hall / FIB 熱蒸鍍機 Thermal Evaporator R150 光學實驗室 Optics Lab，使用儀器名稱: Instrument Name ： 研磨室 Grinding Room B1低溫電性量測實驗室 Cryogeni
3、c Electrical Measurement B1拉曼光譜量測實驗室 High Resolution Confocal Raman Miscroscope 離子剪薄機 PIPS工安課日期 Safety Course Date儀器管理員Instrument Manager(簽名或蓋章 Signature or seal)承辦人 Administrator磁卡編號 Card No.申請人注意事項：Notice for applicants1.進出實驗室須遵守實驗室安全衛生規章及國家安全衛生法令。Access to laboratories is subject to laboratory sa
4、fety and health regulations and national safety and health regulations.2.一律需上奈米中心工安課程後方可申請實驗室磁卡。低溫強磁實驗室申請者需另外加上NDL開設之半導體材料分析技術與見習課程。Attendence of training courses at the Center is required for the application of laboratory access cards. The applicants for the cryogenic strong magnetic laboratory are
5、 required to have also taken the “Semiconductor Materials Analysis Technology and Interning” course opened by NDL.3.門禁磁卡每只押金300元及識別證工本費50元，磁卡遺失或損壞須負責賠償，押金於磁卡繳回時無息退還。The security deposit for each access card is NT$300 and the manufacturing fee for the ID card is NT$50. The loss or damage of the acces
6、s card shall be compensated. The deposit shall be refunded without interest when the access card is returned.4.磁卡遺失應儘快告知相關人員取消門禁電腦資料，並重新申請。If the access card is lost, the relevant personnel should be informed as soon as possible in order to cancel the access control computer data and reapply.5.非經儀器管
7、理者許可不得帶領他人進入實驗室Do not lead others into the laboratory without the permission of the instrument manager.6.磁卡申請流程：1)申請者填表 2)儀器管理者簽名 3)申請者繳交申請資料至奈米科技中心承辦人201A室賴良一先生. Access card application process: 1) The applicant fills in the form 2) The instrument manager signs the form 3) The applicant hands the a
8、pplication data to the Centers administrator Mr. Lai, Liang-yi at Room 201A. *請各使用者於每年11月務必攜帶門禁磁卡及學生證於上班時間至本中心做磁卡確認，以確保實驗權利。Each user is required to bring their access card and student ID card to the center for access card confirmation at working hours every November to ensure experiment rights.製表日期:2014年04月11日修訂
