北醫實驗動物中心代謝籠預約 Laboratory Animal Center, Taipei Medical UniversityReservation of Metabolic Cages

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中心所提供借用之代謝籠 Metabolic Cages Picture

單位 Department/Institute *

計畫主持人 PI's name *

姓名 Full Name *

聯絡電話 Contact Number *

分機/手機

E-mail *

將以此寄送紙本「代謝籠預約申請表」，請確實填寫。

飼育區域 Housing area *

1F 一般動物房 1F General animal rooms

B2 一般動物房 B2 General animal rooms

欲借用代謝籠數量 Housing area *

1台(至多可供10隻大鼠or20~30隻小鼠使用) One (maximum of 10 rats , or 20-30 mices)

2台(至多可供20隻大鼠or40~60隻小鼠使用) Two (maximum of 20 rats, or 40-60 mices)

3台(至多可供30隻大鼠or60~90隻小鼠使用) Three (maximum of 30 rats, or 60-90 mices)

預計借用日期 Period of reservation *

https://goo.gl/Ub3wR4 請參考目前已被預約時段，並預留中心清洗時間(歸還時間加24小時)。預約時段若與他人重疊，將依「紙本」申請表之送件順序，先送件者則具備優先使用權。 please refer to https://goo.gl/Ub3wR4 for time slots with consideration of the cage cleaning time [time returned plus 24 hours]. Reservations will be allocated on a first come, first serve basis; namely, when reservation overlaps occur, the reservation with the earliest submission date of the hard copy of the application form will be granted.

YYYY

Time

預計歸還日期 Expected return date *

YYYY

Time

動物品種 Animal species *

大鼠 Rats

小鼠 Mices

動物隻數 Number of animals *

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