奈米中心參觀實驗室申請表 (Joint Center Visit Application Form)

奈米中心參訪申請表

Joint Center Visit Application Form

*單位 (Unit):

領隊 (Leader):

*參訪日期 (Date):

*參訪時間(起) (Visit time (from)):

Ex: AM/PM XX:XX

*參訪時間(迄) (Visit time (until)):

Ex: AM/PM XX:XX

人數 (Number of people):

語言 (Language):

中文 Chinese
英文 English

*聯絡人-姓名 (Contact Person-Name):

*聯絡人-電話(行動電話) (Contact Person-Telephone (Mobile)):

*聯絡人-E-mail (Contact person-E-mail):

參觀機台 (Machine to visit):

參訪目的 (Purpose of visit):

申請單位主管簽核 (Approval by the supervisor of the application unit):

領隊或代表人 (Leader or Representative):

參訪者-電話(行動電話) (Visitors-Telephone (Mobile)):

參訪者-E-mail (Visitors-E-mail):

服務單位/職稱 (Service Unit/Title):

研究領域 (Field of study):

是否需派人解說 (Do you need a explainer?):

是 yes
否 no

*注意事項 (Precautions):

*洽詢專線07-5252000轉2681。洽張玉盈小姐。*Contact number 07-5252000 ext. 2681. Contact Ms. Chang

*驗證碼