CCiTUB User Registration

General conditions (submitting the application implies the acceptance of the following clauses):

1.- User registration implies the acceptance of the Scientific and technological Centers Internal Normative.
2.- Contact with usuaris@ccit.ub.edu in case of user modification or user deletion request.
3.- Applicant must save a copy of the registration form for its traceability.

* Mandatory fields

APPLICANT PERSONAL DATA:
(in order to be able to request services in the CCiTUB facilities)

Name:*		Surname:*
DNI:* (with letter)		Phone number:*
Email address:*		Email address:* (verification)

Are you the research responsible? * (are you the person who assume the costs?)	Yes  No
Are you UB? * (in this case, charges will be done through NC or an invoice to FBG)	Yes  No
Do you belong to UB as well? *	Yes  No

Name of your company or entity: *

Department: *
Faculty: *

INVOICE DATA:

Email address to send the invoices (if your institution uses Factura-e, write down your email address. The invoices will not be sent to you as it will be done digitally with your institution):

Email address:*

Email address:* (verification)

In case you want to receive invoices in a different address than the company fiscal address, please, specify social address:

Social address:		City:
Province:		Postal code:

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If this is the first time that your company collaborates with the CCiTUB, please, specify fiscal address:

Fiscal address:		City:
Province:		Postal code:

DATA OF THE PERSON AND COMPANY THAT WILL ASSUME THE COST AND RECEIVE THE INVOICE/NC:

Department: *		Faculty: *
Name:* (research responsible)		Surname:* (research responsible)
Email address:*    (research responsible)		Email address:*    (verification)
Your registration as user of the CCitUB will not be effective until the person who assume the registration authorize your request. If the person who will assume the cost has not fill at some point our form, that is if we do not have him/her in our data base as a titular user, your request will not be accepted by our Administration. Indicate this condition to your titular so that he/she may register as well (in case they have not done it before).

 

SERVICES:

Do you plan to reserve equipment or request services in one of the following laboratories?*

Cytometry, Electron cryomicroscopy, Genomics, Molecular interaction analysis, TEM electron microscopy, TEM electron microscopy applied to materials, SEM electron microscopy, Surface Aaalysis or Advanced optical microscopy.

Yes      No

USER REGULATIONS:

*		I have read and accept the CCiTUB internal normative [+]
*		I have read and accept the Core facilities Acknowledgement Policy[+]

INFORMATIVE CLAUSE:

Right to information regarding the processing of personal data (1) The responsible of processing your data is the Secretaria General of the Universitat de Barcelona. (2) The processing purpose is the management of the contracted CCiTUB services and the realization of statistical analytics. In addition, if you consent, we will send you satisfaction questionnaires regarding to the contracted services and emails with CCiTUB information (new equipment, formation courses). (3) You have the right to access to your data, modify it, delete it, deny its processing, request portability and limit the processing in some circumstances. (4) You may read additional information about the processing in the following document [+]

* I declare I have read the right to information and I consent the processing of my personal data as it is described. I consent CCiTUB to send me satisfaction questionnaires regarding contracted services. I consent CCiTUB to send me information as it is described in the right to information.

Registration:

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