Form to fill by project applicant:

All the informations asked in this form will help devices reservation management. Fields with an asterisk (*) are optional.

Title:	Doctor Madam Mister Professor
Name:
First name :
Function:
Organisation:
Laboratory:
Director:
Address:
Country:	Austria Belgium Cyprus Czech Republic Denmark Estonia Finland France Germany Greece Hungary Ireland Italy Latvia Lithuania Luxembourg Malta Poland Portugal Slovakia Slovenia Spain Sweden The Netherlands United Kingdom
Town:
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Fax:*
E-mail:

Information concerning the devices access request:

These informations will allow us to help you using platform devices and help us to offer a better service well fit to your specific needs. Fields with an asterisk (*) are optional.

1) Do you already have any practical experience with DNA microarrays ? Yes No

If so, what is the experimental methods that you used (DNA microarray type, labelling, hybridisation ...)

2) Describe your experience in expression analysis:

3) Give the biological model you use:

4) Give us the list of all the devices you want to use:

Form submission:

When you submit this form all the data will be stored into the web site associated database. All the informations stored are intend for the exclusive use of the Genomic Service transcriptome plateform. No data will be transmitted to a third party.

The registration of this form will create a user account allowing you to follow your DNA microarray requests, to access your dedicated space on our website and to use all the computers available on free-access on the platform. To do so you need to read and accept the general condition on how to use the platform ressources. You can find these conditions by downloading the "Transcriptome platform guide of computer ressource usage" (84.3 Kb).

Yes, I read and agreed the transcriptome platform computer ressource usage.