NorFab-UiO Activity Form

In order to apply for access to the UiO MiNaLab, please fill in the fields below and press the Send-button at the bottom of the page.

Also remember to fill in the characters below the shaded field at the bottom of the page.

User category:

Academic Start-up Industry

First name:

Last name:

Email:

Telephone number:

Affiliation:

?

E.g. HiVe, SINTEF, UiO, NTNU

Do you expect that this activity will result in a new patent?

no yes

Have you recived long term or short term support from NorFab at MiNaLab-UiO? Please fill in the activity number below:

Activity number at MiNaLab-UiO (If applicable):

?

The UiO-NorFab activity number follows the format: MiNa-UiO-XX

Activity Title:

?

Add any title which refers to your activity.

Please describe the planned activity:

Do you require an operator to preform any of the tasks?

no yes

If you require an operator, please specify:

Please fill in the materials and chemicals you would like to use in the lab:

Please provide a project name and number that will fund your activity together with an invoicing address. ?

This may be a support project from NorFab or the project you are connected to at your local institution. Alternatively if you are a master student at UiO, write the name of your group and department.

Please provide an end-date for your funding project, if applicable

?

This is the end date for the project that will fund the activity.