CLIENT REGISTRATION

CLIENT DATA

Name:

E-mail:

Phone number:

Academic degree:

Position:

Department:

Faculty:

University / Institution:

FCT Research Unit:

Project / Discipline:

Laboratory access:

SUPERVISOR DATA

Name:

E-mail:

Phone number:

Position:

Department:

Faculty:

University / Institution:

FCT Research Unit:

BILLING AND ACCOUNTING DATA

Institution:

Adress:

VAT number:

Phone number:

Validity period:

REFERENCE TO CEMUP in the publications and presentations including experimental data acquired at CEMUP laboratories is a compromise of registration at CEMUP, in the terms of CEMUP regulations.

*This form provides the base information to define the user class, with impact on the priority and access conditions to services/laboratories and for procedures of accounting and billing of CEMUP services. This client form information must be updated in accordance with CEMUP Service Rules, and whanever there is a change in the university/institution affiliation conditions