Bannertitel der CF Experimental Human MRI

Project request MRI-Cardiology

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Project request Human MRI-3T-cardiology

1. User information

User Name

Institute

Telephone

Address

2. Billing information

Cost account

Cost account responsible PI (Kostenstelleninhaber/in)*

3. Project description

Short description of the project*

Project start date (dates will only be assigned after registration)*

Project completion date

Vote of the ethics committee (mandatory for a clinical trial)*

Non applicable

Yes, (please state below the ethics committee number received below):

Ethics committee number

Comments

4. Terms of use

For the related documents and details, please refer to the **More Information** section below:*

I have read and accept the ULMTeC operating and usage regulations.

I accept the user fees of the ULMTeC Core Facility Experimental Human MRI.

I will acknowledge the usage of the ULMTeC Core Facility Experimental Human MRI in any publication.

The data you provide in this form are processed exclusively for the purpose of responding to and actioning your enquiry and to get in contact with you. With regard to the processing we refer to art. 6 para. 1 lit. a GDPR, provided that there is no other legal basis. We never pass your data on to others. You may withdraw your consent at any time with effect for the future. Should you withdraw your consent, we will delete your data instantaneously. Your data will also be deleted once we have processed your enquiry or the purpose for their storage has lapsed. You may request information on your stored personal data at any time. For further information on data protection, please see the privacy policy of this website.

I herewith consent to the processing of my data. I have read and understood the above notification as well as the privacy policy.

More Information

Documents:

All documents are in German and are for internal users only, please inquire if you need assistance.

ULMTeC operating and usage regulations

User fees - CF Experimental Human MRI Cardiology

Acknowledgment:

Please ensure that all publications, dissertations, theses, and other academic works that include results generated with support from our Core Facilities contain the correct acknowledgment.

Please visit our acknowledgments page, where you'll find sample acknowledgment statements that include the DFG project number corresponding to the instrument you used in the CF.