Project request MRI-Cardiology

Project request Human MRI-3T-cardiology

User Name

Institute

Telephone

Address

Cost account

Cost account responsible PI (Kostenstelleninhaber/in)*

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

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

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

ULMTeC operating and usage regulations^*,**(see Teil B and C)
User fees CF Human MRI-3T ^*,**

^{* In German, please inquire if you need assistance.}
^{** Internal users only, external users please inquire.}