Registration form to SeRMN

Formulario de alta (en castellano) | Formulari d'alta (en català)

If you are a member of either the UAB or the UAB Research Park (Parc de Recerca de la UAB, PRUAB) and you want to register as user of the SeRMN (NMR service) with permission to use our spectrometers in self-service mode, fill the form below and submit your data.

Upon verifying your data and obtaining the approval of your supervisor (head of your research group/department/company), we will contact you with instructions on how to complete the registration.

INSTRUCTIONS

• Fields labelled with a star (*) are required.
• Ask your supervisor the unknown information.

PERSONAL DATA First name ^* Last name ^* E-mail ^* Work Phone ^*

WARNING: the work phone number is displayed on the booking software and it is visible to all other users. Do not enter a number you are not willing to share.

Current workplace entity? ^*

PRUAB institutes: ICMAB, ICN2, etc.

DATA OF THE RESEARCH GROUP AT UAB

Only edit this fieldset if “Current workplace entity?” is set to “UAB”.

Research Group ^* Principal Investigator ^* Department, Institute, etc. ^* City ^*

DATA OF THE PRUAB INSTITUTE

Only edit this fieldset if “Current workplace entity?” is set to “PRUAB-Institute”.

Institute ^* Research Group ^* Principal Investigator ^* Address ^* (cont). City ^*

DATA OF THE PRUAB ENTERPRISE

Only edit this fieldset if “Current workplace entity?” is set to “PRUAB-Enterprise”.

Enterprise ^* Address ^* (cont). City ^*

SUPERVISOR Full name ^* E-mail-supervisor ^*

ACADEMIC DEGREE Highest level of qualification ^* Qualification (p.e. PhD in Chemistry) ^*

PREVIOUS TRAINING AND EXPERTISE ON NMR

The questions below are related to your past training and expertise in the field of nuclear magnetic resonance.

Training level on nmr ^* List of courses attended: (optional) Expertise level on nmr ^* Briefly describe your research subject: (optional)

LANGUAGE OF THE TRAINING SESSION

Select your preferred language for the training session

Language ^*

ACCEPTANCE OF SeRMN REGULATIONS

The operation of the Servei de Ressonància Magnètica Nuclear (SeRMN) is regulated by the UAB SCT General Rules (Reglament dels SCT de la UAB), the SeRMN Internal Rules (Normativa de Funcionament del SeRMN), and by the commands and instructions that the service staff may mandate at any moment because of operation and/or safety reasons. The entrance to the SeRMN space and the use of SeRMN equipment implies the acceptance of all these above mentioned operation rules.

I abide by SeRMN regulations

You must abide by SeRMN regulations to continue.

AUTHORIZATION OF DATA PROCESSING

Only edit this fieldset if “I abide by SeRMN regulations” is set.

Your personal data submitted through this form will be incorporated to the databases of the NMR Service (SeRMN) and Accounting Office (AEiF) at Universitat Autònoma de Barcelona (UAB). The purposes of those databases are: to control the access to the SeRMN space, to control de usage of the SeRMN scientific equipment, and the administrative management by SeRMN and AEiF. Universitat Autònoma de Barcelona is the owner of the database, and the SeRMN and AO are the responsible units.

Your data will be handled according to the provisions of the European Union General Data Protection Regulation (EU) 2016/679 (GDPR) and the Organic Law 3/2018, of December 5, on Data Protection and Guarantee of Digital Rights (LOPD), and will be used exclusively for purposes related to the NMR Service. According to the GDPR & LOPD, you have the right to recant at any time the given consent for the processing of your personal data, as well as to exert the rights to access, to correct, to cancel and to oppose before the UAB General Secretary, through the SeRMN contact form,, or by sending an email message to the address s.rmn@uab.cat.

I authorize to use the submitted data

You must authorize the use of your data to complete the submission.

Only edit this fieldset if “I authorize to use the submitted data” is set.

Please fill all the letters into the box to prove you're human.

Please keep this field empty:

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