NCRIS Online Booking Form

NCRIS Booking Form

Request for space in plant growth facility - Linnaeus BLG 134
NOTES
- The information below is required by the ANU APPF for reporting purposes. The information collected is deemed confidential and the ANU APPF website complies with the obligations of the Privacy Act 1988 (Cth).
- If you have an questions or would like to book hardware such as the TrayScan, rather than growth cabinets or glasshouses, please contact Richard Poire:
  +61 02 6125 3652 | appf.rsb@anu.edu.au
Full Name *

First Name Last Name
E-mail *
Position
Phone Number *

Country Code Area Code Phone Number
Institution/Dept/Lab *

Address (If not at ANU)

Street Address Line 1
Street Address Line 2
City	State
Zip Code	Country

ORCID
This is not required but PLEASE enter your ORCID if you have it. It will make our reporting much easier. Thanks!

Grant Profile questions (Check "Yes" if you are working with anyone outside of ANU or internationally or any industry partners) *

	YES	NO
National Collaboration
International Collaboration
Industry Collaboration

GLC/Charge code (Use "Other" if not from ANU) *
Funding Source *
Funding details *
List the institution/s funding the research
Details of Experiment
Estimate of start date *

Month Day Year
Date Date Picker Icon
Estimate of completion date *

Month Day Year
Date Date Picker Icon
Species to be grown *
Please list "Other" species
Please provide a brief overview of your experiment
Preferred Chamber (availability not guaranteed)
Number and size of containers or # of plants
Approximate space required (m^2; 1 chamber, level = ~6m2)
Expected size and height of plants
Growth Conditions
Temperature
Humidity
Daylight Hours
Average Light intensity to be maintained
(umols/m^2)
Watering requirements

NCRIS Staff (NCRIS growth chambers only) [$75UAD/hr] Automatic Irrigation (NCRIS Growth chambers ## - ## only) None
Conditions notes
- Let us know if you'll need anything out of the ordinary in growth conditsion, e.g. high or low temp, high light, etc
- Chambers can maintain temps ranging from ~10c to 40c
Failure Monitoring
Breakdown Response required *
Contact researcher at critical times during the experiment for: *
PC2 and Quarantine
Will you or project staff require access to the growth facility? Please note: access requires Quarantine and Induction training, as well as ANU visitor status if required, this can be arranged through your ANU APPF contact *
Will anything you work on require special practices for containment or decontamination (excluding AQIS and PC2)? *

YES (If YES, then provide details below) No
PC2 details *
PC2 Materials Require upload of your NRLD form *
Will you be working with quarantine materials? *

YES (If YES, then provide details below) No
Quarantine Import permit number *
Quarantine In-vivo approval number if applicable
For AQIS purposes we require the copies of the Import Permit or In-vivo approval for our Facility folder *

Have you completed *

	YES	NO
Gene Technology Practices
Biological Safety Course
Facility Induction

Type a question *

I have read and will comply with the User Responsibilities Guidelines
(Note that the User Responsibilities Guidelines document is only available when behind the RSB firewall - Please contact us if you need a hard copy. Thanks)
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NCRIS Booking Form

Details of Experiment

Growth Conditions

Failure Monitoring

PC2 and Quarantine