Booking form for culture facilities of Simon F.S. Li Marine Science Laboratory User Name: Post: Phone Number: Email: Supervisor Name: Title of Experiment: Work Plan and Brief Description of Experiment (Please attach a separate page if space is insufficient): Duration of Experimental Period: From Culture Facilities / Items Required: to Chemicals used: Seawater Consumption (litre per day): Waste Generated (type & volume): Disposal Instruction: Type of Project (Please tick): □ Research Project □ Final year Project □ Teaching Practical □ Others, please specify: ______________________________________ Failure to provide the information required above will delay our proceeding time. Remarks: I have read the ‘General Guidelines for Using Culture Facilities in Simon F.S. Li Marine Science Laboratory’ and understand that it is my responsibility to follow the procedures and regulations as well as keep the facilities clean and tidy. User Signature: Date: Approved by Supervisor: User must submit this form to the responsible staff, MR. HENRY CHEUNG (EMAIL: kwokchucheung@cuhk.edu.hk) in MSL one week prior to commencement of the project.