School of Electrical & Electronic Engineering Nanyang NanoFabrication Centre (N2FC) website www.n2fc.eee.ntu.edu.sg Block S1, Level B5, Rm. S1-B5a-01, Nanyang Avenue, Singapore 639798 Tel :(65) 6790-6902/03(N2FC CR1), 6790 6541 (N2FC CR2) Fax : (65) 6790-6910 Email : n2fc@ntu.edu.sg Form No. Security Access Card Request Form N2FC Internal User Submission (For NTU user only) Terms and Conditions: The access card must be displayed whenever accessing the cleanroom. Should the access card be found damaged or be reported loss by holder, the staff-in-charge should be notified immediately. The terms and conditions should be read and agreed by the requester before signing. ***For N2FC staff Use Only *** For Applicants: NEW APPLICATION N2FC Cleanroom 1 (CR1) Attended CR1 Safety Briefing Date Attended: Card Coded CARD RENEWAL N2FC Cleanroom 2 (CR2) Attended CR2 Safety Briefing Date Attended: Card Coded Requester Name: Signature Staff ID/ Student Matrix No: School/Division/Lab : Designation: *delete where applicable Date *Post-Doc/ PHD/ MEng/ MSc/ FYP/ RF/ RA/ PO/ Others: __________________ Email: Contact no.: Project Supervisor Name : School/ Division : Email: Contact No: Approved by Project Supervisor Approval Date Purpose of Access FYP Research Collaboration Project Consultancy Others: Declaration of Project/ Work Description (Compulsory) Project Title/ Work Description: Last Date of Project: Sign by Approver Restricted Area Access Request: For N2FC Staff Use Only CR1 B6 Subfab Reason: Access Coded CR2 B6 Subfab Reason: Access Coded CR2 B6 MBE Rm Reason: Access Coded CR2 Bay 5 Reason: Access Coded CR2 Bay 8 Reason: Access Coded Access Period (dd/mm/yy) Approved by N2FC Lab Supervisor Date 2 N FC Approval 106755356 From To Dr Jaeshin Ahn A School of the College of Engineering