Difference: AffiliateEndorsement070319111505 (1 vs. 34)

Revision 3430 Dec 2013 - Main.MichaelGoger

 
META TOPICPARENT name="RuthStark"

AFFILIATION ENDORSEMENT AT NYSBC

You may wish to print this page for your records.

Endorsement must be made by members of the Scientific Committee at NYSBC or by staff supervisors at NYSBC. Misrepresentation of the endorser will be regarded extremely seriously.

Your endorsement includes your understanding that ... The endorser will immediately inform NYSBC when the affiliate nominee is no longer associated with them. The endorser understands that the affiliate’s use of equipment and activities are subject to NYSBC’s General Operating Handbook including “E.4 Disputes as to damages, accidents, and incidents will be handled by the Safety committee as outlined in other regulations.” The endorser will inform the affiliate of this. The affiliate nominee is 18 years of age or older; is a full-time employee or full-time student at this institution; is not subject to any restriction of eligibility for any contracting or subcontracting with any agency of the United States Government or New York State, and from eligibility or involvement in non procurement programs of the United States Government referred to as 'covered transactions' as defined in HHS' implementation of OMB Guidelines to Agencies on Government-wide Debarment; and has filed the institutional Conflict of Interest form for any Federally supported activity. The project(s) involved are predominantly scientific research in the public interest within the meaning of section 501(c)(3), and less than 5% of the activity will be “unrelated business" or commercial research . The project conforms to all institutional and NYSBC regulations. These affiliation conditions may change, and the current version is available at AffiliationConditions.

Template is AffiliateTemplate

AffiliateEndorsement070319111505

NYSBC OFFICE USE ONLY -- ENDORSER DONT CHANGE THIS Notes for staff ENTRY
ID NUMBER IN DATABASE , > 10000 indicates ID CARD # and infotech status 12961
Changed:
<
<
ALL HOURS ACCESS STEPS C-14 # 83279836, exp 10/15/2010, all-hours training completed AllHours
>
>
ALL HOURS ACCESS STEPS C-14 # 83279836, exp 10/15/2010, all-hours training completed
 
Original ID
11913

META FORM name="AffiliationRequestForm"
FORM FIELD New Affiliate NewAffiliate Deniz Temel
FORM FIELD Affiliate Status AffiliateStatus Postdoctoral Associate
FORM FIELD Expiration Date ExpirationDate 31 Dec '13
FORM FIELD Phone Number PhoneNumber 646 610 2609
FORM FIELD Affiliate Email AffiliateEmail dbtemel@gmail.com
FORM FIELD Affiliate PI AffiliatePI David Cowburn Michael Rout
FORM FIELD Requested Access RequestedAccess Basic NMR:, NysbcAccess#All_Hours_Use:, Cryoprobe operations - NMR:
FORM FIELD Affiliation Web Page AffiliationWebPage
FORM FIELD Affiliation Comment AffiliationComment

Revision 3306 Aug 2013 - Main.DavidCowburn

 
META TOPICPARENT name="RuthStark"

AFFILIATION ENDORSEMENT AT NYSBC

You may wish to print this page for your records.

Endorsement must be made by members of the Scientific Committee at NYSBC or by staff supervisors at NYSBC. Misrepresentation of the endorser will be regarded extremely seriously.

Your endorsement includes your understanding that ... The endorser will immediately inform NYSBC when the affiliate nominee is no longer associated with them. The endorser understands that the affiliate’s use of equipment and activities are subject to NYSBC’s General Operating Handbook including “E.4 Disputes as to damages, accidents, and incidents will be handled by the Safety committee as outlined in other regulations.” The endorser will inform the affiliate of this. The affiliate nominee is 18 years of age or older; is a full-time employee or full-time student at this institution; is not subject to any restriction of eligibility for any contracting or subcontracting with any agency of the United States Government or New York State, and from eligibility or involvement in non procurement programs of the United States Government referred to as 'covered transactions' as defined in HHS' implementation of OMB Guidelines to Agencies on Government-wide Debarment; and has filed the institutional Conflict of Interest form for any Federally supported activity. The project(s) involved are predominantly scientific research in the public interest within the meaning of section 501(c)(3), and less than 5% of the activity will be “unrelated business" or commercial research . The project conforms to all institutional and NYSBC regulations. These affiliation conditions may change, and the current version is available at AffiliationConditions.

Template is AffiliateTemplate

AffiliateEndorsement070319111505

NYSBC OFFICE USE ONLY -- ENDORSER DONT CHANGE THIS Notes for staff ENTRY
ID NUMBER IN DATABASE , > 10000 indicates ID CARD # and infotech status 12961
ALL HOURS ACCESS STEPS C-14 # 83279836, exp 10/15/2010, all-hours training completed AllHours
Original ID
11913

META FORM name="AffiliationRequestForm"
FORM FIELD New Affiliate NewAffiliate Deniz Temel
FORM FIELD Affiliate Status AffiliateStatus Postdoctoral Associate
FORM FIELD Expiration Date ExpirationDate 31 Dec '13
FORM FIELD Phone Number PhoneNumber 646 610 2609
FORM FIELD Affiliate Email AffiliateEmail dbtemel@gmail.com
Changed:
<
<
FORM FIELD Affiliate PI AffiliatePI David Cowburn
>
>
FORM FIELD Affiliate PI AffiliatePI David Cowburn Michael Rout
 
FORM FIELD Requested Access RequestedAccess Basic NMR:, NysbcAccess#All_Hours_Use:, Cryoprobe operations - NMR:
FORM FIELD Affiliation Web Page AffiliationWebPage
FORM FIELD Affiliation Comment AffiliationComment

Revision 3225 Jul 2013 - Main.DavidCowburn

 
META TOPICPARENT name="RuthStark"

AFFILIATION ENDORSEMENT AT NYSBC

You may wish to print this page for your records.

Endorsement must be made by members of the Scientific Committee at NYSBC or by staff supervisors at NYSBC. Misrepresentation of the endorser will be regarded extremely seriously.

Your endorsement includes your understanding that ... The endorser will immediately inform NYSBC when the affiliate nominee is no longer associated with them. The endorser understands that the affiliate’s use of equipment and activities are subject to NYSBC’s General Operating Handbook including “E.4 Disputes as to damages, accidents, and incidents will be handled by the Safety committee as outlined in other regulations.” The endorser will inform the affiliate of this. The affiliate nominee is 18 years of age or older; is a full-time employee or full-time student at this institution; is not subject to any restriction of eligibility for any contracting or subcontracting with any agency of the United States Government or New York State, and from eligibility or involvement in non procurement programs of the United States Government referred to as 'covered transactions' as defined in HHS' implementation of OMB Guidelines to Agencies on Government-wide Debarment; and has filed the institutional Conflict of Interest form for any Federally supported activity. The project(s) involved are predominantly scientific research in the public interest within the meaning of section 501(c)(3), and less than 5% of the activity will be “unrelated business" or commercial research . The project conforms to all institutional and NYSBC regulations. These affiliation conditions may change, and the current version is available at AffiliationConditions.

Template is AffiliateTemplate

AffiliateEndorsement070319111505

NYSBC OFFICE USE ONLY -- ENDORSER DONT CHANGE THIS Notes for staff ENTRY
ID NUMBER IN DATABASE , > 10000 indicates ID CARD # and infotech status 12961
ALL HOURS ACCESS STEPS C-14 # 83279836, exp 10/15/2010, all-hours training completed AllHours
Original ID
11913

META FORM name="AffiliationRequestForm"
FORM FIELD New Affiliate NewAffiliate Deniz Temel
FORM FIELD Affiliate Status AffiliateStatus Postdoctoral Associate
Changed:
<
<
FORM FIELD Expiration Date ExpirationDate 7 Jul 14
>
>
FORM FIELD Expiration Date ExpirationDate 31 Dec '13
 
FORM FIELD Phone Number PhoneNumber 646 610 2609
FORM FIELD Affiliate Email AffiliateEmail dbtemel@gmail.com
Changed:
<
<
FORM FIELD Affiliate PI AffiliatePI Michael Rout David Cowburn
>
>
FORM FIELD Affiliate PI AffiliatePI David Cowburn
 
FORM FIELD Requested Access RequestedAccess Basic NMR:, NysbcAccess#All_Hours_Use:, Cryoprobe operations - NMR:
FORM FIELD Affiliation Web Page AffiliationWebPage
FORM FIELD Affiliation Comment AffiliationComment

Revision 3105 Mar 2013 - Main.DavidCowburn

 
META TOPICPARENT name="RuthStark"

AFFILIATION ENDORSEMENT AT NYSBC

You may wish to print this page for your records.

Endorsement must be made by members of the Scientific Committee at NYSBC or by staff supervisors at NYSBC. Misrepresentation of the endorser will be regarded extremely seriously.

Your endorsement includes your understanding that ... The endorser will immediately inform NYSBC when the affiliate nominee is no longer associated with them. The endorser understands that the affiliate’s use of equipment and activities are subject to NYSBC’s General Operating Handbook including “E.4 Disputes as to damages, accidents, and incidents will be handled by the Safety committee as outlined in other regulations.” The endorser will inform the affiliate of this. The affiliate nominee is 18 years of age or older; is a full-time employee or full-time student at this institution; is not subject to any restriction of eligibility for any contracting or subcontracting with any agency of the United States Government or New York State, and from eligibility or involvement in non procurement programs of the United States Government referred to as 'covered transactions' as defined in HHS' implementation of OMB Guidelines to Agencies on Government-wide Debarment; and has filed the institutional Conflict of Interest form for any Federally supported activity. The project(s) involved are predominantly scientific research in the public interest within the meaning of section 501(c)(3), and less than 5% of the activity will be “unrelated business" or commercial research . The project conforms to all institutional and NYSBC regulations. These affiliation conditions may change, and the current version is available at AffiliationConditions.

Template is AffiliateTemplate

AffiliateEndorsement070319111505

NYSBC OFFICE USE ONLY -- ENDORSER DONT CHANGE THIS Notes for staff ENTRY
ID NUMBER IN DATABASE , > 10000 indicates ID CARD # and infotech status 12961
ALL HOURS ACCESS STEPS C-14 # 83279836, exp 10/15/2010, all-hours training completed AllHours
Original ID
11913

META FORM name="AffiliationRequestForm"
FORM FIELD New Affiliate NewAffiliate Deniz Temel
FORM FIELD Affiliate Status AffiliateStatus Postdoctoral Associate
Changed:
<
<
FORM FIELD Expiration Date ExpirationDate 7 Jul 13
>
>
FORM FIELD Expiration Date ExpirationDate 7 Jul 14
 
FORM FIELD Phone Number PhoneNumber 646 610 2609
FORM FIELD Affiliate Email AffiliateEmail dbtemel@gmail.com
Changed:
<
<
FORM FIELD Affiliate PI AffiliatePI Michael Rout
>
>
FORM FIELD Affiliate PI AffiliatePI Michael Rout David Cowburn
 
FORM FIELD Requested Access RequestedAccess Basic NMR:, NysbcAccess#All_Hours_Use:, Cryoprobe operations - NMR:
FORM FIELD Affiliation Web Page AffiliationWebPage
FORM FIELD Affiliation Comment AffiliationComment

Revision 3005 Oct 2012 - Main.MichaelGoger

 
META TOPICPARENT name="RuthStark"

AFFILIATION ENDORSEMENT AT NYSBC

You may wish to print this page for your records.

Endorsement must be made by members of the Scientific Committee at NYSBC or by staff supervisors at NYSBC. Misrepresentation of the endorser will be regarded extremely seriously.

Your endorsement includes your understanding that ... The endorser will immediately inform NYSBC when the affiliate nominee is no longer associated with them. The endorser understands that the affiliate’s use of equipment and activities are subject to NYSBC’s General Operating Handbook including “E.4 Disputes as to damages, accidents, and incidents will be handled by the Safety committee as outlined in other regulations.” The endorser will inform the affiliate of this. The affiliate nominee is 18 years of age or older; is a full-time employee or full-time student at this institution; is not subject to any restriction of eligibility for any contracting or subcontracting with any agency of the United States Government or New York State, and from eligibility or involvement in non procurement programs of the United States Government referred to as 'covered transactions' as defined in HHS' implementation of OMB Guidelines to Agencies on Government-wide Debarment; and has filed the institutional Conflict of Interest form for any Federally supported activity. The project(s) involved are predominantly scientific research in the public interest within the meaning of section 501(c)(3), and less than 5% of the activity will be “unrelated business" or commercial research . The project conforms to all institutional and NYSBC regulations. These affiliation conditions may change, and the current version is available at AffiliationConditions.

Template is AffiliateTemplate

AffiliateEndorsement070319111505

NYSBC OFFICE USE ONLY -- ENDORSER DONT CHANGE THIS Notes for staff ENTRY
ID NUMBER IN DATABASE , > 10000 indicates ID CARD # and infotech status 12961
ALL HOURS ACCESS STEPS C-14 # 83279836, exp 10/15/2010, all-hours training completed AllHours
Original ID
11913

META FORM name="AffiliationRequestForm"
FORM FIELD New Affiliate NewAffiliate Deniz Temel
Changed:
<
<
FORM FIELD Affiliate Status AffiliateStatus Graduate Student
>
>
FORM FIELD Affiliate Status AffiliateStatus Postdoctoral Associate
 
FORM FIELD Expiration Date ExpirationDate 7 Jul 13
FORM FIELD Phone Number PhoneNumber 646 610 2609
Changed:
<
<
FORM FIELD Affiliate Email AffiliateEmail mailto:bilgetemel@yahoo.com
FORM FIELD Affiliate PI AffiliatePI Ronnie Ghose
>
>
FORM FIELD Affiliate Email AffiliateEmail dbtemel@gmail.com
FORM FIELD Affiliate PI AffiliatePI Michael Rout
 
FORM FIELD Requested Access RequestedAccess Basic NMR:, NysbcAccess#All_Hours_Use:, Cryoprobe operations - NMR:
FORM FIELD Affiliation Web Page AffiliationWebPage
FORM FIELD Affiliation Comment AffiliationComment

Revision 2911 Oct 2011 - Main.MichaelGoger

 
META TOPICPARENT name="RuthStark"

AFFILIATION ENDORSEMENT AT NYSBC

You may wish to print this page for your records.

Endorsement must be made by members of the Scientific Committee at NYSBC or by staff supervisors at NYSBC. Misrepresentation of the endorser will be regarded extremely seriously.

Your endorsement includes your understanding that ... The endorser will immediately inform NYSBC when the affiliate nominee is no longer associated with them. The endorser understands that the affiliate’s use of equipment and activities are subject to NYSBC’s General Operating Handbook including “E.4 Disputes as to damages, accidents, and incidents will be handled by the Safety committee as outlined in other regulations.” The endorser will inform the affiliate of this. The affiliate nominee is 18 years of age or older; is a full-time employee or full-time student at this institution; is not subject to any restriction of eligibility for any contracting or subcontracting with any agency of the United States Government or New York State, and from eligibility or involvement in non procurement programs of the United States Government referred to as 'covered transactions' as defined in HHS' implementation of OMB Guidelines to Agencies on Government-wide Debarment; and has filed the institutional Conflict of Interest form for any Federally supported activity. The project(s) involved are predominantly scientific research in the public interest within the meaning of section 501(c)(3), and less than 5% of the activity will be “unrelated business" or commercial research . The project conforms to all institutional and NYSBC regulations. These affiliation conditions may change, and the current version is available at AffiliationConditions.

Template is AffiliateTemplate

AffiliateEndorsement070319111505

NYSBC OFFICE USE ONLY -- ENDORSER DONT CHANGE THIS Notes for staff ENTRY
ID NUMBER IN DATABASE , > 10000 indicates ID CARD # and infotech status 12961
ALL HOURS ACCESS STEPS C-14 # 83279836, exp 10/15/2010, all-hours training completed AllHours
Original ID
11913

META FORM name="AffiliationRequestForm"
FORM FIELD New Affiliate NewAffiliate Deniz Temel
FORM FIELD Affiliate Status AffiliateStatus Graduate Student
Changed:
<
<
FORM FIELD Expiration Date ExpirationDate 1 Jun 11
>
>
FORM FIELD Expiration Date ExpirationDate 7 Jul 13
 
FORM FIELD Phone Number PhoneNumber 646 610 2609
FORM FIELD Affiliate Email AffiliateEmail mailto:bilgetemel@yahoo.com
FORM FIELD Affiliate PI AffiliatePI Ronnie Ghose
Changed:
<
<
FORM FIELD Requested Access RequestedAccess Basic NMR:, NysbcAccess#All_Hours_Use:, Cryoprobe operations - NMR:, Basic NMR:, NysbcAccess#All_Hours_Use:, Cryoprobe operations - NMR:
>
>
FORM FIELD Requested Access RequestedAccess Basic NMR:, NysbcAccess#All_Hours_Use:, Cryoprobe operations - NMR:
 
FORM FIELD Affiliation Web Page AffiliationWebPage
FORM FIELD Affiliation Comment AffiliationComment

Revision 2804 May 2010 - Main.RuthStark

 
META TOPICPARENT name="RuthStark"

AFFILIATION ENDORSEMENT AT NYSBC

You may wish to print this page for your records.

Endorsement must be made by members of the Scientific Committee at NYSBC or by staff supervisors at NYSBC. Misrepresentation of the endorser will be regarded extremely seriously.

Your endorsement includes your understanding that ... The endorser will immediately inform NYSBC when the affiliate nominee is no longer associated with them. The endorser understands that the affiliate’s use of equipment and activities are subject to NYSBC’s General Operating Handbook including “E.4 Disputes as to damages, accidents, and incidents will be handled by the Safety committee as outlined in other regulations.” The endorser will inform the affiliate of this. The affiliate nominee is 18 years of age or older; is a full-time employee or full-time student at this institution; is not subject to any restriction of eligibility for any contracting or subcontracting with any agency of the United States Government or New York State, and from eligibility or involvement in non procurement programs of the United States Government referred to as 'covered transactions' as defined in HHS' implementation of OMB Guidelines to Agencies on Government-wide Debarment; and has filed the institutional Conflict of Interest form for any Federally supported activity. The project(s) involved are predominantly scientific research in the public interest within the meaning of section 501(c)(3), and less than 5% of the activity will be “unrelated business" or commercial research . The project conforms to all institutional and NYSBC regulations. These affiliation conditions may change, and the current version is available at AffiliationConditions.

Template is AffiliateTemplate

AffiliateEndorsement070319111505

NYSBC OFFICE USE ONLY -- ENDORSER DONT CHANGE THIS Notes for staff ENTRY
ID NUMBER IN DATABASE , > 10000 indicates ID CARD # and infotech status 12961
ALL HOURS ACCESS STEPS C-14 # 83279836, exp 10/15/2010, all-hours training completed AllHours
Original ID
11913

META FORM name="AffiliationRequestForm"
Changed:
<
<
FORM FIELD New Affiliate NewAffiliate Deniz Temel
FORM FIELD Affiliate Status AffiliateStatus Graduate Student
FORM FIELD Expiration Date ExpirationDate 1 Jun 10
FORM FIELD Phone Number PhoneNumber 646 610 2609
FORM FIELD Affiliate Email AffiliateEmail mailto:bilgetemel@yahoo.com
FORM FIELD Affiliate PI AffiliatePI Ronnie Ghose
FORM FIELD Requested Access RequestedAccess Basic NMR:, NysbcAccess#All_Hours_Use:, Cryoprobe operations - NMR:
FORM FIELD Affiliation Web Page optional AffiliationWebPageoptional?
FORM FIELD Affiliation Comment optional AffiliationCommentoptional
>
>
FORM FIELD New Affiliate NewAffiliate Deniz Temel
FORM FIELD Affiliate Status AffiliateStatus Graduate Student
FORM FIELD Expiration Date ExpirationDate 1 Jun 11
FORM FIELD Phone Number PhoneNumber 646 610 2609
FORM FIELD Affiliate Email AffiliateEmail mailto:bilgetemel@yahoo.com
FORM FIELD Affiliate PI AffiliatePI Ronnie Ghose
FORM FIELD Requested Access RequestedAccess Basic NMR:, NysbcAccess#All_Hours_Use:, Cryoprobe operations - NMR:, Basic NMR:, NysbcAccess#All_Hours_Use:, Cryoprobe operations - NMR:
FORM FIELD Affiliation Web Page AffiliationWebPage
FORM FIELD Affiliation Comment AffiliationComment
 

Revision 2718 Nov 2009 - Main.DavidCowburn

 
META TOPICPARENT name="RuthStark"

AFFILIATION ENDORSEMENT AT NYSBC

You may wish to print this page for your records.

Endorsement must be made by members of the Scientific Committee at NYSBC or by staff supervisors at NYSBC. Misrepresentation of the endorser will be regarded extremely seriously.

Your endorsement includes your understanding that ... The endorser will immediately inform NYSBC when the affiliate nominee is no longer associated with them. The endorser understands that the affiliate’s use of equipment and activities are subject to NYSBC’s General Operating Handbook including “E.4 Disputes as to damages, accidents, and incidents will be handled by the Safety committee as outlined in other regulations.” The endorser will inform the affiliate of this. The affiliate nominee is 18 years of age or older; is a full-time employee or full-time student at this institution; is not subject to any restriction of eligibility for any contracting or subcontracting with any agency of the United States Government or New York State, and from eligibility or involvement in non procurement programs of the United States Government referred to as 'covered transactions' as defined in HHS' implementation of OMB Guidelines to Agencies on Government-wide Debarment; and has filed the institutional Conflict of Interest form for any Federally supported activity. The project(s) involved are predominantly scientific research in the public interest within the meaning of section 501(c)(3), and less than 5% of the activity will be “unrelated business" or commercial research . The project conforms to all institutional and NYSBC regulations. These affiliation conditions may change, and the current version is available at AffiliationConditions.

Template is AffiliateTemplate

AffiliateEndorsement070319111505

NYSBC OFFICE USE ONLY -- ENDORSER DONT CHANGE THIS Notes for staff ENTRY
ID NUMBER IN DATABASE , > 10000 indicates ID CARD # and infotech status 12961
ALL HOURS ACCESS STEPS C-14 # 83279836, exp 10/15/2010, all-hours training completed AllHours
Original ID
11913

META FORM name="AffiliationRequestForm"
FORM FIELD New Affiliate NewAffiliate Deniz Temel
FORM FIELD Affiliate Status AffiliateStatus Graduate Student
Changed:
<
<
FORM FIELD Expiration Date ExpirationDate 1 Jun 2010
>
>
FORM FIELD Expiration Date ExpirationDate 1 Jun 10
 
FORM FIELD Phone Number PhoneNumber 646 610 2609
FORM FIELD Affiliate Email AffiliateEmail mailto:bilgetemel@yahoo.com
FORM FIELD Affiliate PI AffiliatePI Ronnie Ghose
FORM FIELD Requested Access RequestedAccess Basic NMR:, NysbcAccess#All_Hours_Use:, Cryoprobe operations - NMR:
FORM FIELD Affiliation Web Page optional AffiliationWebPageoptional?
FORM FIELD Affiliation Comment optional AffiliationCommentoptional

Revision 2616 Nov 2009 - Main.DavidCowburn

 
META TOPICPARENT name="RuthStark"

AFFILIATION ENDORSEMENT AT NYSBC

You may wish to print this page for your records.

Endorsement must be made by members of the Scientific Committee at NYSBC or by staff supervisors at NYSBC. Misrepresentation of the endorser will be regarded extremely seriously.

Your endorsement includes your understanding that ... The endorser will immediately inform NYSBC when the affiliate nominee is no longer associated with them. The endorser understands that the affiliate’s use of equipment and activities are subject to NYSBC’s General Operating Handbook including “E.4 Disputes as to damages, accidents, and incidents will be handled by the Safety committee as outlined in other regulations.” The endorser will inform the affiliate of this. The affiliate nominee is 18 years of age or older; is a full-time employee or full-time student at this institution; is not subject to any restriction of eligibility for any contracting or subcontracting with any agency of the United States Government or New York State, and from eligibility or involvement in non procurement programs of the United States Government referred to as 'covered transactions' as defined in HHS' implementation of OMB Guidelines to Agencies on Government-wide Debarment; and has filed the institutional Conflict of Interest form for any Federally supported activity. The project(s) involved are predominantly scientific research in the public interest within the meaning of section 501(c)(3), and less than 5% of the activity will be “unrelated business" or commercial research . The project conforms to all institutional and NYSBC regulations. These affiliation conditions may change, and the current version is available at AffiliationConditions.

Template is AffiliateTemplate

AffiliateEndorsement070319111505

NYSBC OFFICE USE ONLY -- ENDORSER DONT CHANGE THIS Notes for staff ENTRY
ID NUMBER IN DATABASE , > 10000 indicates ID CARD # and infotech status 12961
ALL HOURS ACCESS STEPS C-14 # 83279836, exp 10/15/2010, all-hours training completed AllHours
Original ID
11913
Added:
>
>
 
META FORM name="AffiliationRequestForm"
FORM FIELD New Affiliate NewAffiliate Deniz Temel
FORM FIELD Affiliate Status AffiliateStatus Graduate Student
FORM FIELD Expiration Date ExpirationDate 1 Jun 2010
FORM FIELD Phone Number PhoneNumber 646 610 2609
FORM FIELD Affiliate Email AffiliateEmail mailto:bilgetemel@yahoo.com
FORM FIELD Affiliate PI AffiliatePI Ronnie Ghose
Changed:
<
<
FORM FIELD Requested Access RequestedAccess Basic EM:, NysbcAccess#All_Hours_Use:, Cryo EM training:
>
>
FORM FIELD Requested Access RequestedAccess Basic NMR:, NysbcAccess#All_Hours_Use:, Cryoprobe operations - NMR:
 
FORM FIELD Affiliation Web Page optional AffiliationWebPageoptional?
Changed:
<
<
FORM FIELD Affiliation Comment optional AffiliationCommentoptional Iban Ubarretxena alternate supervisor
>
>
FORM FIELD Affiliation Comment optional AffiliationCommentoptional
 

Revision 2501 Sep 2009 - Main.MichaelGoger

Changed:
<
<
Revision 24 is unreadable
>
>
META TOPICPARENT name="RuthStark"

AFFILIATION ENDORSEMENT AT NYSBC

You may wish to print this page for your records.

Endorsement must be made by members of the Scientific Committee at NYSBC or by staff supervisors at NYSBC. Misrepresentation of the endorser will be regarded extremely seriously.

Your endorsement includes your understanding that ... The endorser will immediately inform NYSBC when the affiliate nominee is no longer associated with them. The endorser understands that the affiliate’s use of equipment and activities are subject to NYSBC’s General Operating Handbook including “E.4 Disputes as to damages, accidents, and incidents will be handled by the Safety committee as outlined in other regulations.” The endorser will inform the affiliate of this. The affiliate nominee is 18 years of age or older; is a full-time employee or full-time student at this institution; is not subject to any restriction of eligibility for any contracting or subcontracting with any agency of the United States Government or New York State, and from eligibility or involvement in non procurement programs of the United States Government referred to as 'covered transactions' as defined in HHS' implementation of OMB Guidelines to Agencies on Government-wide Debarment; and has filed the institutional Conflict of Interest form for any Federally supported activity. The project(s) involved are predominantly scientific research in the public interest within the meaning of section 501(c)(3), and less than 5% of the activity will be “unrelated business" or commercial research . The project conforms to all institutional and NYSBC regulations. These affiliation conditions may change, and the current version is available at AffiliationConditions.

Template is AffiliateTemplate

AffiliateEndorsement070319111505

NYSBC OFFICE USE ONLY -- ENDORSER DONT CHANGE THIS Notes for staff ENTRY
ID NUMBER IN DATABASE , > 10000 indicates ID CARD # and infotech status 12961
ALL HOURS ACCESS STEPS C-14 # 83279836, exp 10/15/2010, all-hours training completed AllHours
Original ID
11913
META FORM name="AffiliationRequestForm"
FORM FIELD New Affiliate NewAffiliate Deniz Temel
FORM FIELD Affiliate Status AffiliateStatus Graduate Student
FORM FIELD Expiration Date ExpirationDate 1 Jun 2010
FORM FIELD Phone Number PhoneNumber 646 610 2609
FORM FIELD Affiliate Email AffiliateEmail mailto:bilgetemel@yahoo.com
FORM FIELD Affiliate PI AffiliatePI Ronnie Ghose
FORM FIELD Requested Access RequestedAccess Basic EM:, NysbcAccess#All_Hours_Use:, Cryo EM training:
FORM FIELD Affiliation Web Page optional AffiliationWebPageoptional?
FORM FIELD Affiliation Comment optional AffiliationCommentoptional Iban Ubarretxena alternate supervisor

Revision 2401 Apr 2009 - Main.DavidCowburn

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Revision 9 is unreadable

Revision 829 Mar 2007 - Main.DavidCowburn

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Revision 8 is unreadable

Revision 729 Mar 2007 - Main.DavidCowburn

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Revision 7 is unreadable

Revision 629 Mar 2007 - Main.JasperShahn

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Revision 6 is unreadable

Revision 528 Mar 2007 - Main.DavidCowburn

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Revision 5 is unreadable

Revision 419 Mar 2007 - Main.JasperShahn

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Revision 3 is unreadable
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Revision 4 is unreadable

Revision 319 Mar 2007 - Main.JasperShahn

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Revision 3 is unreadable

Revision 219 Mar 2007 - Main.JasperShahn

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Revision 1 is unreadable
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Revision 2 is unreadable

Revision 119 Mar 2007 - Main.JasperShahn

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Revision 1 is unreadable
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Revision 1 is unreadable
 
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