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[&OtYXT geVBl Claiming jurors for being debarb. Xf:1.b\ɉu[[Riry)R&OtvsQlĉTTyĉ[ TacS&OtYXTOT[ ir[{tvvcwNhg 2.,gNO,g3uh-N@bkXQ[w[0=\Tfa Declaration: 1. I will abide by the law and regulation stipulation and accept the supervision and inspection by the committee laboratory animal department. 2. The information I have given is accurate detailed and comprehensive. XfN: #N~{W[ Declarant: Signaturestamp of PI Rir[#N~{W[ Signature (stamp) of Director of animal experiment t^ g e Y M D3uba Opinion of applicant Department of institution ;N{[~{W[ Signature (stamp) of the Department principal t^ g e Y M D;N{;S^a Opinion of Veterinary of institution ;N{;S^~{(z): Signature (stamp) Veterinary t^ g e Y M D [Rirea Opinion from laboratory animal facility e#N~{z : Signature stamp of the facility Director t^ g e Y M D [Rir&OtYXTO[yba Approval opinion of Committee [gYXThQ Inspection by members: Agree( )Disagree ( ) ;NNYXT~{(z) Signature stamp of Chairman of Committee t^ g e Y M D Yl: %R[ %,{ !k[g Remarks: %first trial %reexamine No. 3ubf3ube cN,ghN_$NNS5uP[Hr0SteSTybQeS1u&OtYXTOkXQ Notice: Submitting the Application Format in duplicate and a electronic edition The Appl. No. and IACUC Issue No. are make out by Jury.     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