Amended on March 29, 2024

NATIONAL TAIWAN UNIVERSITY

Technical Services Application Form for Joint Collaborations

Application Date (YYYY/MM/DD):______________________
Commissioned Work/Services Account (Details regarding the commissioned work/service may be found in the Commission Request Form)	(Accounting Code)	Commissioning Organization Name of Vendor
NTU Principal Investigator	Execution Unit	College of ____________ Department of ____________(Academic Department/ Graduate Institute/ Center)
Total Fees Payable for Commissioned Work/Services (C) C=A+B	NT$ __________	Administrative Fee (B)	20% of total fees payable for commissioned work/services (C): NT$ __________ [An administrative fee charged at a uniform rate of 20% of the total fees payable for commissioned work/services (inclusive of business tax filed by the National Taiwan University, hereinafter "NTU" or "the University") shall be imposed in accordance with the NTU Directives for the Management of Sponsored Projects.]
Execution Fee (A)	NT$ __________
Payment Mode for Fees Payable for Commissioned Work/Services	☐ Post-application payment (by installment): first installment payment amount NT$ __________; second installment payment amount NT$ __________ etc. (please provide the full proposed installment schedule) ☐ The commissioning organization requires a receipt issued in advance before completing payment (please provide a copy of the payment notice) Note 1: Upon receiving payment from the vendor, the principal investigator should generate the corresponding payment notice (for general payments) on the NTU Accounting System, obtain the official seal of the processing clerk, and attach the relevant proof of funds transfer before submitting the documents to the Cashier Division for further processing. Note 2: To apply for an advance receipt, please generate the corresponding payment notice (for general payments) on the NTU Accounting System, obtain the official seal of the processing clerk, and attach it to this application form. Note 3: The NTU Accounting System may be accessed via https://ntuacc.cc.ntu.edu.tw/acc/ Note 4: If issuing an advance receipt without submitting this application form, please proceed to the NTU Official Document System to draft an approval document (using institutional template 42.) or correspondence document (using institutional template 31. if preparatory documents are required).
Service(s)/Item(s) Applying For	☐ University seal for Commission Request Form: requesting the official University seal from the Document Division, Office of General Affairs on three copies of the Commission Request Form ☐ Advance receipt and University seal for Commission Request Form: requesting the official University seal from the Document Division, Office of General Affairs on three copies of the Commission Request Form; requesting a payment receipt from the Cashier Division, Office of General Affairs, for the first installment payment (please attach a copy of the relevant payment notice)
This application is made to Department/Graduate Institute Director: College Dean/NTU Center Director:	I understand and acknowledge that this technical service project shall only provide information for use in a service report and shall exclude the production of any actual research results. I also understand that an administrative fee amounting to 20% of the total fees payable for commissioned work/services (inclusive of business tax filed by the University) shall be charged in accordance with the relevant University regulations. Further, I agree to resolve any disputes and compensate for any damages that might arise during the execution of this technical service project. Signature/Seal of the Principal Investigator: Seal
Name of Contact Person
Contact No. of Contact Person
Office of Research and Development Accounting Office (Division of Industry Collaboration Resources) (Technical services account number: __________) (Serial No.: __________) Vice President for Cashier Division, Office of General Affairs Research and Development (Receipt No.: __________) or Authorized Unit Head (Approval)

Vendor Copy NTU Copy

Amended on March 29, 2024

NATIONAL TAIWAN UNIVERSITY

Technical Services Commission Request Form for Joint Collaborations

Commissioning Organization Name of Vendor	(full name)	Uniform Serial No.	Contact Address
Type of Commissioned Work/Service
No.	Service Description	Specifications/Items	Quantity	Unit Price (NT$)	Subtotal (NT$)
Total Fees Payable for Commissioned Work/Services	NT$ __________ (inclusive of tax)	Term of Commission	From __________ to __________ (YYYY/MM/DD)
1. This Commission Request Form shall be executed in three original copies, each of which shall, after being signed by both parties, be retained for reference by the University, principal investigator, and the vendor respectively. 2. This Commission Request Form, once affixed with the signature(s) or seal(s) of both parties, shall constitute a joint collaboration agreement and shall not require a separate contract (if a formal contract between the parties is needed to regulate the implementation of said contract or relevant research projects, please instead refer to the University's application process for "special research projects in joint collaborations"). The content of this Commission Request Form may not be altered without mutual consent from both parties. 3. Matters not addressed herein shall be handled in accordance with the relevant University and government regulations. Further details regarding the University's regulations may be accessed via https://ord.ntu.edu.tw/w/ordntu/Legislation_21022511132948473 4. The vendor understands and acknowledges that this commission project shall only provide information for use in a service report and excludes the production of any actual research results. Any research and development (R&D) outcomes produced during the execution of this project shall be the sole property of the University. The vendor agrees that it shall not claim any intellectual property rights to such outcomes and shall not utilize them for direct commercial purposes. 5. The University guarantees that the information delivered via this commission project is original and free from plagiarism. However, the University does not guarantee the patentability, suitability, or the potential for commercialization of such information. 6. In the event that the vendor, while utilizing information obtained from this technical service project, suffers actual damages from a third-party infringement claim arising from an act of plagiarism by the University, the University agrees to compensate the vendor for said damages incurred. However, the University's liability shall be limited to no more than 30% of the total fees payable for commissioned work/services in this commission project. In the event that the aforementioned infringement cannot be attributed to the University, the vendor shall assume full responsibility for the incident. However, the University shall endeavor to provide the relevant technical evaluation, consultation, and other forms of technical support to assist the vendor in handling the matter. 7. All books, journals, instruments, and equipment procured by the University using funds from this commission project shall be the sole property of the University and managed as such. 8. Both parties agree to fulfill the obligations of a good administrator and exercise due caution in maintaining the confidentiality of any disclosed confidential information received from the other party. This confidentiality obligation shall remain in effect for a period of five years from the day that the confidential information is received. This term of confidentiality is fixed and shall not be affected by the expiration, early termination, rescission, or nullification of the project's term of commission, or any event that might lead to its dissolution. 9. Unless otherwise approved by the University in writing, the vendor shall not reference the name, emblem, or any other identifying elements of the University, nor those of any relevant government agencies, in its service reports, products, merchandise, and services offered, or in the marketing, promotion, and advertising, for commercial purposes, of such goods and services. Further, the vendor shall not in any way or form imply any affiliation to the University or any relevant government agencies. If the vendor requires the use of the University's name or emblem, it should put forth an application in accordance with the NTU Regulations for the Use of National Taiwan University Trademarks. The relevant licensing terms shall be negotiated separately. In the event that the vendor violates the aforementioned provision, it shall be liable for all resulting damages suffered by the University. Furthermore, the University may, without notice, terminate this technical service commission project without refunding any prior payments received. 10. Vendors should refer to the following NTU bank details when paying, by means of funds transfer, the total fees payable for commissioned work/services. Alternatively, small payments may be made in person at the NTU Cashier Division. *In the case where an advance receipt is required, the vendor should indicate the payer name when making the relevant funds transfer.
Sig-nat-ure/Seal	Commissioning Organization	Commissioned Organization
Name of Vendor: (Official Seal) Responsible Person (Authorized Signatory): (Signature/Seal) Job Title: Contact Person: Contact No.: Email:	National Taiwan University (Official Seal) Representative: Wen-Chang Chen (Signature/Seal) Job Title: NTU President Principal Investigator: Address: No. 1, Section 4, Roosevelt Rd, Taipei City 106 Uniform Serial No.: 03734301

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