Analytical Service Requisition Form for Cell and Tissue Culture Laboratory Services

* indicate a required field
Name of Teacher/Person requesting for the service * :
Department/Institute/Address * :
Laboratory * : Cell and Tissue Culture Laboratory
Service Name * : Nanopure water (Media preparation, PCR grade) (Per liter)
Additional services/consumables (if required) * :
Sample Information
Number of Samples * :
Sample ID * :
Sample Type * :
Sample Specification (if applicable) :
Purpose of the work * :
Information Required
Which cell line you want to test * :
Sample exposure * :
Incubation time * :
Others (if needed) :
Category for Billing Purpose * :
For Contact:
Student/Person (For category A & B)* :
Mobile No * :
Email * (Notification will be send to this email) :
Terms and Condition * :

  1. All the solvents and products are sterilized properly.
  2. Appropriate control has been given. Usually, the solvent is used as a control in which the product is dissolved.
  3. The color product is not appropriate for quantitative measurement.
  4. Since the study is very expensive, laborious, and time-consuming, if you are not clear on this protocol, or if you have any questions/confusion, please visit the lab (CARS 605 or call 01729171710) before submitting this application. It is better if you make your study understandable to us so that we can perform it accurately in your desired way.
  5. Please remember that after receiving your application, we will consider that you have understood our protocol and are ready to perform the study according to our protocol with the above specifications. After approval, you cannot make any further changes. Please consider it carefully.

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