Analytical Service Requisition Form for X-Ray Analytical Service (XRD) Service

* indicate a required field
Name of Teacher/Person requesting for the service * :
Department/Institute/Address * :
Laboratory * : Basic Facilities and Sample Processing Laboratory
Service Name * : XRD (Crystalline/Amorphous powder)
Sample information:
Sample ID * :
Number of Samples * :
Sample Type * :
Sample Composition * :
Sample Nature * :
If the sample Contains Mositure or Volatile Org. Solvent (VOS) * :
Sample stability * :
Sample amount / size * :
Analytical Service required:
Scan range (2-theta0) * :
Step/min * :
Category for Billing Purpose (Tick one) * :
For Contact:
Student/Person * :
Mobile No * :
Email * (Notification will be send to this email) :
Terms and Condition * :
Captcha * :

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  • Please note that Pen-drive is not allowed to transfer data from XRD. A blank CD has to be provided with the requisition form if electronic files of the XRD data is requested.