cars@du.ac.bd
+88-02-966 1920-59/Ext.4616

Analytical Service Requisition Form

* Indicates a required field
Name of Teacher/Person requesting for the service sdfdsf* :
Department/Institute/Address * :
Laboratory * : Drug Analysis & Research Laboratory
Service Name * : Rotavapor (Aqueous phase/hour)
Sample ID * :
Sample Name * :
Number of Samples * :
Name of elements (if applicable) :
Purpose of the work * :
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 * :
Captcha * :

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