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Analytical Service Requisition Form for Scanning Electron Microscope (SEM) Service

* indicate a required field
Name of Teacher/Person requesting for the service * :
Department/Institute/Address * :
Laboratory * : Materials Science Research Laboratory
Service Name * : SEM-Inorganic sample/Biological sample-with Sputtering (filament time every 15 minutes)
(A) Sample information:
Sample ID * :
Number of Samples * :
Sample Type * :
Sample nature * :
If the sample Contains Mositure or Volatile Org. Solvent (VOS) * :
Sample stability * :
(B) Analytical Service required:
Sampling Technique * :
Type of Measurement needed * :
Information Required * :
Magnification * :
Expected Particle Size (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 * :
Captcha * :

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