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Facility Utilization Request Form
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Create Facility Utilization Request Form
Notes:- (
) Fields are mandatory.
User Information
Prefix Name
First Name
Middle Name
Last Name
Email
Mobile Number
Affiliation
Address Line 1
Address Line 2
City
State / Province
Postal / Zip Code
BTR Number
In case you do not have approved BTR number please enter 0.
Name of PI for above BTR
Title of the Proposal as per above BTR
Name of Student and Guide
LEC if any
Facilities Required
Facilities Options
RBS
Target Preparation Laboratory
Electrical Transport / Noise Measurements
Micro-Raman
Contact Angle Measurement
FTIR
Photoluminescence
Scanning electron Microscopy
Scanning Probe Microscopy
Contact Angle Measurement Setup
Transmission Electron Microscopy
UV-Vis Absorption Spectrophotometer
X-ray Diffractometer
Gamma Chamber
Geochronology: Q-ICPMS
Geochronology: HR-ICPMS
Geochronology: FE-SEM
Geochronology: XRD
Geochronology: XRF
Other
Other
Facilities Options Other
Expected outcome of the measurements to be done
Details of the Samples to be used
Other Details
Proposed Start Date
Date
Proposed End Date
Date
TA/DA Required
Yes
No
Accommodation Required
Yes
No
Past Uses of IUAC Facilities for same BTR No
Have you used these facilities before for same BTR No
Yes (if yes, please fill the details in the table below)
No
Past Uses of IUAC Facilities for same BTR No
Order
IUAC Facilities
Name
Facility Used
Date From
Date
Date To
Date
Accommodation
TA/DA
Weight for row 1
-1
0
1
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