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Central Sophisticated Instrumentation Facility: University of Calicut

This document is a requisition form for FESEM analysis from the Central Sophisticated Instrumentation Facility at the University of Calicut. It collects information about the user such as name, affiliation, sample details including type of sample, size, and coating requirements. It outlines terms and conditions for sample analysis including requirements that samples be properly prepared and dried, hazardous samples will not be accepted, results clarification must be made within a week, and samples will only be stored for two weeks after analysis. The user must agree to the terms and conditions by signing the form which also requires signatures from their supervisor and head of department.

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Dr. Megha PU
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36 views1 page

Central Sophisticated Instrumentation Facility: University of Calicut

This document is a requisition form for FESEM analysis from the Central Sophisticated Instrumentation Facility at the University of Calicut. It collects information about the user such as name, affiliation, sample details including type of sample, size, and coating requirements. It outlines terms and conditions for sample analysis including requirements that samples be properly prepared and dried, hazardous samples will not be accepted, results clarification must be made within a week, and samples will only be stored for two weeks after analysis. The user must agree to the terms and conditions by signing the form which also requires signatures from their supervisor and head of department.

Uploaded by

Dr. Megha PU
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CENTRAL SOPHISTICATED INSTRUMENTATION FACILITY

UNIVERSITY OF CALICUT

REQUISITION FORM FOR FESEM ANALYSIS


UOC Affiliated Other Academic Institutes R&D Lab/Institutes Industries

Date: …../….…/…….
1. Name: ……………………………………………………….…... 2. Designation: ……………………..……………..
3. Billing Address: …………………………………………….…………………………………………………………..
4. E-mail Id: ……………………………………………………..… 5. Mobile Number: ………..……….………….......

Sample details: NON –BIOLOGICAL Samples


Sl. Nature of SEM/ SEM- Required
No.
Sample Code
Sample 1
EDAX Sample type2 Requirements
coating
1 Yes/No
2 Yes/No
3 Yes/No
4 Yes/No
5 Yes/No
1 2
Liquid / Foil / Powder / Film / Crystal (sample should be dry) Metallic / Ceramic / Polymer

Sample details: BIOLOGICAL Samples


Sl. Sample Size of Sample Nature of SEM/ SEM- Sample Dehydration Required
No. Code (mm3) Sample3 EDAX Condition4 Medium CPD
1 Yes/No
2 Yes/No
3 Yes/No
4 Yes/No
5 Yes/No
3 4
Plant/Plant part/Animal/Animal part Unprocessed/Prefixed in Gluteraldehyde

Note: 1. Samples must meet quality for imaging (Properly pre-treated and dried samples are only accepted)
2. Powder samples quantity must be 0.5 g (minimum), thin film size must be below 1x1 cm 2

TERMS AND CONDITIONS


1. Please specify the nature of your sample if it contains any toxic/ flammable/ hazardous/ explosive component. If the sample causes any harm at any
instance of the analysis, it will be the responsibility of the user to suitably compensate CSIF for the same.
2. Potentially hazardous samples will not be accepted for analysis.
3. The results provided by CSIF will depend on your sample. However, any clarification regarding the results has to be cleared in a week from the date
of despatch of results.
4. The samples will be stored only for two weeks after analysis.
5. All users are required to acknowledge CSIF, University of Calicut while publishing the results in journals, dissertation, thesis etc. A copy of such
publication must be submitted to CSIF for reference and record via Email: [email protected]
6. The charges have to be paid at the time of delivery of samples for analysis. All the payments should be made to the CSIF, University of Calicut.
7. Partially filled form and form without office seal will be summarily rejected.

I/We agree to the above terms and conditions.

Signature of user Signature of Supervisor Signature of Head of the Department


(with seal)

FOR OFFICE USE ONLY

Request No. and Received date :


Name of Operator :
Date Completed :
Invoice Number and Date :
Challan/DD No. and Date :
Signature of the operator

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