Centralized Resource Laboratory
University of Peshawar
(ANALYSIS REQUISITION FORM)
1. Student’s Name: ______________________________________________________________
2. Program/Project: BS. M.Sc. M.Phil PhD Project Pvt User
3. Dept:/University/Firm: _____________________________________________________________
4. Phone/Cell: __________________________ E-mail: ___________________________________
5. Date of submission of sample(s): ________________ Number of Sample(s):
6. Sample(s) Description: _____________________________________________________________
7. Analysis sought:
TEM EDX (TEM) SEM EDX (SEM) XRD
GC GCMS HPLC P-HPLC XRF
AAS Sample Preparation AAS Elements AAS
a
FPM Sample Preparation FPM Elements FPM Na K Li Ca Ba
STA b Temp. range Heating Rate
UTM Zetasizer Zeta Potential B. Calorimeter c LOI
d
UV-NIR UV-Vis. UV-Vis-DRS Fluorimetry FT-IR
Coating Microtomy Deionized H2O LN2 Viscometry
Centrifugation SAA Sample grinding
a Flame Photometer b STA c Bomb d Fluorescent
includes TGA, DTA & DSC Calorimetry Spectrometry
8. Miscellaneous:
9. Conditions/Instructions:
Centralized Resource Laboratory (CRL), University of Peshawar will not be responsible to hold the samples
after one month of the completion of analysis.
Signature of the Applicant________________
Recommendation by the Supervisor/Head of the DEPARTMENT /CENTRE /INSTITUTE
Supervisor’s Name ______________________Signature _____________Office seal _________________
Charges will be paid by: User HEC PCSIR Department Project
Head/Chairman/Chairperson/Director Signature __________________ Stamp: _______________
Date: ____/____/_______
Note: In the case of students/research scholars/faculty members, the samples will not be accepted if there are
no signatures & stamps of the applicant, supervisor and HOD.
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For office use only (CRL)
CRL #: ______________
Dated: ____/____/_____
___________ Sign. _______________
Director CRL
Phone #: 091-9216669 E-mail: [email protected] Website: www.uop.edu.pk/labs/crl/