Requisition Form XPS

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Requisition Form for XPS Measurements

CENTRAL RESEARCH FACILITY


Indian Institute of Technology (ISM) Dhanbad
Dhanbad-826004

No.: Date of submission:


IMPORTANTNOTES:
i. Samples in the form of powder or gel or those which can degas in ultra-high vacuum will strictly not be allowed.
Sample(s) should not contain radioactive isotopes.
ii. There will be a vacuum check of samples prior to loading inside the XPS chamber. The sample(s) must be handed over
to the lab in the previous evening for vacuum check.
iii. The sample composition and its preparation should be mentioned.

1. User’s Profile
Name of the User: ______________________________________ Tel. / Mob. No.: _____________
Admission No./Emp.Code : _____________ Department / Centre: ____________________________
Name of the supervisor:____________________________________________________
Name of the Institute / College /R&D Lab/ Industry____________________________________________________
1a. Category(Please tick any)

Category I: (Internal Users)


Category II: (Users from Academic Institution)
Category III (Users from Government funded National laboratory)
Category IV (Users from industry or private laboratory)
2. Brief description of the samples(s) to be measured
Composition/Formula: _____________________ No. of samples to be measured:____

Form (please tick): Solid (bulk) Pellet Thin Film

Method of Preparation (in brief):

3. Desired Options (please tick)


a. Surface cleaning by sputtering: Yes No
b. Mode:
Surface Depth Profile/ Maximum depth = _____ nm
Survey (XPS)
Angle-Resolved Line (line analysis) / Map (mapping)/*Charge
XPS Neutralization

c. Element‐specific Scan: Yes Elements: __________________________________ No

__________________________________________________________________________________________
Details of analysis Charges:
The estimated charge for the work ₹ ………… (In words … … … … … … … … … … … … … … … … …
…………………..) has been deposited through †DD (Number ………………..) /†Cash payment in the IIT (ISM)
Dhanbad Cash counter (Receipt No. …………………) on ……………….. (date) /
OR
To be debited from (For internal users only: PDA/PDF/Project): … … … … … … … … …. ….


Please provide the original DD / CC of cash receipt along with this form.

Signature of the User /Faculty /Supervisor /PI


For Official Use Only

To be filled up at the XPS Laboratory

Name of the Operator: ______________________________________________


Date of analysis: ______________________________________________
Online Payment details: ______________________________________________
Total number of hours: ______________________________________________
Vacuum check status : ______________________________________________
Data collection details, Name of
person, Date/time
______________________________________________
If any measurement problem should
be report ______________________________________________

Signature of the Operator

N.B.:
1. Users are advised to submit a hard copy of the form in the XPS lab.
2. Please collect the sample, data of the completed scans will be copied on to a new CD.
3. The user will be informed about the date and time of experiment via e‐mail/phone. He/she is expected to be
present in the lab during the measurement.

* Charge Neutralization: For Non -Conducting Sample

Faculty In-charge
XPS

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