Requisition Form XPS
Requisition Form XPS
Requisition Form XPS
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)
__________________________________________________________________________________________
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.
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.
Faculty In-charge
XPS