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FT IR Characterization

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Samia Basharat
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17 views1 page

FT IR Characterization

Uploaded by

Samia Basharat
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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CENTRAL HI-TECH LAB (CHL)

Government College University, Faisalabad (GCUF)

Ground Floor, Iqbal Block, New Campus


Ph: +92-41-9203013 Allama Iqbal Road
38000-Faisalabad, Pakistan

SAMPLE SUBMISSION FORM FOR FT-IR CHARACTERIZATION


(Spectrum 2, Perkin Elmer)

Name (Researcher / Faculty Member / Contact Person):

Department and University / Organization:

Contact Details: Ph # Cell # Email:

Analysis Charges Paid: Yes / No (If No, the sample will not be processed)

If, Yes: Challan # Date: Amount Paid:

Bank, Branch and Address (from where the payment has been made):
(Note: One copy of original receipt must be attached with the sample submission form for CHL internal record)
Must Be Filled While Submitting the Sample(s) For CHL Use Only
Sr. Sample Quantity Physical Is sample Proposed Remarks Sample Date Analyst Remarks
Name / ID (Minimum State solvent Structure ID of Name
No. 70 mg) (Solid) free? / Analysis
(Yes Chemical
/ No) Identity

5
(Note: For samples data collection, provide a writeable CD/DVD. For additional samples use extra sample submission form)

Any Additional Information / Comments: Date:

Signature of Supervisor with Stamp: Chairperson:


(If GCUF Student or Faculty Member)
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

For CHL Internal Use Only:


Payment Verified: Yes / No Sample Processed: Yes / No Date:

Comments / Remarks (If any):

Signature Analyst CHL: Signature Director CHL:

Payment Information:
Analysis Rates (Rs / Sample): Academia GCUF: Rs 500/- Academia other than GCUF: Rs 1000/- Industry: Rs 1500/-
Account #: 4137669162
Account Title: Central Hi-Tech Lab, GCUF Bank: National Bank of Pakistan

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