Language
English (US)
CENTRAL INSTRUMENTATION CENTER
University of Petroleum and Energy Studies For any clarifications, kindly write us at upescic[at]upes.ac.in
Sample Analysis Requisition Form
Name
*
Prof.
Dr.
Mr.
Ms.
Salutation
First Name
Middle Name
Last Name
University/Organisation
*
UPES
Other
Category
*
Faculty
Student
Industry Fellow
Other
University/Organisation
*
Email
*
example@example.com
Invoice in the Name of
*
Organization/University
Self
Registered
*
Yes
No
GST no. of the Organisation
*
PAN
*
TAN
Branch/Department
*
Address of University/Organisation
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Instrument for Analysis
*
FTIR
UV-VIS Spectrophotometer
XRD
CHNS-O Analyser
ICP-OES
Drop Shape Analyzer
Photo Luminescence
Particle Size Analyzer
Fluoride Detection
TMA (Only Dimensional Change)
GCMS
BOD
Rheometer
AFM
Colony Counter
State of Sample
*
Solid
Liquid
Gas
Volume (in ml)/Weight (in mg)
*
Analysis Method, Sample digestion Procedure, Solvent Used
*
For ICP-OES, samples digested in HF will not be accepted
Trace Elements/Peaks
*
For ICP-OES, samples digested in HF will not be accepted
No. of Samples for Analysis
*
Total amount to be paid including GST (18%)
Note:
Only NEFT transaction is allowed.
No IMPS, DD, Cheques, Cash are allowed
Total Amount Paid
*
Transaction Reference Number
*
Upload Transaction Reference Screenshot (NEFT only)
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Tentative research article title for which the sample is being analyzed
*
Author Names & Organisation
*
Remarks
*
T
erms & Conditions:
In special cases data analysis/interpretation services can be provided on payment of extra charges on case to case basis.
Standard operating procedure will be followed for analysis. Special method development may be undertaken as per the information provided by user on extra payment basis.
All possible care will be taken in handling the samples. We will not be responsible for any damage during transit or handling. If analysis cannot be carried out on any sample, the same will be returned.
Potentially hazardous samples may not be accepted for analysis.
Collect unutilized samples if any, at the time of collecting report. Samples which are not collected within a week from the date of sample analysis will be disposed of immediately without any further notice.
Any discrepancy in results has to be cleared in a week from date of dispatch of result.
Analytical data/spectra will be provided either in printed or in digital format as applicable.
Data will be archive for 30 days from date of acquisition and will not be available to user after that period.
The analytical data/spectra are provided only for research/development purpose. These cannot be used as certificates in legal disputes , any commercial -consultancy purpose and the content of report shall not be used for any advertisement, evidence, litigation or quote as certificate to a third party without prior permission of Head-Centralized Instrumentation Center.
Acknowledgement shall be duly acknowledged in all publications of research work, where in the analytical services of the Central Instrumentation Center is utilized.
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