Requisition Form For Xps Measurements Central Research Facility, IIT Kharagpur-721302
Requisition Form For Xps Measurements Central Research Facility, IIT Kharagpur-721302
1. User’s Profile
Name: _Designation: _ Tel. / Mob. No.: _
Roll No. / EC: Department / Centre:
2. Sample Details
Metal/Alloy Oxide and its Compound Polymer and Rubber$ Ceramic and Advanced Materials
$
Please be informed that polymer and rubber samples will be measured at low
temperatures (120 K) necessarily in order to avoid any chemical breakdown of the sample
and any slow physical damage to the instrument.
Sample Composition/Formula/Structure:
_________________ Solid (bulk) Pellet Thin Film Powder*
Form (please tick):
*Convert powders into hard pellets and evacuate it in a desiccator for the XPS measurements. Otherwise,
the decision for XPS on the powder itself will be taken by the authorities.
Number of samples (2 samples per slot for XPS spectra): Page
c. Element-specific Scan:
YES Elements: NO
ǂ
Signature of the user e-mail (write clearly):
Date:
Amount(s) to be paid:
Please transfer an amount of ₹ _ from the Operating Grant of the Department / Centre, account no. ----
--------------------------- in SRIC Account No. 95562010000805. Slots will be provided once the proof of fund transfer is
provided.
PROJECT
Please transfer an amount of ₹ _ from the sponsored / consultancy project code to the SEMC
account in SRIC. Slots will be provided once the proof of fund transfer is provided.
Principal Investigator
Asst. Registrar (SRIC) (with date and seal)
EXTERNAL
I agree to transfer the required amount to Account No. 95562010000805, IFSC Code: CNRB0019556.
Name of account holders :- SRIC,IIT KHARAGPUR OR
*
I agree to pay the required amount to The Dean, SRIC, IIT Kharagpur for the above work through the demand
draft/cheque number dated .
Signature of the user (outsider)
Declaration by the user
The results recorded will acknowledge “the XPS facility at the Central Research Facility, IIT Kharagpur”, if
communicated for publication. A copy of the publication will be submitted to the XPS Lab through e-mail to
xpscrfiitkgp@gmail.com.
Any special recognition (award, journal cover-page, special citation) of the results will be reported and a copy
of the reprint/photograph/award will be submitted to the XPS Lab for internal documentation
Designation
Date of Measurement: