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Equipment Name: XPS: Equipment Requisition Forms For External Users

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0% found this document useful (0 votes)
9 views2 pages

Equipment Name: XPS: Equipment Requisition Forms For External Users

Uploaded by

kamalkaushik562k
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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Institute Instrumentation Centre

Indian Institute of Technology Roorkee


Equipment Requisition Forms for External Users
Equipment Name: XPS

Name Measurement Category Charges per sample


E-mail:
Type
XPS (Survey and Outside Rs. 2000/- (Max 5 elements)
Contact Number:
elemental scan) institute Rs.300 for every additional
Address: users element
Industry Rs. 4000/- (Max 5 elements)
Organization users Rs. 500/- for every
additional element
Category Institute: ☐ XPS (Depth Outside Rs. 3000/- (Max 5 elements)
Industry: ☐ profiling) institute Rs.300 for every additional
No. of Samples users element
Industry Rs. 6000/- (Max 5 elements)
Sample Type Solid/Film: users Rs. 500/- for every
Powder: additional element
Measurement Type XPS: XPS (UPS) Outside Rs. 2000/-
institute
Depth Profiling:
users
UPS:
Industry Rs. 3000/-
Any otherrequirement users
Fee Receipt / Tax Yes: No: Note: In addition to above charges, GST @ 18.0% will be
Invoice Required? Name: charged extra.
(if Yes, Please mention
Dept.:
billing address along
with GST details) Institute Name: Contactuse
For Official Us only
GSTIN: Dr.Vipin Chawla
Date of submission
Tel:01332-284580
Payment detailsvipin.mic@iitr.ac.in

Amount received
Booking ID
Remarks
S. Sample Elements Range
No. name Note:
 Maximum Sample Dimensions are 5 mm (L) X
5mm (B) X 2mm (H) (for Rectangular sample) and
5 mm diameter and 2 mm height.
 In case of Fee receipt/Tax Invoice/ leftover
Samples requirement; please submit an extra
Payment Details (Payment receipt must be attached) envelope mentioning postal/Shipping address.
Name of the A/c
Holder
Name of the Bank

Date of transaction
UTR Number
Total Amount (Rs)
Signature of User
Supervisor/HOD
(Signature with
Seal)

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