Equipment Name: XPS: Equipment Requisition Forms For External Users
Equipment Name: XPS: Equipment Requisition Forms For External Users
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)