IUAC Facility Utilization Request Form

IUAC Facility Utilization Request Form

(Please submit at least 3 weeks in advance)
User Information
Name *

Prefix First Name Middle Name Last Name
Email *
example@example.com
Contact Number *

Area Code Phone Number
Affiliation *

Address

BTR Number
Title of the Proposal as per above BTR
Name of Student (if BTR type is 2)
LEC if any
Facilities Required

Multiple options allowed
Select Options

RBS Target Preparation Laboratory Electrical Transport / Noise Measurements Micro-Raman FTIR Photoluminescence Scanning electron Microscopy Scanning Probe Microscopy Transmission Electron Microscopy UV-Vis Absorption Spectrophotometer X-ray Diffractometer Gamma Chamber Geochronology: Q-ICPMS Geochronology: HR-ICPMS Geochronology: FE-SEM Geochronology: XRD Geochronology: XRF
Expected outcome of the measurements to be done *

0/100
Details of the Samples to be used
Other Details
Proposed Start Date

Day Month Year
At least 3 weeks from date of submission Date Picker Icon
Proposed End Date

Day Month Year
Date Date Picker Icon
TA/DA Required

Yes No
Accommodation Required

Yes No
Past Uses of IUAC Facilities for same BTR No
Have you used these facilities before for same BTR No *

Yes (if yes, please fill the details in the table below) No

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User Information