Shimadzu - Laboratory Analysis Request Form

Shimadzu - Laboratory Analysis Request Form
For more info, visit website : https://sscoe.somaiya.edu/en
General Information
Name*

First NameLast Name
Email ID*
example@example.com
Contact No*
Please enter a valid phone number.
Affiliation*

External AcademiaIndustryInternal
Enter your Somaiya Email ID*
example@example.com
Project Information
Project Name*
Project Type*
Other*
Sample Information
Sample Type*
Sample Name/ID*
Other (Specify)*
Sample Description*
Count of samples*
Analysis Details
Select Analysis Techniques*

DTGDSCFTIRGC- FID TCD with HeadspaceGC-MSxMS with HeadspaceICP-MSUV-Visible Spectrometry
Purpose/Background of Analysis*
Hazard Information
Hazardous Materials*

YesNo
Mention Details and Handling Precautions*
Sample Purity
Expected Purity Level*

HighMediumLow
Purity information through TLC has been shared while submitting samples*

YesNo
Special Instructions/Requirements *
Sample is required back after analysis ?*

YesNo
Additional Notes/Comments*
I acknowledge that providing accurate and complete information is essential for precise analysis
Should be Empty:

General Information