Single Crystal X-Ray Crystallography
General Facility Project No: GS 03/08
* Note: Maximum 2 Samples can be submitted per request form
Date
*
-
Month
-
Day
Year
Date
*
Analysis Request Submitted by
*
Principal Investigator
Student
Research Associate/ Assistant
Kuwait University ID No.
*
Email ID of the PI
*
Use Only Kuwait University Email ID of the PI
Name of the PI
*
First Name
Last Name
Signature of PI
*
Sample Hazard
*
Sample Details
Structure of the compound
Email ID to which Analysis Results to be sent
example@example.com
Special Instructions if any
Please collect the samples back within 2 weeks after collecting the results
*
I agree to collect the sample within 2 weeks after analysis. (Samples will be discarded after 2 weeks)
I agree RSPU to discard the samples after analysis.
Submit
Submit
Should be Empty: