Confocal Microscope
General Facility Project No: GS 03/08
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
*
Stamp with Signature
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Sample Hazard
*
Pathogenic
Non Pathogenic
Type of technique to be used
*
Confocal
Brightfield/Fluorescence
DIC
Z-Stack
Time Lapse
Multiple Point
Stitching
Histology/Slide Scanning
N-STORM
FRAP
FRET
Time Lapse
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Hrs
Type of Sample to be used.
Live Specimen
Fixed Specimen
Special Instructions if any
* Please collect the samples within 2 weeks after collecting the analysis results
*
I agree to collect the sample within 2 weeks after analysis.
I agree RSPU to dispose the samples after analysis.
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