ANALYTICAL TEM LABORATORY Central Research Facility, IIT Kharagpur – 721302 No.: Date: User’s Profile Name of the User: __________________________________________ Department / Centre: ____________________________ Contact Details: __________________________________________________________ Tel. No.: ________________________ Name of Guide/Supervisor: _________________________________________________________________________________ We would like to get our samples of (please mention sample type / composition, how many samples, etc.) _________________________________________________________ / studied by the TEM. I need to use the following facilities. (✓): (i). BF (ii). DF (iii). SAD (iv). CBED (v). EDS The specimen is: (✓): (i). self-supported (3mmdia.) (ii). on slotted/mesh type grid (iii). on holy carbon mesh type grid. (✓): (i). magnetic (ii). non-magnetic (iii). contains very little amount of magnetic material. We herby state that out samples have been characterized elsewhere and the bulk approximated compositions and phases are known. We are confident that the samples are stable and not volatile, will not outgas or decompose and will not disintegrate or dislodged from the grid inside the TEM column under vacuum or on interaction with the electron-beam (200KV). We also certify that our samples are non-toxic and non-radioactive. Suitable time may kindly be allotted to us for the work mentioned above. User’s Sign. Guide’s / Supervisor’s Sign. Declaration The Department / Centre agrees to the transfer of ` ____________________ from its Operating Grant to the Operating Grant of the Central Research Facility for the above work. If the microscope gets damaged owing to the nature of the sample, our Department will bear the entire cost of repair of the microscope. Sign. of HoD / HoC (with seal) I agree to transfer the amount of ` ___________________________ from the Scheme / Project entitled (with SRIC Code) _____________________________________________________. If the microscope gets damaged owing to the nature of the sample, the entire cost of repair of the microscope will be borne by my project fund. Sign. of the Investigator In-charge (with seal) The total charge for the work amounts to ` ________________________________. Sign. of Professor In-charge (TEM Lab.) Chairman, CRF Deputy Registrar (F&A) / Asst. Registrar (SRIC)
ANALYTICAL TEM LABORATORY Central Research Facility, IIT
Kharagpur 721302 No.:Date: Users Profile Name of the User:
__________________________________________ Department / Centre:
____________________________ Contact Details:
__________________________________________________________ Tel.
No.: ________________________ Name of Guide/Supervisor:
_________________________________________________________________________________
Wewouldliketogetoursamplesof(pleasementionsampletype/composition,howmanysamples,etc.)
_________________________________________________________ / studied
by the TEM. I need to use the following facilities. (): (i). BF
(ii). DF(iii). SAD(iv). CBED(v). EDS The specimen is: (): (i).
self-supported (3mmdia.)(ii). on slotted/mesh type grid(iii). on
holy carbon mesh type grid. (): (i). magnetic(ii).
non-magnetic(iii). contains very little amount of magnetic
material. We herby state that out samples have been characterized
elsewhere and the bulk approximated compositions and phases are
known. We are confident that the samples are stable and not
volatile, will not outgas or decompose and will not disintegrate or
dislodged from the grid inside the TEM column under vacuum or on
interaction with the electron-beam (200KV). We also certify that
our samples are non-toxic and non-radioactive. Suitable time may
kindly be allotted to us for the work mentioned above. Users Sign.
Guides / Supervisors Sign. Declaration The Department / Centre
agrees to the transfer of ` ____________________ from its Operating
Grant to the Operating Grant of the Central Research Facility for
the above work.
Ifthemicroscopegetsdamagedowingtothenatureofthesample,ourDepartmentwillbeartheentirecostofrepairofthe
microscope. Sign. of HoD / HoC (with seal)
Iagreetotransfertheamountof`___________________________fromtheScheme/Projectentitled(withSRICCode)
_____________________________________________________. If the
microscope gets damaged owing to the nature of the sample, the
entire cost of repair of the microscope will be borne by my project
fund. Sign. of the Investigator In-charge (with seal) The total
charge for the work amounts to ` ________________________________.
Sign. of Professor In-charge (TEM Lab.) Chairman, CRF Deputy
Registrar (F&A) / Asst. Registrar (SRIC)
