User Registration Form IC-FAS, USJP
All the potential users of the IC-FAS must register first by filling this form. It is important to mention reasonable approximate number of analysis that you plan to do in each instrument.
Name of the Student *
Your answer
Registration No (only applicable for USJP students)
Your answer
Email address *
Your answer
Mobile Phone No *
Your answer
Name of the Supervisor *
Your answer
Contact number of the supervisor/s *
Your answer
Department/University *
Your answer
User Category (Please circle the category best describes you) *
If the research project is funded by a research grant, please circle the category best describes the grant *
If PI allows to deduct the relevant fees for the services rendered by IC-FAS, please mentioned the grant information including the grant number and funding agency
Your answer
Select the instruments intended to use *
Required
Mention the instrument and approximate number of analysis that you want to use from each instrument *
Your answer
Please provide a summary of the research project *
Your answer
Date *
MM
/
DD
/
YYYY
Signature of the student
Your answer
Signature of the supervisor
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Clemson University. Report Abuse - Terms of Service - Additional Terms