Request Form for HRTEM Facility 
Institute of Physics, Bhubaneswar

  Name of the Applicant
(in BLOCK letter):

  E-mail address of the applicant:                

  Name and Address of the Institute:           

  Title of the Research Proposal:                  

  Principal Investigator:                                
  Prior work done using TEM at IOP

  If YES ,Then give details-
  Date of experiments:
  If you propose the work to collaborative nature

  If YES ,you can have any one
 of our faculty as your collaborators.
 Please write the name of the Faculty
Motivation and Objectives:

Sample description:

Justification for the use of
High resolution electron microscope:


Write a time duration for HRTEM use:

Any other Information:                                  

Select YES to get one copy of this form by e-mail