Sample Request Form-FOR GC-MS ANALYSIS [External Users] Soft copy# of this form is available online at www.vit.ac.in. (Please tick boxes () as applicable).
SOPHISTICATED INSTRUMENTATION FACILITY (SIF) Chemistry Division School of Advanced Sciences VIT University, Vellore – 632 014, Tamil Nadu Sample Name/ID/code Date of Requesting Analytical Report No (SIF Use) Received Time (SIF Use) Description (Semi Solid/ Solid/ Liquid) Analysis required # (Please make sure that the compound is pure)
GC-MS-EI [ ]
GC-FID [ ]
Method Purity Validation check [ ]# [ ]#
Quantification [ ]#
Solubility of the Compound Molecular Weight of the Compound (If unknown approx. range must be given & should be below m/z: 600)
Melting (or) Boiling point of the Compound Polarity of the compound Library Search required Report format
User Information: Name Phone No Designation Institution / Organization Purpose
MP: Polar [ ] Yes [ ] Email ID :
BP: Mid polar [ ] Non polar [ ] No [ ] Hardcopy by post (Address):
: : : : : M.Phil. [ ] /Ph.D. Work [ ] / Industrial Analysis [ ] / Project Work [ ]
Other Information about the compound: [Pl. tick ] Hygroscopic [ ] / Column Purified [ ]/ Recrystallized [ ]/ Polymerizable [ ]/ Stable at RT [ ]
* For more than one sample, provide the Information on separate sheet, Samples codes, Molecule Weight, Boiling Point and solubility of the samples (Only Organic Solvents).
Demand Draft Details: Amount Rs : Name of the Bank :
Demand Draft Number & Date : Branch of the Bank : 1
GC-MS Charges [In Rs.]* w. e. f. April, 2015
Amount in Rs. :_____(DD should be taken in favor of ‘VIT University’, payable at Vellore) Sr. No.
Academic
Industrial
Specification
Remarks
1
340
910
Per Sample per hour without library facility
2.
570
1600
Per Sample per hour with library facility
All the Rates are Inclusive of Service Tax as per Rule of Government of India.
* Please Note: 1. Please send the DD along with the requisition form. 2. Reports will be released only when full payment is received as given in the above table. 3. Write the feedback to improve the services 4. For more than one sample, provide the Information on separate sheet, Samples codes, Molecule Weight, Boiling Point and solubility of the samples (Only Organic Solvents). 5. Water samples and water soluble compound will NOT be accepted. 6. Method Validation: Please attach the guidelines, parameter limits and other details such as Precision, Linearity, and Accuracy etc. Additional charges will be charges for method validation. 7. The spectral information is given only for investigation purpose with your requisition. It should NOT be used as Certificates in lawful argument. 8. Radioactive/Explosive/Unstable samples are NOT accepted for analysis. 9. As per rule of GC-MS committee, it is obligatory for user of “Sophisticated Instrumentation Facility” VIT University Vellore, to acknowledge the facility in their research work and communicate the same to SIF, VIT University Vellore for communicating to DST, New Delhi. This condition is compulsory for availing “Economical Educational Institution Price (EEIP)” for Educational Institutes. Research scholars are recommended to send their samples through their Supervisor or Head of Department to avail the EEIP facility. The EEIP is provided to only those users who frequently give us response about the end-use of the result through the acknowledgement in their publications. All the correspondence should be address to: Faculty I/C Sophisticated Instrumentation Facility (SIF) School of Advanced Sciences V I T University, Vellore Campus Tamil Nadu, India, 632 014 0416 220 2871,
[email protected] Acknowledgement/ Feedback form/suggestions: ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
[N.B.:-For Availing FT-IR and UV-Vis-NIR Facility, Pl Ref. NEXT Page] 2
(Sophisticated Instrumentation Centre) Chemistry Division, SAS, VIT University, Vellore – 632 014, Tamil Nadu REQUISITION FOR FT-IR ANALYSIS ------------------------------------------------------------------------------------------------------Name : Position : Institution/ Organization: Email ID and Contact Number: Purpose : PG project / M Phil project / PhD work Number of samples : Details of samples : Are they air and moisture sensitive? : Yes/ No Mode of analysis : KBr Disc/ Solution*/ Nujol Mull [*Please mention the solubility of the samples here (The usual solvent is CH2Cl2 and the aqueous solutions will not be accepted for solution mode)].
Signature of the Student/Scientist
Signature of the Guide /Manager
--------------------------------------------------------------------------------------------------------REQUISITION FOR UV-VIS-NIR ANALYSIS ------------------------------------------------------------------------------------------------------Name : Position : Institution/ Organization: Email ID and Contact Number: Purpose : PG project / M Phil project / PhD work Number of samples : Details of samples : Solubility: Mode of analysis : Diffuse Reflectance(0.100g)/Solution/Thin film Spectral range required : (200-2500nm); Signature of the Student/Scientist
Signature of the Guide/Manager
***Amount in Rs. : (Academic Samples – Rs. 150/-each sample for FT-IR or UV/Vis Spectrum Industrial Samples – Rs. 400/-each sample for FT-IR or UV/Vis Spectrum; DD should be taken in favour of ‘VIT University’, payable at Vellore) Demand Draft Number with Date : 3
