SOPHISTICATED ANALYTICAL INSTRUMENTS FACILITY (SAIF) DST GOVT. OF INDIA Mahatma Gandhi University ANALYSIS REQUEST FORM Confocal Raman Spectrometer with AFM: Raman spectra Raman Image AFM Fluorescence Spectrometer with Lifetime Detector: Fluorescence Spectrum Lifetime Measurement Name of the Applicant : Designation and official address : E-mail address : Mobile number : Name and Signature of the Supervisor : Nature of the Sample : Solid Description of Sample (Metallic/ Nonmetallic/ Polymer/ Biological/ Solvent used etc.) / Liquid : λmax of the sample (for Fluorescence) : Number of the Samples : …………………………………………………………………………………………………………….. For office Use Date : Permitted by : Signature of Analyst : Tariff for Analytical Work Sl. No. 1. 2. Facility Confocal Raman Microscope with AFM Fluorescence Spectrometer with Lifetime Detector Educational Institutions National Labs Industries Charge ( ) Charge ( ) Charge ( ) Raman Spectrum 250 750 1250 Raman Image 350 1050 1750 AFM 350 1050 1750 Spectrum 200 600 1000 Lifetime 300 900 1500 Instruction 1. The payment is accepted only through Demand Draft or money transfer. 2. For the analysis, the DD should be drawn in favor of ‘Equipment Maintenance Fund, Sophisticated Analytical Instruments Facility (SAIF), Kottayam’ Payable at State Bank of Travancore, M. G. University Campus Branch, PD Hills, Kottayam or by money transfer to Ac No.67320317756 [IFSC code – SBTR0000669] 3. All correspondences to Head, Sophisticated Analytical Instruments Facility (SAIF), School of Environmental Sciences , M G University , Kottayam-686560