CENTRAL ELECTROCHEMICAL RESEARCH INSTITUTE
Karaikudi 630 006
REQUISITION FOR HPLC ANALYSIS
Name
Position
Department
Institution
:
:
:
:
Email ID
:
Purpose
: PG Project work / M Phil Project work / Ph D work
Number of Samples
:
Details of the samples :
Nature of samples
:
SOLID / LIQUID
Solubility in
Solvent
Methanol
Good
pH range
Poor
Insoluble
:
Expected retention time:
Certified that the above request is for academic purposes. Concessional charges may
kindly be collected. Further certified that we will under take guarantee for the
payment of concessional charges.
Signature
Signature of HOD
Signature of the Principal
Seal
Date:

Concessional charges: Rs.500/- per sample.
Service tax plus Education Cess @ 12.36% will also be collected