Scribd
Upload
39 views1 page

MERC Application Form

This document is an application form for laboratory tests at the Modern Equipment and Research Center (MERC) for students, faculty members, and researchers of KUET and other institutions. It includes sections for personal information, project type, test details, and signatures from relevant authorities. The form is designed to facilitate the submission of test requests and includes space for specifying sample types and quantities.

Uploaded by

Pallob Biswas
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
39 views1 page

MERC Application Form

This document is an application form for laboratory tests at the Modern Equipment and Research Center (MERC) for students, faculty members, and researchers of KUET and other institutions. It includes sections for personal information, project type, test details, and signatures from relevant authorities. The form is designed to facilitate the submission of test requests and includes space for specifying sample types and quantities.

Uploaded by

Pallob Biswas
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Khu ln a Un iv ersity o f Eng in eering & Techn ology

Modern Equipment and Research Center (MERC)


Application form for Laboratory Test
(For Students/ Faculty Member/Researcher of KUET and other Universities/Institutions)

Full Name :

Designation (Please Tick) : □ UG Student □ PG Student □ Faculty Member □ Researcher

Employee ID/Roll Number :

Department/Institute/Center :

Research Title :

Project Type (Please Tick) : □ Non-Funded Project □ Funded Project


Special Instructions (if any) :

Test Details:

Sample Type No. of Office Use Only


Sl. Test Name Test Samples
No. (According to Test List) Equipment Liquid/Solid/
Unit Rate, Tk Total, Tk
Powder/Paste

1.

2.

3.

4.

5.

Total:
In Words:

Signature of : Signature of Applicant


Supervisor/Relevant Faculty Mobile No.:
Member Email:
(With seal) (For students only)

Signature of Head/Director :
(With seal)

MERC Test ID : Signature of Director


(Office use only) MERC, KUET

You might also like