Submit Your Lab Permission Application

Name of Supervisor/Individual User/ Startup*
First Last
Names of Users accessing the Lab*
Department*
Email Address:*
Enter Email Confirm Email
Contact Number*
Monthly Package Opted*
Working Hours*
Date of Joining*
Project Name & Number*
In the case of Faculty/Company & Individual, please mention the Project Name & Number from which the payment is being made. Mention 'NA' for other cases.
Consent*
I agree to the privacy policy.
•SIIC lab facility manager must be requested through email to book the time slot for Instrument usage in advance 2-3 days before.
• SIIC Reserves the right to update the instrument and rate list.
• User should bring the required Chemicals/Consumables/Disposables as per project need.
• Instrument entry is a must in the logbook provided in the lab.
• New user must handle instruments only in the presence of Lab Facility Manager with proper training
Please get this form signed after submission through Mr. Aditya Sarin.
Email
This field is for validation purposes and should be left unchanged.

Please get this form signed after submission through Mr. Aditya Sarin.