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CvSU MANUAL OF OPERATIONS
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                          Research Lab Form No. 2a

                          Request for Laboratory Facilities during Non-working Days


                          (For University faculty members, staff and students)


                          Request Number: _____________________

                          Date Requested: ______________________

                          Name of Faculty/Staff/Student: ______________________________


                          Unit/Department-College: ____________________________________


                          Inclusive Dates of Use: ________________________________________

                          Request:


                                 ____  Use of laboratory room  _____  Use of equipment

                                     ____    Use of glassware/s              _____  others, please specify
                          _________________

                          Details/Specifications of Request:


                          ___________________________________________________________________

                          ___________________________________________________________________


                          Recommending Approval:

                          ________________________


                          Department Chairman

                          Approved:


                          ________________________


                          Director for Research







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