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CvSU MANUAL OF OPERATIONS
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                          Research Lab Form No. 3a

                          Request form for laboratory test/analysis


                          (For University faculty members, staff and students)


                          Request Number: _____________________

                          Date Requested: ______________________

                          Date Released: _______________________


                          Name of Faculty/Staff/Student: _________________________________


                          Unit/Department-College: _________________________________________

                          Laboratory Test / Analysis:_______________________________________


                          Details/Specifications of Request:

                          ___________________________________________________________________


                          Recommending Approval:

                          ________________________


                          Department Chairman

                           Approved:


                          ________________________

                          Director for Research

















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