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CvSU MANUAL OF OPERATIONS
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                          Research Lab Form No. 2b


                          Request for Laboratory Facilities during Non-working Days

                           (For Non-university personnel; faculty members, staff and students)




                          Request Number: _____________________


                          Date Requested: ______________________

                          Name of Faculty/Staff/Student: __________________________________


                          School/Agency: __________________________________________________

                          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                                    Director for Research


                           Approved:

                          ________________________
                                                                             ________________________


                          VP, RECETS                                           University President






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