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CvSU MANUAL OF OPERATIONS
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                          Research Lab Form No. 1b

                          Request form for the use of laboratory facilities

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


                          students) Request Number:

                          Date Requested:


                          Name of Faculty/Staff/Student:

                          School/Agency:




                             Inclusive                Dates                   of                 Use:




                                        Use of laboratory                 Use of equipment
                           Request:
                                 room
                                         Use of                                  others, please
                                 glassware/s

                          specify


                          Details/Specifications of

                          Request:







                          Recommending
                          Approval:





                          Department                                          Director  for
                          Chairman                                            Research
                          Approved
                          :





                          VP,                                                       University
                          RECETS
                          President


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