Sample Submission Sample Submission Form for Example ...

Sample Sample Submission
Submission Submission Form Form for for Example Example Measurements
Measurements
In In order order to to provide provide the the the best best and and most most appropriate appropriate measurement/results, measurement/results, the the customer customer is is asked asked to to please please fill
fill
in in the the following following form form and and enclose enclose it it with with the the sample. sample.
(на английском или русском языке)
This This form form form or or equivalent equivalent information information is is requir required requir ed prior prior to the sample measurements.
Customer Customer Details:
Details:
Name: E-Mail: Phone:
_____________________
_______________________
_____________________ __ _______________________ _______________________ ____ ____ _____________________
____ _____________________
_________________
Institution: City, Country: Fax:
____________________
_______________________
____________________ ___ _______________________
_______________________ _______________________ ____ _____________________
_____________________
_____________________
Sample Sample Description Description / / Sample Sample Sample Properties:
Properties:
Transparent
Opaque Dimensions: _______________ Substrate:______________
______________
General description of the samples (if necessary please also note aspects of storage, toxicity or general
handling of the sample). If more than one samples are provided, please prioritize the different samples and
identify clearly where on the sample the measurement should be performed:
Requested Requested Measurement Measurement Modes: Modes:
Modes:
Atomic Force Microscopy (AFM) AC Mode Pulsed Force Mode
Confocal Raman Microscopy
Scanning Near-field Optical Microscopy (SNOM) Other

Sample Sample Sample Preparation:
Preparation:
Preparation:
In general, the sample should be fully prepared for microscopic measurements. WITec can not provide
specialised sample preparation.
Measurement Measurement Goal:
Goal:
What's the goal of the measurement? If possible please provide existing images or spectra.
Как вы планируете использовать результаты:
Представить в статье подать заявку на грант
показать актуальность исследований подать заявку на закупку оборудования
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