GAUHATI UNIVERSITY

Sophisticated Analytical Instrument Facility (SAIF), Guwahati

(Sponsored by Department of Science & Technology)
University Science Instrumentation Centre (USIC)
Requisition form (XRF)
To,
The Head,
SAIF, GU Dated___________
Form no. SAIF/ XRF/
___________________________________________________________________________
From: Name, Designation, Department, Institution, Phone, email no. & address of the sender.

__________________________________________________________________________

Sample Name:
Sample identification no. :
Location (Latitude, Longitude, Place, Dist, State) :
Sample type (Rock / Clay / others, please specify) :
Other related details (use separate sheet if necessary) :
___________________________________________________________________________
Requirement: Please tick
1) Qualitative analysis (Please specify element of interest)
2) Quantitative analysis (Rock / Clay / others)
a) Major oxides : SiO2, Al2O3, Fe2O3(T), MgO, MnO, CaO, Na2O, K2O, P2O5, TiO2
b) Traces : Ag, As, Ba, Br, Cd, Ce, Co, Cr, Cs, Cu, Ga, La, Mn, Nb, Nd,
Ni, Mo, Pb, Rb, S, Sb, Sc, Sn, Sm, Sr, Th, Tl, U, V, Y, Zn, Zr
c) Loss on ignition:
__________________________________________________________________________
Details of the project: Project name, Investigator's name, Funding agency if any

__________________________________________________________________________
Declaration:
1) In the sample As, Pb, Sn are absent / present in the range Pb < 100ppm, As < 100ppm,
2) In any publication to be published using the results, SAIF, GU will be acknowledged and a
Declaration: Sn < 100ppm.

Signature of Guide Signature of User

__________________________________________________________________________
Recommendation: The sample can be analysed.

Head / Officer i/c

SAIF(XRF), GU

N.B.
1) The quantity of the sample required for qualitative & quantitative analysis is 5g, in powdered form,
of 100 mesh size. The sample should be sent in air tight containers / bags.
2) For analysis of traces another 20g of samples are required.
3) If result is not collected within six months, from date of intimation from SAIF, GU, no claim will
be entertained.
4) Service taxes (12.36%) are extra as per Govt. of India Notification.
Rates of Pulverisation: Rs. 50/- per sample