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Analytical Service Requisition Form for X-Ray Analytical Service (XRD) Service

Name of Teacher/Person S M SAJID SIDDIQUE
Department/Institute/Address Everest Pharmaceuticals Ltd., BSCIC, Kanchpur
Date of Requisition 2026-06-17
Laboratory Basic Facilities and Sample Processing Laboratory ( Contact with Lab In-Charge )
Service Name XRD (Crystalline/Amorphous powder)
Sample ID Unknown-1, Unknown-2, Unknown-3, Unknown-4
Number of Samples 4
Sample Type Pharmaceutical
Sample Composition Powder & granules
Sample Nature
If the sample Contains Mositure or Volatile Org. Solvent (VOS) Present in a small quantity
Sample stability Hygroscopic
Sample amount / size Not less than 500 mg
Scan range (2-theta0) 0 to 50 degree
Step/min Standard (3 degree/minute)
Category for Billing Category C: Service to individual/consultant/institution/agency
Cost Tk.
Student/Person S. M. Sajid Siddique
Mobile No 01958311347
Email sajid.siddique.epl@gmail.com
Status Comment Date
Submitted 2026-06-17