Confocal Microscope

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University Science Instrumentation Centre (USIC)

University of Delhi, Delhi-110007


Date__________
Requisition form for Confocal Microscopy Facility

1. Name of the research Scholar ____________________________________

2. Email and Mobile No ____________________________________

2. Name of the Supervisor and address: ____________________________________

3. Nature of the Sample ____________________________________

5. Sample Code ____________________________________

6. Number of Samples ____________________________________

7. Sample Information; Detailed description of the sample to be imaged:

………….……………………………………………………………………….…………………...

……………………………………………………………………………………………………….
8. Number of slides and sections per slide:
…………………………………………………………………….

9. Fluorophores present in the slides with their Ex/Em max values:

……………………………………………………..
……………………………………………………………………………………………………….
10. Type of imaging requested (Tick):
a. Imaging magnification (10X/20X/ 40X/100X)
b. Single colour confocal microscopy
c. Multi-colour confocal Imaging with DIC
d. Z-stack imaging
e. Time lapse imaging
f. Live cell imaging

Instructions for submitting the sample and getting result


1. Freshly prepared high-quality slides stored in dark.
2. Soft copy of data will be provided students are advised to bring their own CDs.
3. Data will be stored for a month’s time in the computer and will be deleted after that.

Signature of Student / Scholar ______________ Signature ______________


Course ______________ of the
Contact Number ______________ Supervisor
______________ ______________
Department

Signature ______________

Director, USIC

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