ࡱ> g^bjbj:: AXv\Xv\ 00T5* )))))))$,/~)E@)00k)}"}"}"08)}")}"}":&,hh'8"'p)*05*:'.0 0h'0h'}"))!5*0 > : T.C. CUMHUR0YET N0VERS0TES0 0LER0 TEKNOLOJ0 UYGULAMA VE ARA^TIRMA MERKEZ0 Cumhuriyet niversitesi, Kamps 58140 S0VAS e-mail: cutam@cumhuriyet.edu.tr http://cutam.cumhuriyet.edu.tr GEN0^ SPEKTRUMLU YKSEK ZNRLKL FOTOLUM0NESANS SPEKTROMETRE C0HAZI ANAL0Z TALEP FORMUAnalizi Talep Eden : Talep Edenin Adresi : Telefon/Faks/E-mail : 0mza : Deney sonular1n1n kullan1m amac1: & Y. Lisans & Doktora & Proje & Dan1_manl1k & Dier MALZEME C0NS0 & Metal /Ala_1m & Ala_1m & Yar1iletken & Polimer & Seramik NUMUNE ^EKL0 & Film & Kle Kristal ANAL0Z B0LG0LER0 & Oda s1cakl11nda lm & S1cakl1a Bal1 lm (20 K-300 K) Etiket No Numune Ad1 Numune geri isteniyor mu? 01 % Evet % Hay1r 02 % Evet % Hay1r 03 % Evet % Hay1r 04 % Evet % Hay1r 05 % Evet % Hay1r Analiz creti deme Bilgilerideme yapacak ki_i veya kurulu_un ad1: Varsa Proje No: Adres-Tel: Analiz cretinin yat1r1laca1 hesap no: TR63 0001 0015 0739 8770 6050 35 T.C. Ziraat Bankas1 Cumhuriyet niversitesi ^ubesiRaporun ve Faturan1n Al1c1ya Gnderilme ^ekli % Elden %Posta* % Kargo* *Raporun ve/veya faturan1n posta veya kargoya verilmesi durumunda deme al1c1ya aittir. Gnderilen numune cam, plastik veya metal bir kaba konulmal1d1r. Po_et, torba, vb _ekilde konularak gnderilen numune iade edilecektir. Dklmeye kar_1 gerekli tedbirler al1narak gnderilmelidir. -Kullan1c1ya ve cihaza zarar verme olas1l11 olan rnekler kabul edilmeyecektir. AdetBirim Fiyat1 (TL)Toplam Fiyat (TL)Analizi Gerekle_tirilen Numune Toplam 0ndirim Miktar1 Ara Toplam%18 KDVGenel Toplam KURUM TARAFINDAN DOLDURULACAK  Laboratuar Kay1t Numaras1 Geli_ Tarihi Biti_ Tarihi Analiz Tutar1  Al1nan Avans Miktar1 Analizi Yapan1n 0mzas1: Laboratuvar Mdrnn 0mzas1: Prof. Dr. Mehmet ^im_ir Analiz cretinin yat1r1laca1 banka hesap numaras1: T.C. Ziraat Bankas1 Cumhuriyet niversitesi ^ubesi, Hesap No: TR63 0001 0015 0739 8770 6050 35  0ki nsha doldurunuz " CTAM Deney Hizmet Szle_mesi Bu szle_me CTAM Laboratuvar1 ile M_teri aras1ndaki Hizmet Szle_mesidir CTAM dan hizmet talebinde bulunan tm ki_i ve kurulu_lar  M^TER0 olarak, Merkez Laboratuvar1 ise  CTAM olarak adland1r1lm1_t1r. Deney _artlar1na uygun _ekilde numune gnderme i_lemi m_teriye aittir. 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Numunenin CTAM a kabulne kadar geen sre zarf1nda uygun ko_ullarda ta_1nmas1, ambalajlanmas1 ve muhafazas1 m_terinin sorumluluundad1r. Bu etkenlerden dolay1 deney sonular1nda olu_acak olumsuzluklardan CTAM sorumlu tutulamaz. M_teri, numuneleri kodlamal1 ve s1ralamal1d1r. Kodlama silinmeyecek _ekilde numunelerin zerine yaz1lmal1d1r. SEM ve TEM Numune incelemeleri esnas1nda zel durumlarda istenildii takdirde telekonferansla istenen imaj1n doru belirlenmesi iin destek salanabilecektir. Ba_vurular1n kabul edilebilmesi iin Ba_vuru Formu ve ilgili Deney 0stek Formlar1 eksiksiz olarak doldurulmas1 ve imzalar1n yetkili ki_iler taraf1ndan at1lmas1 gerekmektedir. Ba_vuru Formu ve ilgili Deney 0stek Formlar1n1n doldurulup imzalanmas1yla m_teri, deneye gnderilen numunenin (varsa) insan ve evre sal11na olan zararl1 etkilerini beyan ettiini, etmedii takdirde olu_acak uygunsuzluklardan KEND0S0N0N sorumlu olaca1n1 kabul eder. Deneyler ve cretleri, numune kabul kriterleri ve deme _artlar1, deneyi gerekle_tirecek uzman/retim yesi kabul ve Merkez Mdr onay1 ile belirlenir. M_teri taraf1ndan iadesi talep edilen numuneler de analiz sonras1nda orijinal veya modifikasyonlar yap1lm1_ numune artm1_ ise gnderi masraflar1n1 m_terinin kar_1lamas1 suretiyle iade edilir. Numunelerin iadesi deney raporunun teslimi ile birlikte yap1l1r. Bu numuneler bir hafta iinde teslim al1nmad11 takdirde imha edilir. Her trl posta/kargo masraf1 m_teriye aittir. Deney ve hizmet cretinin dendiine dair belge CTAM a ibraz edilmeden deney ba_lamaz ve rapor dzenlenmez. Birden ok ayn1 analiz numunesi ba_vurusunda ilk numunenin uygunsuzluu durumunda dier numunelerin analizi iin m_teriyle ileti_ime geilir. M_terinin istei dorultusunda analiz i_lemlerinin sreci belirlenir. Dier numunelerin analizinin iptal edilmesi durumunda ilk analiz bedeli al1narak kalan bedel iade edilir. Tek analiz ba_vurular1nda, analiz sonucu elde edilemese dahi analiz bedeli iade edilmez. Her deney sonucunda, oklu numune bile olsa, tek deney raporu dzenlenir. 0lave raporlar, sonular1 yorumlama ve farkl1 sonu formatlar1n1n her biri %50 ek crete tabidir. M_terinin deney sonular1na itiraz1 durumunda yap1lan deney tekrarlar1nda ayn1 sonular1n bulunmas1 durumunda m_teriden tam hizmet bedeli tahsil edilir. Analiz cretlerinde niversiteler ve kamu kurum ve kurulu_lara 0ND0R0M yap1ld11 durumlarda ilgili kurumdan CTAM gerekli belgeleri isteyebilir. Anla_mazl1k durumunda S0VAS mahkemeleri yetkilidir. Yukar1da beyan edilen tm _artlar1 kabul ediyorum. Ad1-Soyad1: 0mzas1: Tarih:  EMBED PBrush  ppt"tZy{|~ "024PR㵭㕍㭅yi^K$jK%] h7*FUV^JmHnHuh7*F^JmHnHujh7*FU^JmHnHuhvihE5CJPJhviCJPJhB[KCJPJhvihv'CJPJaJhvihUv'CJPJhUv'CJPJhv'CJPJhvih&CJPJhvihv'B*CJPJphhvihv'5CJPJhvihv'CJPJ!hvihv'CJfHq prhstv"xZy{R|.}`~2Xgd7*Fgd *$1$^gdv'$ & F Vd*$1$^`Va$gdv'RTVZ\^hvihE5CJPJhzh7*Fjh7*FU^JmHnHujFh7*FU^JmHnHuXZ\^gd21h:pvi. 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