Application for Issuance of NOC / Authorization for Radioactive Materials used in

Research Laboratories using Open Radioisotopes

(To be sent on Institution letter head)
1. Name of the Licensee:
2. Name of the User:
3. Name of RSO (approved by AERB) with reference no.:
A) Procurement from BRIT:
Table (A)
Sr. No.

Radioisotope

Specification

Code

Quantity
(Bq/MBq/GBq)

Frequency
(wk/monthly)
etc.

B) Procurement from Abroad:

Table (B)
Sr. No.

Radioisotope

(Signature of the RSO)

(With office seal)
(With office seal)

Specification

Quantity
(Bq/MBq/GBq)

Frequency
(wk/monthly)
etc.

(Signature of the Licensee)

Note:
Table (A) is to be filled in only when you wish to procure radioactive material from
BRIT.
Table (B) is to be filled in only when you wish to procure radioactive material from
abroad.