ANNAMALAI UNIVERSITY

DEPARTMENT OF MANUFACTURING ENGINEERING

(“DST-FIST Level 2 Sponsored Department with Potential for Excellence”

& UGC-SAP Assisted DRS Department)

REQUISITION FOR THE USE OF …………………………………………………

Name :
Position :
Department :
Institute & Address :

Contact no & Email id :

Name of the guide :
Number of sample (s) :
Details of samples :

Certified that the above request is for academic/ Industrial purpose

Signature Signature of the Guide Signature of HOD

Date:

Signature of the HOD –Mfg Engg.AU