CENTRE FOR POLYMER SCIENCE AND ENGINEERING

Name: Regn No: S. No. Name of Laboratory SIGN OF CONCERNED SIGN OF STAFF INDICATING LAB.

NO DUES INCHARGE 1. POLYMER CHEMISTRY LAB:

Cupboard(s) emptied (Cupboard No.(s)

Glassware returned

Other issued equipments returned

Unused Chemical bottles returned

2. DEPARTMENTAL STORES:

All indents signed

All issued material returned

All reimbursement accounts submitted

Any other item

3. POLYMER PROCESSING LAB:

All samples properly arranged in

Shelves/removed

Unused Polymers returned with

Proper labels

Any other item

4. POLYMER TESTING LAB:

Any items returned

5. POLYMER CHARACTERIZATION LAB:

Any items returned

6. OFFICE:

All Dept. library books returned

All official records completed

Address for correspondence noted

7. THESIS SUPERVISOR:

Any items, books returned

Signature of M.Tech Programme Coordinator (Signature of Head, CPSE)

Coordinator/ Ph. D. Thesis Supervisor