User Facilities Request Form

Personal Information

Full Name

Id Nr.

Country of emission

Email

Function

Institution Information

Institution Type

Institution Name

Address

Country

Fiscal Number / VAT Number

Institution without fiscal number

Your finance department contact name

Your finance department contact email

Summarised Work Description

Samples/Materials Potential Hazard

Please declare here if the samples/materials to be used include any potential hazard.

By default, the samples provided are discarded after service completion. If you want your samples to be returned, please inform us by clicking in this checkbox.

Terms And Conditions And Privacy Statement

I Agree with the Terms and Conditions

By clicking on the Agree button, I acknowledge that I have read and agree with the Terms and Conditions of access to the INL User Facilities, which shall form an integral part of the User Agreement.

I agree and accept the processing of my personal data in accordance with the applicable Privacy Statement

Data Storage Policy

The scientific data associated to this request will be stored by INL for 3 months, along with the raw data generated in the course of the service. After this period, it will be permanently deleted. If you would like us to keep your data for a longer period, please inform us by the time of the service conclusion.