Request for Service - Public Sector Research | Australian Plant Phenomics Facility

Name of Organisation or CSIRO Business Unit: *

Client Organisation

Address: *

Contact Person: *

Name of contact person

Telephone: *

Fax: *

Email: *

Project Title: *

Give the name of project. Describe full details of project in Service Description.

Brief Project Description: *

Give full details of project including experimental objective and need, upload more details if appropriate.

Principal Investigator/Researcher:

Give name and contact details of Principal Investigator and Researcher (if not provided in Client details above).

Industry Support:

Describe if project is supported by funds from industry eg GRDC. Insert 'No' if not.

Client Material:

Describe anything the Client will make available for the Project, e.g. data, software, samples.

Quarantine Materials: *

GM Materials: *

Grown by:

Please indicate if grown by Client or HRPPC staff

No. of plants:

Pot size if known:

Return Instructions:

If the Client wants the Client Material to be returned, insert details of return packaging and transport instructions here.

Start Date:

Date on which Services will commence.

End Date:

Date on which the agreement terminates.

Delivery Date:

Date on which deliverables/reports (including any data or images), if any, are due.

Equipment:

Detail equipment to be used.

Membership Fee: *

WBS element or Cost Centre to be charged:

WBS element or Cost Centre to be charged against for the project, if a CSIRO busines unit.

Upon submitting this request a project estimate will be sent to the email provided above within 5 business days.

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