I would like to do the experiment……..title………………………………………………………………..
On (date request)…………………………………………………………….. ..Time AM PM
This request is permitted by……………………………………………………………………………….
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……………………………………………………………………………………………………………..
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(Signature of lecturer) (Signature of lecturer)
Date………………… …. Date…………………..
Yours sincerely
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(Signature of student)
Date………………