| Name of Company/Institution: |
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| Department: |
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| Address: |
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| User Name: |
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| Title / Position: |
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| Contact Phone Number: |
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| E-Mail: |
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| Date of Use (dd/mm/yyyy): |
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| Time of Use (from hh:mm - to hh:mm): |
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| Description of Job Request: |
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Additional information
Please provide sufficient and accurate details concerning this job request.
If you fail to provide such details, the SPADE Center may not be able to provide such kinds of service,
or the time duration needed to provide such kinds of service may be longer than usual.
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| Number of hours for burn-in: |
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I have read and agree to the Terms and Conditions of the SPADE Center. |
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