Proposal form Experiment Title Experiment ID by BNC ProposerAll correspondence concerning this proposal will be sent to the Proposer Name Nationality Birth year - None -201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913191219111910190919081907190619051904190319021901190018991898189718961895189418931892189118901889188818871886188518841883188218811880187918781877187618751874187318721871187018691868186718661865186418631862186118601859185818571856185518541853185218511850184918481847184618451844184318421841184018391838183718361835183418331832183118301829182818271826182518241823182218211820181918181817181618151814181318121811181018091808180718061805180418031802180118001799179817971796179517941793179217911790178917881787178617851784178317821781178017791778177717761775177417731772177117701769176817671766176517641763176217611760175917581757175617551754175317521751175017491748174717461745174417431742174117401739173817371736173517341733173217311730172917281727172617251724172317221721172017191718171717161715171417131712171117101709170817071706170517041703170217011700 Scientific profile Status Home institution Department Mailing Address Country Phone Fax E-mail Co-proposer Name Nationality Birth year - None -201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913191219111910190919081907190619051904190319021901190018991898189718961895189418931892189118901889188818871886188518841883188218811880187918781877187618751874187318721871187018691868186718661865186418631862186118601859185818571856185518541853185218511850184918481847184618451844184318421841184018391838183718361835183418331832183118301829182818271826182518241823182218211820181918181817181618151814181318121811181018091808180718061805180418031802180118001799179817971796179517941793179217911790178917881787178617851784178317821781178017791778177717761775177417731772177117701769176817671766176517641763176217611760175917581757175617551754175317521751175017491748174717461745174417431742174117401739173817371736173517341733173217311730172917281727172617251724172317221721172017191718171717161715171417131712171117101709170817071706170517041703170217011700 Scientific profile Status Home institution Department Mailing Address Country Phone Fax E-mail Experiment Instrument Local contact Requested beam time (number of days) Unacceptable dates Main research area Proposal part of (PhD, diploma, bachelor) Proposal type Eligible for EU funding Sample Chemical formula (powder, liquid, single crystal, polycristal, gas...) Volume Weight Space group Lattice parameters (a, b, c, alpha, beta, gamma...) Number of samples Date of availability Year Year20212022202320242025 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Safety Storage requirements (kept cold, under pressure...) Is the sample (radioactive, explosive, inflammable, toxic...) Risks Sample after experiment (removed by user, stored at facility, disposed by facility...) Scientific background and description of the proposed experiment Abstract (max. 1000 characters with spaces) Scientific background -Experimental methods-Results expected and impact-References (max. 5000 characters with spaces) List of publications arising from previous BNC experiment over 3 years if you had successful proposal I confirm that, an experimental report will be sent no later than 3 months after the experiment and if the results of the proposed experiment will be published, the BNC local contact or participant will appear as co-author in the publication. Date Year Year20212022202320242025 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions. What code is in the image? * Enter the characters shown in the image.