Request
for Translating Service
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Instructions:
Print a copy
of this form. Complete one form for each article. Forward copies of both the
form and article to:
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Name: |
Date of Request: |
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Institute: |
Bldg/Rm: |
Phone No: |
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Signature of Approving Officer : (who is authorized to approve expenditure and who
certifies that this translation is essential to the research effort of NIH)
(Only for written translations to be contracted out) |
Common Account Number: (Only for written translations to be contracted out) |
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Material to be Translated : |
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Author |
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Title of Article |
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Name of Journal |
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Volume: |
Issue: |
Page Numbers: |
Date of Issue: |
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Type of Translation Desired : |
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Check
One:
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Deadline (if any) for Translation |
Only
written translations to be contracted out require approval by the designated approving officer and a
Common Account Number |
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Other Instructions: |
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For NIH Library Use Only |
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Date Received: |
File Checked: |
Rqstd from |
Rcvd from
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ACTION |
DATE |
HOURS |
DAYS |
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Translated by: |
(Started/mailed) |
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(Completed/received) |
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Reviewed by: |
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Returned to: |
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Received: |
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Language: |
Special: |
Due Date: |
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Number of Words: |
Routine: |
Max. Charge: |
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NIH 75 (Rev. 5/90)