Software Donation Request

For Academic and Research Institutions

Note: This request form is for Software Donation requests only. If you are a student, you must request via your faculty representative for Schlumberger. Software products indicated with a * may have 3rd party charges associated with them.

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First Name*

Last Name*

Academic Title*

Country*

University*

UniversityRequired

Other University*

OtherUniversityRequired

Department*

Email*

Phone

Schlumberger CONTACT

INTENDED USE OF SOFTWARE. (DESCRIBE RESEARCH OR TEACHING PURPOSE)*

WILL RESEARCH BE PUBLISHED*

Yes No

Date Needed

Number Of Users*

NEW REQUEST OF RENEWAL*

New Request Renewal

CONFIRM THAT THE DONATION REQUEST DOESN'T VIOLATE THE INSTITUTION'S GOVERNANCE POLICIES.*

Yes No

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First Name *

Last Name *

Email *

Company *

Job Title

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First Name *

Last Name *

Email *

Company

Job Title

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Software Donation Request.

For Academic and Research Institutions

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