1-m telescope time request

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Request ......      2000        1d  half year       1m  telescope
Received.......
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1. Program title: .....................................................
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2. Principal investigator: ............................................
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3. Co-investigators: ..................................................
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4. Request status: ....................................................
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5. Number of nights (hours) .........  Lunar phases ...................
   periods (months) of observations ...................................
   Observing conditions (seeing etc.) .................................
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6. Mode of observations
   focus: .............................................................
   optical equipment: .................................................
   recording system, detectors: .......................................
   additional requirements: ...........................................
   ....................................................................
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7. Scientific justification: ..........................................
   ....................................................................
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8. List of objects

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|    Object        |    R.A.(2000)   |    Dec.(2000)    |  Mag(v)  |
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|                  |                 |                  |          |
|                  |                 |                  |          |
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9. Results of observations obtained by applicants at the 1-m telescope
   on other programs over the last years (publications, reports).......
   ....................................................................
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10. Date ..........................  Signature: .......................

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11. Applicant's address: ..............................................
    ...................................................................
    e-mail: ...........................................................
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