HPRL: NEA Nuclear Data Request Submission Form

HPRL Main	High Priority Requests (HPR)	General Requests (GR)	Special Purpose Quantities (SPQ)		New Request	EG-HPRL (SG-C)
			Standard	Dosimetry

Before filling in this template, please see the guidelines for submitting requests.

Requester details *(Items marked are mandatory)**
Name *
Email *
Organisation *
Country or International Organisation

Request details
Target Z *
Target A *
Reaction/Process *
Quantity *
Incident Energy range (eV) *
Secondary energy (eV) or angle
Covariance information
Type of request *	General High Priority Special Purpose Quantity:
Field (application areas) *
Subfield

Notes
Impact documentation *
Requested Accuracy *
Justification documentation *
General comments

Optionally attach a file as an annex:
First:
Second: