To request phantoms, please complete following steps and click the "Submit" button.
It is recommended to prepare the Agreement Form in Step 3 in advance.

STEP 1 Enter Requestor's Information

*The requestor must be identical to the person who signed the Agreement Form in Step 3.

Title^*
—Please choose an option—Mr.Ms.Prof.Ph.D.M.S.
Name^*

Email^*

Affiliation^*

Country^*
—Please choose an option—AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustriaAzerbaijanBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCentral African RepublicChadChannel IslandsChileChinaColombiaComorosCongoCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicDR CongoEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFaeroe IslandsFinlandFranceFrench GuianaGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJordanKazakhstanKenyaKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMauritaniaMauritiusMayotteMexicoMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNepalNetherlandsNicaraguaNigerNigeriaNorth KoreaNorth MacedoniaNorwayOmanPakistanPanamaParaguayPeruPhilippinesPolandPortugalQatarRéunionRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSan MarinoSao Tome & PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSomaliaSouth AfricaSouth KoreaSouth SudanSpainSri LankaState of PalestineSudanSurinameSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandThe BahamasTimor-LesteTogoTrinidad and TobagoTunisiaTurkeyTurkmenistanUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVenezuelaVietnamWestern SaharaYemenZambiaZimbabwe

STEP 2 Select Phantom

Phantom list^*
ICRP pregnant-female MRCPsPercentile-specific phantomsBody-size-dependent phantom library for adult (*please specify the size (height, weight) of the phantoms which you are requesting.)Arms-removed body-size-dependent phantom library for CT dosimetry (*please specify the size (height, weight) of the phantoms which you are requesting.)Arms-raised phantom body-size-dependent phantom library for CT dosimetry (*please specify the size (height, weight) of the phantoms which you are requesting.)Body-size-dependent pediatric phantom library (*please specify the size (height, weight) of the phantoms which you are requesting.)Posture-dependent phantoms based on ICRP adult MRCPsPosture-dependent phantom library for radiation workersMRKPsPercentile-specific phantoms based on MRKPsTHRK-ManHDRK-Man and HDRK-WomanMesh-type Phantom Posture Deformer (MPPD)TET2DICOMTET2MCNP
Purpose of phantom request ^*

STEP 3 Upload Signed Agreement Form

Please download the Agreement Form and fill out the form including the signature of the requestor.
Then, please scan the signed Agreement Form and upload it in PDF format^* (Maximum file size: 5 MB).

STEP 4 Additional Message (Optional)

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