The National University of Singapore Department of Biological Sciences Protein and Proteomics Centre Synapt G1/G2 HDMS Sample Submission Form CUSTOMER DETAILS Submission Date:________ P.O. No: ____________________________ Submitted by: ____________ Billing Address: ______________________ Email:_____________________ ____________________________________ PI (Authorizer): _____________ Phone:______________________________ I have read and understood the PPC MS Price List and agree to the charges. I also agree that PPC will be notified of all publications containing the results from this work. These publications will acknowledge the contribution of PPC with the word “This research has been facilitated by access to Protein and Proteomics Centre in Dept of Biological Sciences. SAMPLE DETAILS No Sample Name Estimated MW (kDa) Buffer / Solvent Used Clean Up Option Desalting Remarks Molecular Weight Cut-off 1. Samples are placed in a queue on receipt with the completed form. Reports will be sent in electronic format. 2. #please discusses with PPC staff for the training and associated fee. COMMENTS/ DISCUSSIONS (BETWEEN LAB STAFF AND USER): --------------------------DATE/ SIGNATURE For Facility use only Sample receiving date: ________________________Date of completion ____________________ File Name : __________________________________Technique :__________________________ Handle By: ____________