Mass Spectrometry Analysis Sample Submission Form

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Nanyang Technological University
School of Biological Sciences
Sample Submission Form for Protein ID by MALDI-TOF/TOF
Your name__________________________ Affiliation___________________________
PI’s name_______________________ Charge to account ______________________
Telephone________________FAX_______________Email____________________
Please fill in all the information
DESIRED ANALYSIS:
❒ Package service for protein ID (including sample preparation and database searching)
❒ ready for run sample, only require protein ID with automatic database searching
STORAGE REQUIREMENTS:
❒ unstable (degradation half-life_______________)❒ light sensitive ❒ RT ❒ 4 ºC ❒ -20 ºC ❒ -80 ºC
Radioactive? ❒ Yes ❒ No
For Proteins in Solution:
buffer / pH_________________________________________________________
volume_____________________
concentration___________________
For Proteins in Gel: Please submit a copy of the gel image identifying the band/spot
Approx
protein amount in submitted band: _________________________
Stain: Coomassie-Blue / silver / other (please specify: _____________________)
Protein Species: ________________ Preferred Database to search (if have): ____________________
Known modifications (if have, please provide details): ______________________________________
I declare that the sample is non-radioactive.
I have read and understood the price scheme and agree to the charges.
Signature____________________________________Date______________________
Sample
No.
Sample ID
Stain
Taxonomy
Modifications
Comments
Nanyang Technological University
School of Biological Sciences
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MS facility use only:
Analyzed by __________________________________Date___________________________
Remarks:___________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
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