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 ******************************************************************************************************************** MS facility use only: Analyzed by __________________________________Date___________________________ Remarks:___________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________