SPECTROSCOPY / ANALYTICAL TEST FACILITY INDIAN INSTITUTE OF SCIENCE BANGALORE 560 012. URL: http:// ipc.iisc.ernet.in/ Sample submission form for Liquid Chromatography-Mass Spectrometry (LC-MS) Name of the student : Name of the Supervisor : Mailing Address : Phone : Email : Objective of Analysis: Sample Information1 Sample 1 Sample 2 Sample 3 Sample 4 Label on vial Solubility Concentration (If given as a solution in HPLC grade solvent) Mobile phase for HPLC-MS (gradient / isocratic ) Flow rate (mL/min) ESI MS Expected Mass ESI MS/MS (list ions for which MSn or Zoom scan is required) Any other information: Signature of the supervisor Name: Institution/Department: Signature of the student Date: Note: 1. We do not accept crude samples 2. Solvents like DMSO, DMF and THF cannot be used. 3. Samples will be discarded after use.