Protein Sequencing Form

Name of the Customer: *

Date: *

Name of the Organization: *

Email: *

Phone: *

Type of Organisation: *

Academic

Non Academic

Sevice: *

General Service

Proteomics Service

General Service

Sample Details

Number of samples: *

Sample ID: *

Concentration: *

Solubility: *

Expected mass (Da): *

Molecular formula: *

Storage condition (RT, 4°C, -20°C): *

Hazards/toxicity: *

Source of sample: *

Others (specify): *

Nature of samples: *

Analysis Requirement: *

Proteomics Service

Sample Details

Number of samples: *

Sample ID: *

Concentration: *

Solvents/buffer: *

Storage condition (RT, 4°C, -20°C): *

Protein origin (species): *

Source of sample: *

Others (specify): *

Gels stained with: *

Protein: *

Analysis Requirement: *