Sample submission form – Proteomics Center // Erasmus MC

Today's date

Personal information

Last name* (* = mandatory field)

Prefix

First name*

Email address*

Phone number*

Principal investigator (PI) last name*

PI prefix

PI first name*

PI email address*

Academy or industry*

Institute or company name*

Department*

Lab website (or institute/company website)

Erasmus MC theme*

Billing information

For Erasmus MC researchers:

Erasmus MC budget #*

For external researchers:

Billing address

Email address for billing (or use PI email address here)*

VAT #

Purchase order (PO) #*

Quote # (if available)

Sample information

Proteins have been alkylated:
NoYes

The protein sample is:

If other, please specify:

The gel is stained with:

Proteins have been digested already:
NoYes

If yes, the protease used was:

If other, please specify:

What needs to be analyzed?

If other, please specify:

For targeted proteomics (PRM, provide a list of target proteins:

Total number of samples*:

Name and number all your samples here*:

Uniprot ID of your co-IP bait protein:

Name of your co-IP bait protein, including all synonyms known to you:

Antibodies used in your experiment:

Cell line used:

Species*:

If other, please specify:

Type of quantitation requested*:

If other, please specify:

Specify the post-translational modifications (PTMs) you would like to have analyzed. This usually involves some kind of enrichment as well as a minimum sample amount -- always discuss this with the Proteomics Center staff members first:

Type of mass spectrometry to be used:

Describe the goal of your experiment, the experimental protocols used to generate your samples and provide all information that may be relevant for us. Also, you can post any questions or comments here*:

Additional information

Upload a picture of your gel, relevant protocols, etc. (<10 MB):

Acceptance & submission

I accept the terms and conditions.