CSDF-AB_Fillable

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CSDF-AB_Fillable
Form: CSDF-AB
FOR ANTIBODIES
CLIENT-SUPPLIED
CONFIDENTIAL SAMPLE DESCRIPTION FORM
KINEXUS ORDER NUMBER
Subject to terms of the Kinexus Proteomics Services Agreement
NAME:
COMPANY/INSTITUTE:
(Authorized Representative or Principal Investigator)
Confidential Service Requested and Antibody Sample Details:
Please refer to the Customer Information Package for the particular Kinexus proteomics service that you are requesting for details on how to prepare and ship your
antibodies to Kinexus for testing. For Confidential pricing you are not required to provide immunogen sequence, and manufacturer’s name and catalogue number if
it is commercially sourced. Clients must complete Sections A to C for Confidential analyses. Please check the appropriate tick boxes. If you need assistance
completing this form, contact a technical service representative by calling toll free in North America 1-866-KINEXUS (866-546-3987) or by email at
[email protected]
A
A. CLIENT SCREEN ID NAME + KINEXUS SERVICES NAME:
B. ANTIBODY IDENTIFICATION:
CLIENT ID:
Client Name for Antibody:
KINEXUS PROTEOMICS SERVICES NAME:
Use the Client ID Name that you entered in Box B on the Service Identification Form (SIF). The
Kinexus Proteomics Services abbreviated name should be used from the SIF.
Concentration (mg/ml):

Volume (µl):
Recommended dilution for immunoblotting:
Clients should provide at least enough antibody for making 3 ml of
antibody solution at the desired titre per microarray. We recommend
30 µl of 1 mg/ml solution of antibody.
C. SPECIES OF ANTIBODY ORIGIN AND TYPE:
Rabbit
Monoclonal
Mouse
Polyclonal
Goat
KINEXUS ID NUMBER
(FOR INTERNAL USE
ONLY)
(Bar Code Identification Number)
D. COMMERCIAL SOURCE OF ANTIBODY (not required)
Human
Supplier Name:
Other – Provide common name:
Supplier Catalog Number:
Supplier Lot Number:
E. IMMUNOGEN INFORMATION: (not required)
Species of origin of protein or peptide sequence:
A
Protein:
Yes

Peptide:
Yes
If yes, please go to Box F and provide the amino acid sequence of
the immunizing peptide if it is known
F. AMINO ACID SEQUENCE OF IMMUNOGEN (not
required)
A. CLIENT SCREEN ID NAME + KINEXUS SERVICES NAME:
B. ANTIBODY IDENTIFICATION:
CLIENT ID:
Client Name for Antibody:
KINEXUS PROTEOMICS SERVICES NAME:
Use the Client ID Name that you entered in Box B on the Service Identification Form (SIF). The
Kinexus Proteomics Services abbreviated name should be used from the SIF.
Concentration (mg/ml):

Volume (µl):
Recommended dilution for immunoblotting:
Clients should provide at least enough antibody for making 3 ml of
antibody solution at the desired titre per microarray. We recommend
30 µl of 1 mg/ml solution of antibody.
C. SPECIES OF ANTIBODY ORIGIN AND TYPE:
Rabbit
Monoclonal
Mouse
Polyclonal
Goat
Human
Other – Provide common name:
KINEXUS ID NUMBER
(FOR INTERNAL USE
ONLY)
(Bar Code Identification Number)
D. COMMERCIAL SOURCE OF ANTIBODY (not required)
Supplier Name:
Supplier Catalog Number:
Supplier Lot Number:
E. IMMUNOGEN INFORMATION: (not required)
Species of origin of protein or peptide sequence:
Protein:
Yes

Peptide:
Yes
If yes, please go to Box F and provide the amino acid sequence of
the immunizing peptide if it is known
F. AMINO ACID SEQUENCE OF IMMUNOGEN (not
required)
I hereby certify that all of the information about antibodies that I provided in this order is correct and accurate to the best of my knowledge.
Name of person completing this form
Signature
Date (y/m/d)

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