Centre for Genome-Enabled Biology and Medicine

Centre for Genome-Enabled Biology and Medicine

CGEBM Laboratories Service Request

Please complete this form and submit it to CEGBM via email to: . If you require these services as part of a sequencing/ microarray service request, this is not the correct form - please complete a CGEBM project form.

Name
Name of PI
PI contact details (full postal, telephone, and email)
Affiliation (School/Institute)
Services Required
Qubit
/ Tapestation
/ qPCR
/ Bioruptor
/ Other (please specify)

Study title
Does this study require Ethical Approval? / Yes/ No
Ethics Ref No
R&D ref No
Data generated by CGEBM will be stored on University of Aberdeen secure network drives. CGEBM has no responsibility to obtain regulatory approvals for data storage and this is the sole responsibility of the PI named above. Please stipulate if you require alternative data storage and provide details here:
GMO / Yes/ No
Material provided / GMO/ cellular constituent
GMO Approval / Copy provided (Approval and Handling SOP)/ Not applicable
Organism (common name)
Genus/ Species
Number of samples
Material provided (e.g. genomic DNA, amplicon, total RNA, mRNA, ChIP DNA etc)
Sample Status (Snap frozen, in TRIzol, in RNALater, etc)
Per sample cost Quoted
Downstream application (provide CGEBM ref, where applicable)
CGEBM receiver (name)
Date provided to CGEBM

By signing this form you are agreeing to CGEBM staff performing the services specified in this, at the quoted cost and under our Terms and Conditions.

Signature:
Date:

Centre for Genome-Enabled Biology and Medicine

University of Aberdeen, 23 St. Machar Drive, Aberdeen, Scotland, UK AB24-3RY

Email: Tel: +44(0)1224 437958 Web: http://www.abdn.ac.uk/genomics/

The University of Aberdeen is a charity registered in Scotland, No SC013683

Laboratory Service Request v1 23 February 2016Page 1 of 2

Centre for Genome-Enabled Biology and Medicine

University of Aberdeen, 23 St Machar Drive, Aberdeen, AB24 3RY, Scotland, UK.

Email: Tel: +44 (0)1224 273470; (0)1224 437958 Web: http://www.abdn.ac.uk/genomics/

The University of Aberdeen is a charity registered in Scotland, No SC013683