FTIR Measurement Request Form

Please complete this form to request time on the FTIR system.

Note: Use a separate request form for each individual sample submitted.

User Full Name: *

User Email Address: *

Department: *

PI Email Address: *

Principal Investigator (PI) Name: *

Account Number: *

Requested Scheduling Timeframe: *

Protein Sample Information

Sample Name or Number: *

Protein Type : *

Water-soluble proteinMembrane protein

Number of Amino Acids : *

Number of Subunits:Please indicate the oligomeric state of your protein.

Protein Concentration: *Please include units (e.g., mg/mL, µM)

Protein Purity (%) : *

Protein Weight (mg) : *

Protein Sequence: *

Biological Function: *

Protein Structure (PDB ID): * Please enter the PDB ID if the protein's structural information is known.

Denaturation Temperature (°C): *

Sample / Buffer pH: Please indicate the pH of your sample buffer.

Number of Charged Amino Acids: Negative *

Number of Charged Amino Acids: Positive *

Experiment Conditions

What kind of measurement is required? *

FTIR-01: Protein structural study FTIR-02: Protein stability study FTIR-03: Protein structural dynamics studyFTIR-04: Protein-protein interactions FTIR-05: Protein-ligand interactions

Measurement Temperature (°C) *

IR Region: *Please specify the desired wavenumber range (e.g., 4000–950 cm⁻¹)

Measurement Mode: *

TransmittanceAbsorbance

Precautions / Hazards:

ExplosiveHygroscopicVolatileToxicNon-hazardousOther

Other: *

Additional Comments:

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