KING SAUD UNIVERSITY .sa
NMR SAMPLE SUBMISSION FORM
| INVESTIGATOR |DESIGNATION |WORK NO. |E-MAIL |
| | | | |
SAMPLE:
|A. Sample Code: | |
|B. Sample Weight (mg): | |
|Sample should be ( 95% pure | |
|and weighs ( 5 mg. | |
|C. Solvent (check one): |( CDCl3 |( CD3OD |( Acetone-d6 |( C6D6 |
| |( DMSO-d6 |( D2O |( CD3CN |( TFA |
| |( Other (specify): |
|D. Experiments needed: |Simple |Two Dimensional Experiments (2-D) |
| | |Specify: |
| |( 1H - NMR | |
| |( 13C – NMR | |
Investigator Signature: Date: / /
For consistency please
use Gregorian calendar
|FOR OFFICIAL USE ONLY: |
|SERIAL NUMBER: | |
|ANALYSIS DATE: | |
| | |
|LABORATORY SUPERVISOR: | |
| | |
|Remarks: |WE WERE UNABLE TO PROCESS YOUR SAMPLE ANALYSIS DUE TO: |
| |INSOLUBILITY |
| |LOW QUANTITY |
| |OTHER: ………………………………………………………………………………………………………………………………………………………………………………………………………………….. |
For any queries contact:
Mr. Maher mmjabal-ksu@
Dr. Ahmed Bari abari@ksu.edu.sa
EXT: 70772
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