Download Compound registration form - The National Center for Drug Screening

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ID: NC
The National Center for Drug Screening
Compound registration form
(One form per compound)
Date:
Institution:
Fax:
Address:
Postcode:
Provider name:
E-mail:
Telephone:
Compound name/number :
Source: □ synthetic □ natural(□ plant
□ animal
□ microbe
□ marine)
□ others:
Amount:
mg purity: □ 100%
Appearance: □ solid □ liquid
□ 95% □ 90% □ 80% □
%
□ mixture
solvent and/or solubility:
Molecular formula:
Molecular weight:
Stable: □ yes
□ no
□ unknown □ comments:
Toxic: □ yes
□ no
□ unknown □ comments:
Structure (applicant for free screening services must disclose the structure) :
Screening assay number:
(see List of screening assays at the download center)
Assay name:
Choice of screening services: □ free
□ fee for service
□ collaboration
For free screening services, a minimum of 10 mg compound is required.
Address: 189 Guo Shou Jing Road, Zhangjiang High-tech Park, Pudong, Shanghai, China
Postcode: 201203
E-mail: [email protected]
Telephone number: 86-21-5080-1313-216
Hotline for services: 800-820-5131
Fax number: 86-21-5080-0721
Website: http://screen.org.cn
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