TICFForm1:ProjectInformaConandApprovalSheet

Reference No: ___________ Date: ___________________ Name of User: ___________________________________ Contact no. / email: _______________________________ Name of Principal Investigator: _______________________________________________

EquipmentInformaCon NameofEquipment Brand

MARINESCIENCEINSTITUTE NATIONALSCIENCECOMPLEX
PaymentInformaCon

ApplicantCategory Academe Small&medium enterprises(SMEs) Largeprivategroup

COLLEGEOFSCIENCE UNIVERSITYOFTHEPHILIPPINESDILIMAN

Others: Pleasespecify ________________ NameofrequesCnginsCtuCon,unitorcompany: ________________________________________ TypeofService/sNeeded Equipmentuse MethodsDevelopment andOp4miza4on Analy4calandtes4ng Services ConsultancyServices

Sourceoffunding/grant:_____________________________ Istheprojectpartofaresearchprogram?Ifyes,whatisthe fundingagency? ____________________________________________________ DeclaraConofApplicant IherebydeclarethatIhavereadandunderstoodthepoliciesand guidelines for the use and payment of services of the Technology Incuba4on Core Facility. I further declare that the informa4onasprovidedinthisdocumentistrueandaccurate.I also agree to be held liable for any damages done on any accessory and equipment due to misuse and shall shoulder the costofthedamagewhichwillbedeterminedbyTICF.Oncethis request is approved, I hereby also undertake to abide by the rules and regula4ons prescribed by the TICF during the en4re periodofuse. Nameandsignatureofuser:___________________________ Date:__________________

BIOPHYSICOCHEMICAL TECHNOLOGY INCUBATION CORE FACILITY (TICF)

BackgroundInformaConoftheProject Titleofthestudy:________________________________ ________________________________________________ Objec4ves:_____________________________________ ________________________________________________ Generalmethodology: (Flowcharttype.Useaddi4onalpagesifnecessary.)

CONTACT US
BiophysicochemicalTechnologyIncuba4onCoreFacility (TICF) Room117MarineScienceIns4tute Na4onalScienceComplex CollegeofScience UniversityofthePhilippinesDiliman Email:TICF.Coordinator@gmail.com
cuthere

Descrip4onofthesample/stobeprocessed:(ie.typeof sample,dissolvedinwhattypeofsolvent,physicaland chemicalproper4esofsampleifknown,etc.) _________________________________________________ _______________________________________________

AboutT.I.C.F
The TICF is being established to showtheimportanceandrelevance of academic research to Philippine society. It is envisioned to become instrumental in university technology commercializa4on. It aims to provide high quality technical support for R&D in the in dierentforms. It aims to accelerate, in par4cular, the R&D and commercializa4on of natural products and biotechnology products being pursued at the Na4onal Science Complex and at other academic ins4tu4ons, as well asbytheprivatesector.

ChecklistforApplicaCon 1 2
LookatthelistofTICFequipment availableatUPMSI. WriteaformalLe^erofRequest addressedto: Dr.GiselaP.Concepcion TICFCoordinator BiophysicochemicalTechnology Incuba4onCoreFacility(TICF) UPMarineScienceIns4tute(Room 117)

TypesofServicesOered
1.Useofequipment 2.Analy4calandtes4ngservices 3.Methodsdevelopmentandop4miza4on 4.Consultancyservices

EquiptmentAvailable
EquipmentName Autoclave Centrifugalconcentrator(centrivap) Brand DaihanScien4c Labconco

Digital documa4on system with UV UVP,LLC Transilluminator Fastproteinliquidchromatography Flashchromatogrpahysystem Flowcytometer FouriertransformIR Spectrophotometer Freezedryersystem HighPressureLiquidChromatograph HighPressureLiquidChromatograph Homogenizer Liquidscin4lla4oncounter Microplatereader(mul4detector) Minispraydryer PCR Radioisotopefumehood Real4mePCR Refrigeratedcentrifuge(benchtop) Rotaryevaporatorsystem Shakingrefrigeratedincubator Ultracentrifuge(oorstanding) UV/visspectrometer BioRadLaboratories BuchiLabortechnik BectonDickinson&Co. Shimadzu LabconcoCorp. AgilentTechnologies Shimadzu DaihanScien4c PerkinElmer Biotek BuchiLabortechnikAG AppliedBiosystemAsia LabconcoCorp. Corbe^Research HeichAsiaPacic BuchiLabortechnik VisionScien4c ThermoFisherScien4c PerkinElmer

YouwillbegivenTICFFORM1(Project InformaConSheet).Kindlysubmitthe accomplishedformtogetherwiththe formalle^erofrequestatRoom117of UPMSI.Allow23daysfromthe receiptofthejobrequestforapproval. YoucanalsodownloadTICFFORM1at theTICFwebsite(insertTICFWEBSITE HERE) Completethejobrequest. Receivestatementofchargesandpay attheUPCashiersOce.Providea photocopyoftheOcialReceiptto TICF. Forqueriesandotherconcernsemail usatTICF.Coordinator@gmail.com

4 5