iRepertoire Sample Submission Form

iRepertoire Sample Submission Form
Please fill the form out in it's entirety, including sample names and concentrations. Also, please name your samples something that is specific to your project and not a common name such as Sample1, Pool1, etc.
Full Name *

Prefix First Name Last Name
E-mail *
Phone Number *

Area Code Phone Number
Principal Investigator *
Institution *
Purchase Order # *
Quote #
The study name within your project should be unique. If you duplicate a study name that has already been used on a previous submission, then the data will be merged into that study erronousely. To check which study names have been assigned, please log into iRweb and check the names on left-hand column. The schema is Project Title > Study Name > Individual Sample Name > Chain Sequenced.
Study Name *
Please limit to less than 10 characters with no spaces.
Service Type *

Service Collaboration R10K
Species *

Human Mouse
Sample Submission Type *

Animal Cells RNA Prepared Library Animal Tissue gDNA
Sequencing Platform *

Illumina MiSeq Illumina NextSeq Illumina NovaSeq
Service Requested *

Nucleic Acid Extraction Library Preparation Sequencing Data Analysis
Library Pooling Strategy Requested *

Equimolar pooling of libraries - our standard option Pooling of libraries based on cell counts Pooling of libraries based on RNA concentrations
How many amplifications do you need? *
If you have one patient sample and would like to see the TCR alpha and beta, then this is 2 amplifications.
How many samples are to be pooled together in one sequencing lane?
Which chain would you like to amplify?

TCR alpha TCR beta TCR delta BCR heavy BCR light TCR gamma
If you are submitting a prepared, pooled library, then please provide the following information.

Please note that if the pooled concentration is not listed in this form and on the tube, then we cannot process the sample for sequencing.
Concentration (ng/µL)
Volume (µL)
A260/280
A260/230
Your sample will not be processed if no sample information is received. Please contact customer service (info@irepertoire.com) if you would like to submit your sample information in Excel format.

Please provide the sample information, even if you are submitting a pooled library.

*Barcode Used - If you are not submitting a pooled library, then leave this field blank.

~When naming samples, please note that our pipeline will ignore some characters, including paretheses and plus signs (+). If these characters are used, they will simply be absent when the data populates online. Spaces will be replaced with underscores (_).

**Please disclose the source of the nucleic acid (NA). Ex. PBMC, tissue, sorted cells, etc.

Sample Information

Barcode*

Unique Sample Name~

Concentration (ng/µL)

A260/280

Volume (µL)

Chain

NA Source **

Do you have more than 20 samples? *

Yes No

Additional Sample Information

Barcode*

Unique Sample Name~

Concentration (ng/µL)

A260/280

Volume (µL)

Chain

NA Source **

Please describe what you would like iRepertoire to perform.

iRepertoire Sample Submission Form Continued...
In order for iRepertoire to process shipped samples, the following declaration must be completed and included with the shipment. This certification allows us to better protect the health of personnel who come in contact with the samples during the course of packaging, transport, and processing. Biohazardous materials may include, but are not limited to: human blood, infectious agents such as viruses or bacteria, mutagens, carcinogens, teratogens, toxins or any other agent that constitutes a threat to human safety. If you use any materials that can be considered a biohazard AT ANY STAGE in the preparation of the samples, they must be disclosed below. If you have any questions regarding our hazardous materials policy, please contact us before shipping samples.

Please choose one of the following options:
Hazardous Materials Declaration *

My samples are not contaminated with and have not been exposed to any hazardous agents. My samples may be contaminated or may have come in contact with hazardous agents.
Exposure prior to nucleic acid isolation: *
Exposure following nucleic acid isolation: *
I agree for my personal information submitted in this form to be used by iRepertoire's staff to perform services as mentioned on the purchase orders and/or quotes listed above. I also agree, should I not already have credentials to access their bioinformatics pipeline, iRweb, that they may use my personal information to create credentials and analyze my sequencing data as part of the service. *

I Agree
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