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client info sheet - WordPress.com Word - client info sheet.docx Author Aika Calica Created Date 20130211084335Z

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Page 1: client info sheet - WordPress.com Word - client info sheet.docx Author Aika Calica Created Date 20130211084335Z

PHILIPPINE  GENOME  CENTER  –  DNA  SEQUENCING  CORE  FACILITY      Date  received      Received  by      

CLIENT    INFORMATION    

SHEET  

 CLIENT  ID  NO.  

 __________________  

 Client  name   Designation      Institution    

Department  /  Laboratory    

Telephone  number    

Mobile  number    

Fax  number    

E-­‐mail  address    

Mailing  address