The declaration
End-use declaration: research-grade products
To: Iraq Peptides
Organisation (as on its company registration certificate, or the institution's full name): ______________________
Company registration number (companies): ______________________
University, college, department or laboratory, and the ministry or authority it reports to (public institutions): ______________________
Address where the products will be received, stored and used, with the province: ______________________
Responsible person (name, position, work email and phone): ______________________
The research the products are for, in a sentence or two: ______________________
On behalf of the organisation named above, I declare that:
- The research-grade products we buy from Iraq Peptides will be used only for laboratory research, by qualified staff, at the address above.
- They will not be administered to, or used in or on, any person or animal.
- They will not be used to make a medicine, food, food supplement or cosmetic product.
- They will not be sold, given or passed on to members of the public, or to anyone for a use excluded above. They will be passed to another laboratory only with Iraq Peptides' written agreement, and only after that laboratory has signed this declaration.
- They will be stored as their labels and safety data sheets direct, kept out of reach of unauthorised people, and disposed of as laboratory chemical waste under the rules that apply to our organisation.
- We will keep records of their receipt, storage, use and disposal, and show them to Iraq Peptides or to a competent authority on request.
- We understand that these products are not medicines registered with the federal Ministry of Health or the Kurdistan Region's Ministry of Health, have not been assessed for safety in people, and are supplied without advice on use.
- The information we have given is true and complete. We will tell Iraq Peptides if it changes, and we accept that supply may be refused or stopped if it proves untrue or if this declaration is not kept.
Name · Position · Signature · Official stamp · Date
Who may sign
Someone with authority over the laboratory or the purchase: a laboratory manager, principal investigator, head of department, dean, quality manager or company director. A student or a junior member of staff cannot sign for the organisation.
When it is signed
- Once, before the first research-grade order.
- Again whenever the signatory, the address or the research changes.
- With each later research-grade order, a tick on the order form confirms that the declaration still stands.
Send the signed and stamped copy to sales@iraqpeptides.com.
Why we ask for it
A "research use only" label means little if the seller never asks what the research is. The declaration is how we know, and can show an authority, that our research-grade products go to laboratories. Research use only, explained
What we do with it
We keep it with your account and order records, for as long as we keep those records. We refuse or stop supply if we have reason to think it is not being kept. Who can buy: eligibility · Privacy notice
Cosmetic-grade products
These do not need the declaration. Cosmetic companies and factories buy them as ingredients for products applied to the skin, under our terms of supply, and tell us which products the ingredient is for.