DEPOSITOR INFORMATION
Name of Depositor/Company/Institute (NB this will be the name that appears on certification)
Contact Name
Depositor Address
Tel No
Fax No
Email Address
BIOHAZARD RISK ASSESSMENT MUST BE ENCLOSED
The deposit is made in accordance with the terms of the Budapest Treaty 1977. I agree to abide by the conditions and regulations regarding the deposit of cell lines to ECACC.
Name
Date
Invoice Address (if different from above)
VIRUS INFORMATION
Name in full
Abbreviated Name
Identification on Ampoules
Strain
Serological Type
Normal Host
Virus Titre Deposited
VIRUS PROPAGATION
Host cells (first choice)
Alternative Host Cells
Details of Host Cell Growth (media, temperature, seeding density, growth factors etc)
Details of Virus Growth (eg confluency of host cells, co-cultivation, moi, effects, time taken)
VIRUS STORAGE
Material stored (eg supernatant, infected cell extract, viable infected cells etc)
Temperature and conditions
VIRUS ASSAY
Method (enclose if necessary)
LITERATURE REFERENCES (if any)
ANY OTHER RELEVANT INFORMATION