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)
CULTURE INFORMATION
Name of organism
Characteristic Biochemical Reactions
CULTURE CONDITIONS
Growth Media
Liquid/Solid
Supplements
Temperature
pH
Gaseous phase
Aerobic/anaerobic
Characteristic Colony morphology on agar (please give details of number of days growth required to give characteristic morphology)
Gram stain reaction
CELL STORAGE CONDITIONS
Media
Cryoprotectant
Temperature
Any other relevant information (including technical contact name and telephone/fax number if different from above). Attach advice sheets as necessary.