| Please complete as fully as possible and send to ECACC PRIOR to cell shipment. |
| Basic Information: |
| Full Cell Line Name | |
| Depositor Name | |
| Depositor Address | |
| Tel No | |
| Fax No | |
| Email Address | |
| Depositor = Originator? | Yes No |
| If No, please give details of the Originator | |
| If Originator, was a Research Council grant (e.g. MRC, NERC, or BBSRC) used to establish this Cell Line? | Yes No |
| Would you like any particular restrictions on the Cell Line? If so, a disclaimer will be prepared. | Yes No |
| Species of Origin | |
| Tissue of Origin | |
| Strain | |
| Cell Type | |
| Morphology | |
| Growth Medium | |
| Growth Characteristics | |
| Subculture Routine: |
| For Adherent Cells: Use split ratios of between | 1 : and 1 : |
| For Suspension Cells: Seed cells at densities between | cells/ml and cells/ml |
| Saturation Density | |
| Culture Incubation Temperature | oC |
| Culture Gas Atmosphere | %CO2 in air |
| Cells Provided at | Population Doublings |
| Is cell line Mycoplasma Free? | Yes No |
| If Yes, give details of regime used | |
| |
| Additional Cell Line Information: |
| If Human Origin: | |
| Are the Cells Tumourigenic? | Yes No |
| If Yes, to which species | |
| Karyotype | |
| Receptors | |
| Known Markers | |
| Known Mutations | |
| Known Products | |
| Virus Susceptibility | |
| Endogenous Viruses | |
| Characteristics of Interest | |
| Applications | |
| References Including any Patents Filed | |
| |
| Thank you for finding the time to fill in this form. Your answers will help us to provide a comprehensive description of your Cell Line for our catalogues.
A Biohazard Risk Assessment must be completed in order for your samples to be accepted. |