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 (eg 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
Immunogen
Immunisation Protocol
Fusion Partner
Product Antibody (Specifically)
Antibody Subclass
Growth Medium
Subculture Routine:
For Suspension Cells: Seed cells at densities between	cells/ml and         cells/ml
Saturation Density
Temperature (degrees C)
Percentage Carbon Dioxide
Passage or Population Doubling Number of cells being shipped
Mycoplasma Eradicated?	Yes    No
If Yes, give details of regime used
Additional Cell Line Information:
Cross Reactants
Characterisation/ Screening Assay used
Recloned?	Yes    No
Recloned (Date)
Ab Production Tested (Date)
Endogenous Viruses
Characteristics of Interest
Applications
References Including any Patents Filed
Any Other Relevant Information
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 Assesment must be completed in order for your samples to be accepted.  ECACC is required to asess the GMO status of all deposits PRIOR to receipt.  Therefore, we will contact all depositors to advise them when we can receive samples