| Name | |
| Job Title | |
| Company | |
| Address | |
| Post Code | |
| Country | |
| Telephone | |
| Fax | |
| E-Mail | |
| Cell Line Details |
| Cell Line Name | |
| Size of bank required: | |
| Type of cell line: | |
| Other relevant information: | |
| Medium Requirements (include all growth factors and % serum and type) |
| |
| Growth conditions (include split ratios or seeding densities and any unusual features) |
| |
| QC tests required | |
| Mycoplasma: | |
| Mycoplasma to Regulatory Protocols (FDA) | |
| Adventitious Agents (in vitro ) | |
| Electron Microscopy | |
| Sterility (to Regulatory Protocol) | |
| Authenticity: | |
| Other QC Tests: | |
| A Biohazard Risk Assessment must be completed in order for your samples to be accepted. ECACC is required to assess the GMO status of al deposits PRIOR to receipt. Therefore, we will contact all depositors to advise them when we can receive samples. |