ACCESSION FORM FOR DEPOSIT

LABORATORY PROCEDURES FOR ANIMAL & HUMAN CELL LINES

Appendix

REFERENCE NO: AHC/1998/2/1.1 Appendix 2.3

TITLE: ACCESSION FORM FOR DEPOSIT - INRC

Accession form (encl. b)

Interlab Cell Line Collection

CELL LINE DEPOSIT SHEET

Cell line data

Identification code			Name
The line is described in the Cell Line Data Base	yes no	r r	The line is deposited in other collections	yes no	r r

Species			Strain
Sex	F M	r r	Age	adult r embryo r
Tissue/organ			Cell type / morphology
Normal	r		Tumoral	r
Transformed	r		Transforming agent
Primary Continuous	r r		Passage n° maximum passage number

Characterization*

Products*

* if a hybridoma is concerned please describe the fusion partner and the monoclonal antibody produced

Culture conditions

Suspension r monolayer r semiadherent r

Culture medium

Temperature CO₂ Split

Freezing medium

Comments

Sterility assays

Mycoplasma r

Other r

Information on the depositor

Name
Institute
Laboratory
Address
Telephone Telefax e-mail
Name of the originator of the cell line	Date of origin
Bibliographic references (original description and other relevant papers)
Patent pending yes r no r
Is the cell line handling in some way dangerous? Please specify

I hereby agree that the Interlab Cell Line Collection prepare a panel of samples of the cell line here described, to be distributed to the Italian researchers at a price which covers the culture and quality control expenses.

Any recipient of the cell line will r will not r have to sign the Agreement form (ICLC form A 1).

Date .............................. Signature ...............................................

ICLC internal use

ICLC n° ....................... Received ......................

Mycoplasma r Isoenzymes r

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