(To be completed by contributor of cell line.)

TO : KOREAN CELL LINE BANK

I understand that this material is for deposit in the Korean Cell Line Bank maintained at the Korean Cell Line Research Foundation.

It will be examined, and if accepted by th KCLB, batches will be made and distributed to the scientific community for a fee to cover expenses.

1. Depositor Information
Depositor Name
 
Deposited on behalf of  
Depositor Address
 
Date
 
Signature
 
 
2. Cell Line Name
 
 
3. Source of cell (Species, Race, Sex, Age, Adult or Embryonal, Normal, Malignant, Organ or Tissue, Blood Type, etc)
 
 
 
 
4. Special Properties, Characteristics, or Uses
 
 
 
 
5. Type of Cell

    [ ] Epithelial-like [ ] Lymphoblast-like

    [ ] Fibroblast-like [ ] Other

 
6. Give reason why you feel this cell is important
 
 
 
 
7. Life Expectancy (Maximum number of serial subcultivation since origin)
 
 
 
 
8. Early passage levels available from frozen stock, If any
 
 
 
 
9. Name of originating or deriving investigator and date of origin
 
 
 
10. References
 
 
 
 
11. Brief history since origin
 
 
 
 
12. Recommended culture medium
 
 
 
 
13. Recommended subcultivation methods
 
 
 
 
 
14. Recommended for freezing cells, If any