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CellBank Australia
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Accession Form

General Information

Please click here for a pdf version of this form that you can complete away from the website.

Thank you for giving us additional information on your cell line.  The information requested in this form
will help other researchers to conduct their experiments using your cell line.  We appreciate your
efforts in answering these questions.

To proceed further with the deposit, you need to have filled out a Deposit Query, and you will also be
asked to sign a Material Deposit Agreement.  The information you give us in the Accession Form and
Deposit Query will be combined and attached to the Deposit Agreement so that you can confirm that
all information given is correct.

Full cell line name: *
Have you filled out a Deposit Query? *  Yes
 No
Year of origin: 
Additional donor information (strain, sex, age, disease status): 
How was the cell line derived? 
Initial publication describing the cell line's 
derivation or characterization: *
Does the cell line have a limited life span? *  Yes
 No
 Unknown
If Yes, please give details: 
Is the cell line tumourigenic? *  Yes
 No
 Unknown
If Yes, please give details: 
Do the cells carry additional genetic 
material or modifications? *
 Yes
 No
 Unknown
If Yes, please give details: 
Do the cells have specific markers or mutations? *  Yes
 No
 Unknown
If Yes, please give details: 
Further comments on the cell line’s characteristics or markers: 


Culture and Passaging Information

Cells grow as: *
Additional comments on appearance: 
Preferred temperature (degrees C) *
Preferred CO2 (% in air) *
Preferred medium (with antibiotics if used): *
Preferred agent for passaging cells e.g. trypsin/EDTA: 
Optimal density when passaged:
- cells/mL OR 
- split ratio e.g. 1:4 
Additional comments on passaging: 
Freezing medium for cryopreservation: *
Additional comments on cryopreservation
e.g. ease of recovery: 
Have the cells been tested for Mycoplasma? *  Yes
 Not to my knowledge
Have cells ever been Mycoplasma-positive? *  Yes
 Not to my knowledge
Have cells ever been Mycoplasma-treated? *  Yes
 Not to my knowledge
Additional comments on Mycoplasma: 
Have the cells been tested for genetic identity? *  Yes
 Not to my knowledge
If Yes, what test method was used? 
Test Result: 
Additional comments on genetic identity: 
Cells will be provided at:
- passage number OR 
- population doubling 
Please tick here if this needs to 
be discussed prior to shipment: 
Information provided by: *
Email address: 
  Mandatory field(s) marked with *

 
 

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