Accession Form - CellBank Australia

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Accession Form

Accession Form

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 will need to fill out a Deposit Query and you will also be asked to sign a Material Transfer Agreement. The information you give us in the Accession and Deposit Query forms will be combined and attached to the Material Transfer Agreement so that you can check that all of this information is correct at that point. Before you fill out an Accession Form, you first need to send us a Deposit Query. This captures the basic information we need to make a decision on whether the cell line is suitable for submission e.g. a safety assessment to determine its risk.

Have you filled out a Deposit Query? Yes No

Previous Deposit ID *required

General Information

Full cell line name:

Year of origin:

Additional donor information (strain, sex, age):

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 Not known

If Yes, give details:

Is the cell line tumourigenic? Yes No Not known

If Yes, give details:

Does the cell carry additional generic
material or modifications? Yes No Not known

If Yes, give details:

Do the cells have specific markers or mutations? Yes No Not sure

If Yes, please give details:

Further comments on the cell line’s characteristics or markers:

Culture and Passaging Information

Cells grow as:

Appearance:

Preferred temperature (oC)

Preferred CO2 (% in air)

Preferred medium (with antibiotics if used):

Optimal density when passaged:

cell/mL

or split ratio of 1:

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 No Not Sure

If the cells have previously been tested for Mycoplasma:

What test method was used:

When were cells last tested?

Have cells ever been Mycoplasma-positive? Select... Yes Not to my knowledge

Have cells ever been Mycoplasma-treated? Select... Yes Not to my knowledge

Additional comments on Mycoplasma:

Have the cells been tested for genetic identity? Select... Yes No Not to my knowledge

Testing method used:

Test Result:

Additional comments on genetic identity:

Cells provided at:

Passage number:

Or Population Doublings

Please tick here if this needs to
be discussed prior to shipment:

Mandatory field(s) marked with *required

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