Patent Deposit Submission - Bacteria & Fungi

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Patent Deposit Submission - Bacteria & Fungi

Patent Deposit Accession Form - Bacteria & Fungi

Depositor Information
Name of Depositor/Company/Institute (Note: this will be the name that appears on certification)
Contact Name
Address Line 1
Address Line 2
Address Line 3
Address Line 4
Town
County
Post Code
Country
Tel No
Fax No
Email Address
BIOHAZARD RISK ASSESSMENT MUST BE ALSO BE SUBMITTED
The deposit is made in accordance with the terms of the Budapest Treaty 1977. I agree to abide by the conditions and regulations regarding the deposit of patents to HPA Culture Collections.
Name
Date
Invoice Address
Address Line 1
Address Line 2
Address Line 3
Address Line 4
Town
County
Post Code
Country
DETAILS OF BACTERIA/ FUNGI
Identification/Name in full
ACDP Containment Level
GMO Category
Morphology
Culture Requirements (Growth on solid media)
STORAGE CONDITIONS
Concentration (CFU/ml)
Composition of medium
Temperature and Conditions
ANY OTHER RELEVANT INFORMATION
A Biohazard Risk Assesment must be submitted in order for your samples to be accepted. HPA Culture Collections is required to assess the GMO status of all deposits PRIOR to receipt. Therefore, we will contact all depositors to advise them when we can receive samples.