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UNMC Requisition Form for Mouse Genotyping

C.B. Gurumurthy, Ph.D.
Mouse Genome Engineering Core Director
402-559-3338
Email

Required fields*

Date: 05/24/2013

 
Principal Investigator:*  Contact Person:*
PI E-mail:* Contact E-mail:*
Cost/Center Number:* Contact Phone:*
Name of Mouse Line/Mutant (optional):  
Number of Samples:* (Preferably labelled 1, 2, 3...)  
Number of Primer Sets:* (eg. Set 1, Set 2, Set 3...)  
Control Samples Provided:   Positive:* yes no      Negative:* yes no  

 

Table of Sample Number and Primer Combinations to Process above Samples
  Primer Set 1 Primer Set 2 Primer Set 3
Primer Names
Size (bp)
Comments, if any
Sample ID      
1 yes no yes no yes no
2 yes no yes no yes no
3 yes no yes no yes no
4 yes no yes no yes no
5 yes no yes no yes no
6 yes no yes no yes no
7 yes no yes no yes no
8 yes no yes no yes no
9 yes no yes no yes no
10 yes no yes no yes no
11 yes no yes no yes no
12 yes no yes no yes no
13 yes no yes no yes no
14 yes no yes no yes no
15 yes no yes no yes no
16 yes no yes no yes no
17 yes no yes no yes no
18 yes no yes no yes no
19 yes no yes no yes no
20 yes no yes no yes no

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