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Sperm/Embryo Re-derivation Form

C.B. Gurumurthy, Ph.D.
Mouse Genome Engineering Core Director


All fields are required.

Lab Information

Principal Investigator: 


PI Email:

Contact Person:

Contact E-mail:

Contact Phone:

Person/Dept Billing should be directed:

Cost/Center Number:

IACUC Number:

Are these germplasms pathogen free: Yes No

Mouse Line to be Re-derived:

Number of embryos: Number of Sperm straws:

Strain of Mice: C57B1/6 FVB 129 CD-1 Other

Where was this line cryopreserved?

If cryopreserved outside MGECF, please provide contact information

Please upload the cryo/thaw protocol if available.

Type the text on the left
into the space below.

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