UNMC

UNMC Requisition Form for Mouse Genotyping

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

Required fields*

Date: 04/23/2018

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

Type the text from the image into the space below.

Form last updated 03/26/18

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