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Transgenic & Gene-targeting Institutional Facility
Transgenic & Gene-targeting Institutional Facility  :   Gene Targeted Mouse Production  :  Requisition for Blastocyst Injection

Requisition for Blastocyst Injection

Account # ACUP #
Principle Investigator Department
Contact Person Phone #
E-mail (required) Mouse Room #
       

Targeted ES Cell Clone
Clone Name ES cell type
Gene Name % euploidy
    Y chromosome

Map (submitted?) Yes No         photo submitted? Yes No
 
Design: Reporter Selection:
  KO
  KI
  LoxP 		   LacZ
  GFP
  RFP
  other (explain below)

    

  neo
  tk
  hyg
  none

 
Concentration (cell/ml) Total Volume (ml)

Additional Comments: