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    Form For Identification: Customer Specific Information

    Uploaded by

    Wardah Safdar
    This document is a form for identification of bacteria, archaea, fungi, and yeasts sent to the DSMZ Identification Service in Braunschweig, Germany. It requests information about the sender, invoice address, strain designation and source, cultivation details, and risk assessment. The form also allows the customer to select general identification or special identification methods like cellular fatty acid composition, quinone analysis, mycolic acid analysis, polar lipid analysis, peptidoglycan structure analysis, cell wall sugar analysis, ribotyping, 16S rDNA sequencing, DNA-DNA hybridization, and DNA base composition analysis.

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    © All Rights Reserved
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    Form For Identification: Customer Specific Information

    Uploaded by

    Wardah Safdar
    53 views3 pages
    This document is a form for identification of bacteria, archaea, fungi, and yeasts sent to the DSMZ Identification Service in Braunschweig, Germany. It requests information about the sender, invoice address, strain designation and source, cultivation details, and risk assessment. The form also allows the customer to select general identification or special identification methods like cellular fatty acid composition, quinone analysis, mycolic acid analysis, polar lipid analysis, peptidoglycan structure analysis, cell wall sugar analysis, ribotyping, 16S rDNA sequencing, DNA-DNA hybridization, and DNA base composition analysis.

    Original Description:

    A form used to categorize bacteria, algae ,fungi in order to identify particular species

    Original Title

    idform

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    This document is a form for identification of bacteria, archaea, fungi, and yeasts sent to the DSMZ Identification Service in Braunschweig, Germany. It requests information about the sender, invoice address, strain designation and source, cultivation details, and risk assessment. The form also allows the customer to select general identification or special identification methods like cellular fatty acid composition, quinone analysis, mycolic acid analysis, polar lipid analysis, peptidoglycan structure analysis, cell wall sugar analysis, ribotyping, 16S rDNA sequencing, DNA-DNA hybridization, and DNA base composition analysis.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    53 views3 pages

    Form For Identification: Customer Specific Information

    Uploaded by

    Wardah Safdar
    This document is a form for identification of bacteria, archaea, fungi, and yeasts sent to the DSMZ Identification Service in Braunschweig, Germany. It requests information about the sender, invoice address, strain designation and source, cultivation details, and risk assessment. The form also allows the customer to select general identification or special identification methods like cellular fatty acid composition, quinone analysis, mycolic acid analysis, polar lipid analysis, peptidoglycan structure analysis, cell wall sugar analysis, ribotyping, 16S rDNA sequencing, DNA-DNA hybridization, and DNA base composition analysis.

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    © All Rights Reserved
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    You are on page 1of 3

    (Fill out the details on the screen, print it out, sign it, and send to the DSMZ.

    This red line will not be printed)


    DSMZ Identification Service
    Inhoffenstrae 7 B
    38124 Braunschweig
    GERMANY
    Tel. +49-531-2616-231
    Fax: +49-531-2616-418
    E-mail: identification@dsmz.de

    FORM FOR
    IDENTIFICATION

    IDENTIFICATION OF BACTERIA,
    ARCHAEA, FUNGI, and YEASTS

    To be completed by the DSMZ:

    PLEASE NOTE: THE DSMZ ONLY ACCEPTS ORGANISMS


    UP TO RISK GROUP 2 (German National Regulations)

    Strain no.
    Strain no.
    Strain no.
    Strain no.
    Strain no.
    Strain no.

    Id no.
    Id no.
    Id no.
    Id no.
    Id no.
    Id no.

    CUSTOMER SPECIFIC INFORMATION


    SENDER OF THE CULTURE

    Name/Company/Organization:
    Address:

    Phone:

    Fax:

    E-Mail:

    INVOICE ADDRESS

    Name/Company/Organization:
    Address:

    DESIGNATION OF THE ISOLATE:


    SOURCE OF THE ISOLATE:
    CULTIVATION OF THE STRAIN
    Please specify the medium (for special media please use also reverse side):
    Incubation temperature:

    Incubation time:
    Oxygen relationships:

    aerobic
    microaerophilic
    extremely sensitive to oxygen
    specific gaseous requirements for growth:

    RISK ASSESSMENT
    Is the strain dangerous to health or the environment? No

    obligate anaerobic

    If yes, please specify on the third page

    FURTHER MAINTENANCE OF THE STRAIN


    Cultures will be retained for a reasonable length of time after which they will be destroyed*

    Either

    General Identification
    or

    Special identification methods (bacteria only) please use the second page

    Signature:

    Date:

    * The appropriate forms, information and prices for Safe Deposit, Patent Deposit and Deposit in publicly accessible
    collection may be obtained from the DSMZ website

    DSMZ Identification Service


    Inhoffenstrae 7 B
    38124 Braunschweig
    GERMANY
    Tel. +49-531-2616-231
    Fax: +49-531-2616-418
    E-mail: identification@dsmz.de

    FORM FOR
    IDENTIFICATION

    SPECIAL IDENTIFICATION PROCEDURES (please select)

    Production of biomass for the special procedures

    Cellular fatty acid composition (GLC)*


    Analysis of quinones (HPLC)*
    Analysis of mycolic acid (TLC, GLC)*
    Polar lipids (TLC)*

    Peptidoglycan structure*
    Cell wall sugars

    Ribotyping

    Partial 16S rDNA sequence analysis


    Full phylogenetic study by complete 16S rDNA sequence analysis

    DNA base composition by HPLC


    DNA - DNA hybridisation
    -please specify pairings:

    Signature:

    *see third page

    Date:

    Please include additional information in the fields provided


    Due to the complexity of the chemical composition of prokaryotes it is essential that you
    provide us with additional information on the taxonomic position of your strain(s). If you do not
    provide this information there may be delays in processing your strain(s).
    The nearest cultivated BLAST neighbour or taxonomic group based on the 16S rRNA gene
    sequence is (please give the name, the percent similarity and number of base pairs used).

    Additional information

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