TASQ-QFAGE CRISPR Animal Service EOI form
The University of Queensland, Australia
Name
*
First Name
Last Name
Laboratory
*
Supervisor or Lab head name
Institute or Company
*
University
Email
*
example@example.com
Phone Number
-
Area Code
Phone Number
Project type
*
Gene Knockout
Genomic deletion
Mutation (point mutation, small insertion or deletion)
Knock-in (reporter, epitope tag, floxp etc.)
Rosa26 knock-in
Other
Service type
*
Project design
Microinjection or electroporation
Genotyping
Standard Full Service (Design + Injection + F0 Genotyping)
Extended Full Service (Design + Injection + F0&F1 Genotyping)
Other
When do you prefer to start your project?
-
Day
-
Month
Year
Date Picker Icon
Target and animal information
Species
*
Mice
Rat
Other
Animal strain
*
Do you have approved animal ethics permit
*
Yes
Not yet
If yes, what is your animal ethics number
Animal ethics expire date
-
Day
-
Month
Year
Date
Target Gene name or locus, NCBI number
*
Database link (NCBI Gene, UCSC Genome Browser etc)
Will the modification of the gene negatively affect the survival, growth or breeding of your animal?
Yes
No
Unknown
Have you validate the expression of your target in your animal before?
Yes
Not yet
Please tell us more about your project
eg. aim of project, details of modifications, etc, This could help us better understand your project.
Review above information and click here to submit
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