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Guidelines and Handbook for IBSCs - Department of Biotechnology

Guidelines and Handbook for IBSCs - Department of Biotechnology

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FORM B3APPLICATION TO RCGM FOR EXPORT OF GENETICALLY MODIFIEDORGANISMS (GMOs)/LIVING MODIFIED ORGANISMS (LMOs) AND PRODUCT(S)THEREOF FOR RESEARCH AND DEVELOPMENT PURPOSE1. Name <strong>of</strong> the Applicant: ___________________________________________________70Designation: _____________________________________________________________Contact Address: _________________________________________________________Telephone No.: ___________________________________________________________Fax No.: _________________________________________________________________e-mail: __________________________________________________________________2. DBT Office Memor<strong>and</strong>um No.: ____________________________________________3. Objectives <strong>of</strong> the proposal: _______________________________________________4. Description <strong>of</strong> the GMOs/LMOs <strong>and</strong> product there<strong>of</strong> (in scientific terms):(a) Morphology________________________________________________________________________(b) Physiology________________________________________________________________________(c) Pathogenicity, if any________________________________________________________________________(d) Number <strong>of</strong> copies <strong>of</strong> the genes incorporated________________________________________________________________________5. Details on:(a) Source <strong>of</strong> nucleic acid(s):________________________________________________________________________(b) Nucleic acid sequence (Please enclose the nucleic acid sequence map <strong>of</strong> thetarget gene):________________________________________________________________________

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