DBVPG SAFE DEPOSIT FORM

TO:
INDUSTRIAL YEASTS COLLECTION – DBVPG
Department of Agricultural, Food and Environmental Sciences
University of Perugia
Borgo XX Giugno, 74
I 06121 Perugia – Italy

    THE UNDERSIGNED HEREBY DEPOSITS THE FOLLOWING YEAST STRAIN/S AS SAFE DEPOSIT FOR
    The strain/s will neither appear in the catalogue nor on the website database and will not be available for distribution to third parties



    Additional information is given on an attached sheet

    Additional information is given on an attached sheet

    Additional information is given on an attached sheet





    Additional information is given on an attached sheet


    Name of the Depositor and position in the Institution

    Contact name (only for legal entity)

    E-mail *

    Phone

    Institution Name

    Address

    VAT

    Website

    SDI code and PEC6

    First and last name of the head of the recipient institution

    Position

    Date and Place of signature

    Signature of the head of the depositor institution

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