CRISPR Gene Editing Request Form

Species*

Gene ID*

Project type

Knockout
Knock-in (please provide further details below)
Point mutation (please provide further details below)

Please provide the sequence to be knocked in and the sequence 20bp 3' and 5' to the insertion location and mark the insertion point with an asterisk

Please specify base to be changed, which base to mutate to, and 20 bases 3' and 5' to mutation

Additional information

Name*

Telephone Number*

Email Address*

Organization :

Address*

Street Address

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