Annex 2. Request for the Distribution of Genetic Resources (DNA)
To: The Director of the Mediterranean Forest DNA Bank
Date: ____________________ Name of Applicant ____________________________ Affiliation / Organization ______________________________________________
Public organization or equivalent Department/Institution
Others (Private company, etc.)
___________________________________
Address ________________________________________________ ________________________________________________ Country ___________________ Postal code _______________ Tel. ___________________ Fax ___________________ E-mail ___________________
I hereby apply for the distribution of the following genetic resources (DNA): ___________________ ___________________ ___________________ ___________________ ___________________ Title of research ___________________________________________________________________ ___________________________________________________________________
Recent publication ___________________________________________________________________ ___________________________________________________________________
Attached Sheet to subscribe conditions for distribution of Genetic Resources (DNA)