Animal Research Facility | School of Biological Sciences
Reg. No. 200604393R
Animals Import Form
Please use this form for overseas import of mice and rats to NTU’s Animal Research Facility ONLY.
Submit to: Laboratory Animal Facility Manager, Ms Lee Shok Li (Email: shokli@ntu.edu.sg | Tel: 6316 2921)
NOTE: Approval by Manager and Visiting Veterinarian, Dr Frederic Chua (Email: fredchua@allpetsasia.com)
must be given before this import can proceed.
Please include the following documents during submission. This shipment will NOT be approved if the
documents are incomplete.
1) Exporting facility’s latest health check report
2) AVA Import Permit
3) Animal Packing List
_____________________________________________________________________________________________
A
Requestor’s Information
Name of Requestor:
Name of PI (in FULL):
Requestor's Email:
IACUC Protocol No.:
Requestor's Contact No:
IACUC Protocol Expiry Date
(dd-mmm-yy):
Billing Address:
No. of animals approved in
protocol:
Location where animals
will be housed
(Level/Room):
No. of animals used to date
(excluding animals
requested here):
No. of cages required
for each species:
Estimated Arrival Date:
Reason(s) for Request:
Estimated Arrival Time:
B
Exporter’s Information
Exporting Facility Name:
Exporter’s Address:
Name of PI:
Vet In-Charge:
*Source Room:
*Please attach a copy of the facility’s latest health check report. This report must reflect the health status of the room
which the animals to be imported originate from.
Animal Research Facility
60 Nanyang Drive, Singapore 637551
Tel: +65 6316 2921
Email: shokli@ntu.edu.sg | www.ntu.edu.sg/sbs
Page 1 of 2
Version: ARF_ANIMALIMPORT01
Created by: Lee Shok Li
Last updated: 6 May 2014
Animal Research Facility | School of Biological Sciences
Reg. No. 200604393R
All fields are compulsory. Please attach a sheet if the space provided is insufficient.
No.
Species
Strain
No. of
Males
No. of
Females
Genotype
Age
(weeks)
Remarks (transgenic,
preg mothers etc.)
Terms and conditions
1. All requests should be signed by the requestor and will only be acknowledged via email submission.
2. All requisitions are subjected to the facility management’s approval.
3. Requisitions will be rejected if the protocol has expired or if the number of animals used to date has
exceeded.
4. You will be informed via e-mail/phone once the animals have been transferred.
5. This Animals Import Form should be submitted at least 1 month in advance of the estimated date that
the animals are required.
6. Animals are not allowed out of the Animal Research Facility unless prior approval has been granted by
the NTU-IACUC.
7. All animal testing costs recommended by the vet (if any) will be borne by the PI.
8. Please ensure that there is enough cage space within your allocated rack(s) to house the animals
requested.
We are agreeable to the terms and conditions stated on this Animals Import Form and will abide them.
Signature of Requestor
Date
OFFICIAL USE ONLY
We approve / reject this animal import. We declare that:
a) the animals will not be released following use at the laboratory facility and will be disposed from the
facility.
b) any suspected outbreak of disease will be reported to the AVA immediately and the laboratory
facility has a plan to contain an animal disease outbreak.
Signature of Visiting
Veterinarian
Animal Research Facility
60 Nanyang Drive, Singapore 637551
Tel: +65 6316 2921
Email: shokli@ntu.edu.sg | www.ntu.edu.sg/sbs
Signature of Facility
Manager
Date
Page 2 of 2
Version: ARF_ANIMALIMPORT01
Created by: Lee Shok Li
Last updated: 6 May 2014