Owner / Stud Name: Address: Tel: Fax: Cell: E

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Veterinary Genetics
Laboratory
Faculty of Veterinary Science
University of Pretoria
Private Bag X04
Onderstepoort
0110
Tel: (012) 529 8240
Fax: (012) 529-8310
[email protected]
SAMPLE REQUISITION FORM
SHEEP and GOAT – DNA Testing
(Valid 01/11/09 to 31/12/10)
F0012A08
Owner / Stud Name:
(Submitter: Person to whom report must be sent)
Address:
Tel:
E-mail:
Veterinarian :
Fax:
Cell:
Veterinary stamp / Clinic:
LABORATORY TESTS REQUIRED
Please indicate clearly the test required. If possible include the registration numbers of the animals. If parentage testing is required the samples of both parents must be included, if not previously
tested. Please attach all other relevant information.
ANIMAL ID
(as indicated on the sample)
Routine
SEX
BREED
Reg. Nr.
Reg. NAME
Parentage
(DNA profile
only)
LABORATORY USE ONLY
COLLECTION OF SAMPLES
For blood samples: Collect 1 sample from each animal. Please use EDTA (purple stopper tubes) and label clearly with the animal name as indicated on the form.
For hair samples: Locate the coarsest hairs you can find (preferably tail). Hold the hairs close to the skin and pull. Important: DO NOT CUT HAIRS. Visually inspect the hairs
for intact roots. Enclose at least 20-40 strands of dry hair in an envelope. Label each individual envelope with the name of the animal sampled.
For Parentage Testing please complete the following:
Lamb ID
Ewe ID
Ram ID
COST OF TEST (per sample, vat incl.)
R120 – South Africa
Bone samples: R1000
Please note: Test results should be available 3 weeks after receipt of all relevant samples and full payment. One copy of the results will be sent to the owner / submitter as
named in the upper left hand corner. Please indicate the preferred method for sending results. An International DNA typing certificate can be issued at the request of the
appropriate registering authority and may be subject to an additional charge of R50.
Routine DNA Profile:
Special DNA Profile:
DISPATCH OF SAMPLES
Samples should be sent in by the most rapid means possible. Avoid sending samples late in the week or prior to statutory holidays. Samples can be sent by:
Courier to: Veterinary Genetics Laboratory
Speed Service to:
Veterinary Genetics Laboratory
Faculty of Veterinary Science
Private Bag x04
University of Pretoria
Onderstepoort
Soutpan Road
0110
Onderstepoort
NO TESTING WILL BE DONE UNTIL FULL PAYMENT HAS BEEN RECEIVED
Include a cheque payable to the University of Pretoria for the applicable amount or deposit in the following account:
Bank:
Account number:
Branch:
Reference:
Fax deposit slip to
ABSA
2140000038
335545 (Hatfield)
Owner’s name and AB916
(012) 529 8310
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