GenCRISPR™ Custom Cell Line Development Service SC1652 (Knock-out), SC1663 (Knock-in) Instructions 1. Please complete and email this form to bioassay@genscript.com 2. Our Account Manager will contact you with a quote. Customer Information If you have registered an account with GenScript, you can just identify yourself by giving us your name and email address or Account No. Name: Account No.: Phone: Organization: Shipping Address: (Necessary to determine shipping cost) Email Address: Genomic Editing Knock out or Knock-in/Mutation by Design (If knock-in/mutation by design service is required, please fill out knock-in/mutation by design section on page 2) Name of Target Gene (NCBI Accession Number): DNA Sequence for Targeting Does KO/KI of the target gene affect cell growth? Yes No Not sure If yes, how to rescue the KO/KI clones:____________________________________________________________ Does KO/KI of the target gene affect cell survival? Yes No Not sure If yes, how to rescue the KO/KI clones:____________________________________________________________ Host Cell Line Name of Host Cell Line: Who provides host cell line? GenScript (Note: Extra fee will be charged) Client (Note: Mycoplasma free certificate will be required) Growth condition of host cell line? Adherent Suspension Both Please provide cell doubling time:____________________________________ Resistance of host cell line? G418 Puromycin No resistance. Zeocin Hygromycin B Blasticidin S Other___________ Will serial dilution affect cell growth rate? Yes No Not sure What are the medium and additives for cell growth? Medium:______________________________________________________ Additives:_____________________________________________________ What is the suggested method for cell transfection? Chemical transfection, please specify the reagent:_________________ Electroporation Nucleofection Please provide transfection efficiency (if possible):____________________ Do you need GenScript to follow any special cell culture routine? Yes, see below No Please provide protocol with information about the cell line and any special growth characteristics or requirements. Do the cells contain any human pathogen? Yes, please specify:___________________________ No Requirements for Customized Transgenic Cell Line: Genotype of transgenic cell line: Homozygous Heterozygous Please indicate the preferred type of analysis to characterize transgenic cell line: Growth curve Western blot ELISA Others, please specify_________________________ Do you need GenScript to analyze the transgenic cell line by special assay? Yes, please specify_____________________ No What is the final application of the transgenic cell line? Gene function analysis Assay development Drug screening Other If Other, Please indicate your specific application and requirements:_________________________________ Comments: Gene Name for Knock-in/Mutation by Design: Gene Accession Number: For Knock-in/Mutation by Design Services DNA Sequence: Reporter/Tag: N- or C-terminal: Selection Marker: Project Information Is this project for grant application purpose? Yes No When will the project start? Immediately Within one month Within three months Half a year later