InaCC (Indonesian Culture Collection) Research Center for Biology, Indonesian Institute of Sciences (LIPI) Jl. Raya Jakarta - Bogor Km. 46, Cibinong 16911, Indonesia Telp. +62-21- 8765066, Fax. +62-21-8765062, Email: inacc@mail. lipi.go.id MATERIAL TRANSFER AGREEMENT (For DEPOSITION With InaCC) DEPOSITOR, Name of Depositor : Depositor Organization : (hereinafter referred to as the ‘DEPOSITOR’) and Indonesian Culture Collection (hereinafter referred to as ‘InaCC’) agree as follows with regard to the deposit of the material(s) by the DEPOSITOR with the InaCC. 1. The InaCC, a culture collection under The Indonesian Institute of Sciences, is engaged in collection, maintenance, storage, propagation, quality control and distribution of the biological resources, in order to contribute to the Indonesian and international scientific community in the field of the life sciences. The DEPOSITOR is intend to deposit the following biological material, which was obtained by the DEPOSITOR in compliance with the relevant laws and regulations (name and/or strain number of the material): (hereinafter referred to as the ‘BIOLOGICAL RESOURCE’) with InaCC. This Material Transfer Agreement (hereinafter referred to as the ‘MTA’) sets forth the terms and conditions agreed by the DEPOSITOR and the InaCC on the deposit of the BIOLOGICAL RESOURCE. 2. The DEPOSITOR agrees to deposit free of charge the BIOLOGICAL RESOURCE with the InaCC. The InaCC may maintain, store, multiply, and conduct quality control and improvement of the BIOLOGICAL RESOURCE and may distribute it to public under the terms and conditions described in this MTA. 3. In compliance with the relevant laws and regulations of the country of origin of the BIOLOGICAL RESOURCE, the country of DEPOSITOR as well as those of Indonesia, the DEPOSITOR shall, upon the deposit hereunder, notify and provide with the InaCC the accurate information (including patent information, if any) about the origin, process of access, quality and characteristics of the BIOLOGICAL RESOURCE. 4. The InaCC may update the information accompanying with the BIOLOGICAL RESOURCE and respond to the change of legal environment for handling and transfer of BIOLOGICAL RESOURCE when necessary and may make it available to the public through the InaCC Catalog, website and other media. FR-7.2.2-1-CC-2.ed1.rev.0.20131007 InaCC (Indonesian Culture Collection) Research Center for Biology, Indonesian Institute of Sciences (LIPI) Jl. Raya Jakarta - Bogor Km. 46, Cibinong 16911, Indonesia Telp. +62-21- 8765066, Fax. +62-21-8765062, Email: inacc@mail. lipi.go.id 5. The origin of the BIOLOGICAL RESOURCE is as follows: (Check an appropriate box) The DEPOSITOR isolated the BIOLOGICAL RESOURCE. The DEPOSITOR obtained the BIOLOGICAL RESOURCE developed by others with consent to deposit it with the InaCC. The DEPOSITOR purchased the BIOLOGICAL RESOURCE with no restriction for transfer and deposit. Others. (Please describe) : 6. The InaCC may distribute the BIOLOGICAL RESOURCE to RECIPIENTS pursuant to the following terms and conditions set forth by the DEPOSITOR: (Check an appropriate box(es) of required terms and conditions) No specific terms and conditions. Use of BIOLOGICAL RESOURCE is research purpose only. In case for commercialization purpose, RECIPIENT of the BIOLOGICAL RESOURCE shall obtain Prior Informed Consent (PIC) from DEPOSITOR and InaCC. In publishing the results obtained by use of the BIOLOGICAL RESOURCE, the following(s) are requested: Acknowledgment to the country of origin Citation of the following reference(s): (Please describe in detail) 7. The InaCC shall not be held liable to the DEPOSITOR for any damage or loss to the BIOLOGICAL RESOURCE due to any events caused during maintenance or storage of the BIOLOGICAL RESOURCE. 8. Both parties shall discuss to enable amicable resolution of accidents during shipment of the BIOLOGICAL RESOURCE. 9. The BIOLOGICAL RESOURCE shall be shipped, deposited and otherwise treated in accordance with all applicable laws, regulations and guidelines. The DEPOSITOR and the InaCC shall, if necessary, take all steps and procedures to comply with legal requirements for handling of the BIOLOGICAL RESOURCE. 10. Both parties shall discuss in good faith to enable the amicable resolution of matters, arising in connection with the interpretation and performance hereof, as well as the matters which are not expressly set forth in this AGREEMENT. FR-7.2.2-1-CC-2.ed1.rev.0.20131007 InaCC (Indonesian Culture Collection) Research Center for Biology, Indonesian Institute of Sciences (LIPI) Jl. Raya Jakarta - Bogor Km. 46, Cibinong 16911, Indonesia Telp. +62-21- 8765066, Fax. +62-21-8765062, Email: inacc@mail. lipi.go.id The DEPOSITOR and the InaCC do hereby sign two original copies of this MTA and each party holds one signed copy. DEPOSITOR Organization : Address : Name of Authorized representative : Job Title : Signature : Name of Scientist : Job Title : Signature : RECIPIENT InaCC (Indonesian Culture Collection) Indonesian Institute of Sciences Jl. Raya Jakarta – Bogor Km. 46, Cibinong 16911, Indonesia Director, Signature : Date : FR-7.2.2-1-CC-2.ed1.rev.0.20131007 Date : Date :