Conservation Genome Resource Bank for Korean Wildlife Bldg #85-906, College of Veterinary Medicine, Seoul National University San 56-1 Shillim-9-dong, Gwanak-gu, Seoul 151-742, South Korea Tel: +82-2-888-2744; Fax : +82-2-888- 2754; URL: http://www.cgrb.org E-mail : cgrb@cgrb.org Receipt No. Receipt Date Member No. Application for Genetic Resource Sample Distribution Applicant Name Current Position Zip code Address Tel Fax Cell Phone E-mail No. ID Species Name Resource Type (Tissue) Quantity Remarks 1 2 3 4 5 6 7 Brief Description of the Project for these Samples Indication Please acknowledge CGRB as the source of the samples when you publish the results from those samples provided by CGRB and send a reprint of the publication to CGRB. ※ Do not fill in the Receipt No., Receipt Date, Member No. Date : Applicant (Signature) Conservation Genome Resource Bank (CGRB) for Korean Wildlife