SECRETARIATGENERAL：秘书处.docVIP

call 2013: mouse models and rare diseases application form Submission deadline for proposals: February 28, 2013, midnight This file must be sent: by email to: modeles_murins@ by post mail, two signed versions of the document (corresponding to the document sent by e-mail) to: Fondation maladies rares Appel à projets ‘Modèles murins et maladies rares’ Plateforme Maladies Rares 96 rue Didot 75014 Paris Instructions for sending documents: The application must be written in English. Annexes should be included in the research project and not on separate documents. The Word file must not exceed 2 Mo (compress any figures). Document title: Name of applicant-mousemodel-RD Do not send pdf documents, or scanned documents.   1. Identification of the project? Project title?(in lowercase letters): Research area: - main: - secondary: Keywords (maximum 4): Targeted gene: Request (tick the appropriate boxes): Targeted mutagenesis Conditional KO (cKO) Please indicate the MGI ID number of the mouse gene ()?:……………? Knock-Out (KO) (total deletion of the gene) Please indicate the KOMP clone reference number: ………………………………… Knock-In (KI) Genetic background?: o 129 Sv/Pas o C57BL/6N o BALB/cN Point Mutation (PM) : Please indicate the MGI ID number of the mouse gene ()?: …………… Point mutation to generate: mRNA reference?sequence: ………………………………… mutation: ………………………………… position of the mutation in the reference sequence: ………………………………… Humanization Please indicate the MGI ID number of the mouse gene ()?to target: ………………………………… Reference sequence of the human cDNA: ………………………………… Reporter gene Please indicate the MGI ID number of the mouse gene ()?to target: ………………………………… Transgene reporter?requested: ………………………………… Targeted transgenesis (ROSA26) Promoter to be used: ………………………………… Transgene reporter?requested: ………………………………… Sequence of the transgene: ………………………………… Random transgenesis (pronuclear injection) BAC plasmid Promoter to be used: