BELGIAN COORDINATED COLLECTIONS OF MICROORGANISMS
BCCM/IHEM-COLLECTION
Form BCCM/IHEM/BP/3/................ Statement in the case of a
new deposit with another IDA
Budapest Treaty of 28 April 1977 on the
International Recognition of the Deposit of
Microorganisms for the Purposes of Patent Procedure. Statement
in the case of a new deposit with another International
Depositary Authority pursuant to Rule 6.2
Form BCCM/IHEM/BP/3/................
(number to be filled in by IDA)
(General remark: Always mark the
applicable (or
boxes) with a cross)
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- Send to:
- Belgian Coordinated Collections of Microorganisms
(BCCM)
Institut Scientifique de la Santé Publique - Louis
Pasteur (IHEM)
- Section mycologie
J. Wytsmanstraat 14 Rue J. Wytsman
- B-1050 Brussels, Belgium
The undersigned hereby makes a new deposit under Article 4
of the Budapest Treaty and confirms his undertaking not to
withdraw the deposit for the period specified in Rule 9.1
I. Identification of the microorganism:
- I.1 dentification reference:
-
- (Number, symbols, etc. given to the microorganism by the
depositor)
- I.2 Is this a mixture of microorganisms ?
-
- Yes - No
II. Conditions for cultivation:
Is additional information given on a attached sheet ? Yes - No
-
III. Conditions for storage:
Is additional information given on a attached sheet ? Yes - No
IV. Conditions for testing viability:
Is additional information given on a attached sheet ? Yes - No
V. Components of mixture: (in case the answer to I.2 is
"Yes")
Is additional information given on a attached sheet ? Yes - No
- V.1 Description of components:
-
-
- V.2 Method(s) for checking presence of components:
-
-
VI. Properties dangerous to health or environment:
Is additional information given on an attached sheet ? Yes - No
- The
microorganism identified under I.1 above has the
following properties which are or may be dangerous to
health or the environment:
-
-
- The
undersigned is not aware of such properties.
-
- The host
organism identified under I.2 above has the
following properties which are or may be dangerous to
health or the environment:
-
-
- The
undersigned is not aware of such properties.
VII. International Depositary Authority with which the
previous deposit was made:
- VII.1 Name:
-
- VII.2 Address:
-
VIII. Accession number given to the previous deposit:
IX. Reason for making a new deposit.
- The
international depositary authority with which the
previous deposit was made has ceased to have the status
of international depositary authority or has discontinued
the performance of its function, and the microorganism
has not been transferred to another international
depositary authority which is in a position to furnish
samples thereof.
-
- Date of
receipt of the notification referred to in Article
4(1)(a):
- Date of the
publication referred to in Article 4(1)(e):
- The sending or
receipt of samples of the microorganism which was the
subject of the previous deposit is prevented:
-
- by export
restrictions
- or
- by import
restrictions
- Date of receipt of the notification referred to in
Article 4(1)(a):
X. Statement under Article 4(1)(c)
- The undersigned hereby alleges that the microorganism
identified under I above is the same as that which was
the subject of the previous deposit.
-
XI. Most recent scientific description indicated in
connection with the previous deposit:
- Not to be filled in if no scientific description has
been indicated in connection with the previous deposit.
- Use form BCCM/IHEM/BP/7 if, when making the new
deposit, it is desired to furnish for the first time or
amend a scientific description.
Is additional
information given on an attached sheet ? Yes - No
- XI.1 Scientific description:
-
-
- XI.2 Proposed taxonomic designation:
-
-
XII. Furnishing of samples:
- The undersigned
-
- requests
- does not
request
- to be notified in writing of the fact that a sample of
his microorganism has been furnished to any interested
party other than the depositor, as stated in Rule
11.4(g).
XII. Depositor: Name:
Address:
Signature:
(Where the signature is required on behalf of a legal
entity, the typewritten name(s) of the natural person(s)
signing on behalf of the legal entity should accompany
the signature(s)).
Date:
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Enclosures:
- Copy of the receipt of the previous deposit
- Copy of the most recent statement concerning the
viability of the microorganism which was the subject of
the previous deposit indicating that the microorganism is
viable