National Centre for Microbial Resource

Request form for Purchase of Cultures

This is a illable PDF ile. You can type information directly into this ile.
IMPORTANT: Please read all ‘Guidelines’ carefully before placing request for cultures. Please refer to illed sample form availa‐
ble on our website to complete this form; for any assistance feel free to call us on +9120 25329000 (10.00 to 17.00 hrs, IST).
Details of the Recipient:
Name and Designation of Recipient:
National Centre for Cell Science (NCCS), Department of Biotechnology (DBT)

Department/ Division:
Organisation: Academic Non‐Academic
Postal Address:

PIN Code: 
Email Address:
Contact Number: FAX Number:

Sample Details Please attach additional sheet, if required. 

Sr. Scienti ic MCC Quantity Biosafety Delivery PRN
No. Name^ Acc. No.^ Level^ Category* (For NCMR Use Only)
1.
2.
3.
4.
5.

Payment Details
Demand Draft No. Date Amount Bank Details

Billing Address:
Name and Designation:
Address: ( Same as postal address)

PIN Code: 
Delivery Categories and Fee Structure:
NCMR supplies cultures in two delivery categories, freeze dried ampoule and actively growing culture.
Please see NCMR website for fee structure for academic and non-academic institutions. For any further
queries, please feel free to write to mcc@nccs.res.in or call +91 20 2532 9000/ 9026

Guidelines:

1. Please verify MCC accession number(s), scienti ic name(s), biosafety level(s) and delivery category from the NCMR web‐
site (www.nccs.res.in) before placing the order.
2. NCMR accepts payment only through Demand Drafts; drawn in favour of 'The Director, NCCS, Pune, payable at Pune,
India. NCMR discourages hand delivery of the culture(s).
3. Purchase requests from private addresses will not be accepted. Purchase requests must be sent through proper channel
and must be signed by the institute/ department head or advisor.

Seal of the Institute Date & Signature of the Recipient

MCC_SD_Form_08 v.02/2018