Material Transfer Agreement Form
Material Transfer Agreement Form
1. Provider:
Philippine National Collection of Microorganisms (PNCM), National Institute of Molecular Biology and
Applied Microbiology (BIOTECH), University of the Philippines Los Baños (UPLB)
Represented by:
2. Recipient:
__________________________________________________________________________ _______
Printed Name Designation
_________________________________________________________________________________
Institution
_________________________________________________________________________________
Address
b. The Recipient shall not distribute, sell, lend, or otherwise transfer, the Material or its Replicates for any
reason. Any third party requesting a sample shall be referred to the PNCM.
Page 1 of 2
PHILIPPINE NATIONAL COLLECTION OF MICROORGANISMS
National Institute of Molecular Biology & Biotechnology (BIOTECH)
University of the Philippines Los Baños UPLB
College, Laguna 4031, Philippines
PNCM Form
MATERIAL TRANSFER AGREEMENT
For Non-Profit Recipients of the Collection Materials at PNCM
c. The PNCM and/or its contributor (depositor) shall retain ownership of all right, title and interest in the
Material and Replicates. The recipient agrees to acknowledge the PNCM and any contributor
(depositor) indicated by the PNCM as the source of the Material in all pub lications that refers to the
Material.
d. The PNCM only warrants for the viability of the Material, and only for a period of 30 days upon
shipment. If otherwise, the PNCM has the option to either refund the fee paid to the PNCM for such
Material (exclusive of shipping and handling charges), or, replace the Material. The Recipient must
report the lack of viability to the PNCM in writing within the warranty period. Except as expressly
provided above, the PNCM gives no guarantee, express or implied, for the material, including
merchantability, or fitness for a particular purpose.
5. The PNCM makes no representation that the use of the Material will not infringe any patent or other
proprietary right. The Recipient will hold the PNCM and its staff harmless from any claims or
liabilities that might arise as a result of the use of the Material by the Recipient.
By affixing my signature hereunder, I acknowledge that I have read, understand and agree to
comply with the terms and conditions of this agreement.
__________________________________________________________________________ ________
Signature of Recipient Date
Name: ______________________________________
Position: ______________________________________
Affiliation: ______________________________________
Address (Office):
______________________________________
______________________________________
______________________________________
Address (Home): ______________________________________
______________________________________
______________________________________
Tel #: ______________________________________
Fax #: ______________________________________
Email address: ______________________________________
Page 2 of 2