ࡱ> IKH f3bjbj=G=G *>_-_-J ~~XXXXXlll8D\l>D$hhhhCrL(moooooo,6]X)CC))XXhh)XhXhm)mt)\Y0>nnX`))))))>n)))))))))~ :   UBMTA Implementing Letter The purpose of this letter is to provide a record of the biological material transfer, to memorialize the agreement between the PROVIDER SCIENTIST (identified below) and the RECIPIENT SCIENTIST (identified below) to abide by all terms and conditions of the Uniform Biological Material Transfer Agreement (UBMTA) March 8, 1995, and to certify that the RECIPIENT (identified below) organization has accepted and signed an unmodified copy of the UBMTA. The RECIPIENT organization's Authorized Official also will sign this letter if the RECIPIENT SCIENTIST is not authorized to certify on behalf of the RECIPIENT organization. The RECIPIENT SCIENTIST (and the Authorized Official of RECIPIENT, if necessary) should sign both copies of this letter and return one signed copy to the PROVIDER. The PROVIDER SCIENTIST will forward the material to the RECIPIENT SCIENTIST upon receipt of the signed copy from the RECIPIENT organization. Please fill in all of the blank lines below: 1. PROVIDER: Organization providing the ORIGINAL MATERIAL: Organization: FORMTEXT      Address: FORMTEXT       2. RECIPIENT: Organization receiving the ORIGINAL MATERIAL: Organization: FORMTEXT      Address: FORMTEXT       3. ORIGINAL MATERIAL (Enter description):  FORMTEXT       4. Termination date for this letter (optional):  FORMTEXT       5. Transmittal Fee to reimburse the PROVIDER for preparation and distribution costs (optional). Amount:  FORMTEXT      . This Implementing Letter is effective when signed by all parties. The parties executing this Implementing Letter certify that their respective organizations have accepted and signed an unmodified copy of the UBMTA, and further agree to be bound by its terms, for the transfer specified above. PROVIDER SCIENTIST Name: FORMTEXT      Title: FORMTEXT      Address: FORMTEXT       _____________________________________ __________________ (Signature) Date RECIPIENT SCIENTIST Name: FORMTEXT      Title: FORMTEXT      Address: FORMTEXT      ! @ N P R n p X Z ŴŴqZOh\ h\ CJaJ,jhxh\ OJQJU^JmHnHu'jhxh\ OJQJU^Jjh4>OJQJU^J'jhxh\ OJQJU^Jhxh\ OJQJ^J!jhxh\ OJQJU^Jhxh\ CJaJh\ CJaJhVCJaJh]CJaJh\ hVCJaJh\ hV5CJaJ P R n  h$&#$/Ifgd4> h$&#$/Ifgdx$ ha$$a$$a$ ~~ h$&#$/Ifgdxkkdj$$Ifl@0& t 6644 lapytx Z \ x }tt $Ifgd\ $`a$$a$$ ha$kkdX$$Ifl0& t 6644 lapytx Z \ x z 68:N̸١̍١zobTJh\ OJQJ^Jjh\ OJQJU^Jh\ h\ OJQJ^Jh\ hVCJaJh\ h\ CJaJh\ CJaJ'jhxh\ OJQJU^J,jhxh\ OJQJU^JmHnHu'jhxh\ OJQJU^Jhxh\ OJQJ^J!jhxh\ OJQJU^Jhxh\ CJaJh\ hXCJaJ 2-$a$akd&$$Ifl@04 t644 lazpytx $Ifgd\ akdF$$Ifl@04 t644 lazpytx `bd017 d)$Ifgdx$ hh^h`a$$ hh^h`a$gd.X$a$NPR\^1678BઙઈucUh.XCJOJQJ^JaJ#jh.XCJOJQJU^JaJh:h\ CJaJh\ CJaJ!jph\ OJQJU^J!jh\ OJQJU^Jh\ OJQJ^Jh\ h\ OJQJ^Jh\ hVCJaJ&jh\ OJQJU^JmHnHujh\ OJQJU^J!jh\ OJQJU^JBC   468BDFZ\prt~սլՋsսլՋ[սլSJh\ >*CJaJhVCJaJ/jh.XhvoCJOJQJU^JaJ/jh.XhvoCJOJQJU^JaJh.XCJOJQJ^JaJh\ CJaJh:h\ CJaJ h.Xh\ CJOJQJ^JaJ.jh.XCJOJQJU^JaJmHnHu#jh.XCJOJQJU^JaJ/jh.XhvoCJOJQJU^JaJFHZAXkd&$$Ifl@0"  t644 lazyt\ d)$IfgdxXkdN$$Ifl@0"  t644 lazyt\ ,.0XZf d)$Ifgdx$a$gd\ d)gd\ $a$Xkd$$Ifl@0"  t644 lazyt\ *,0VXZdfh|~߯q`߯Hq/j:h.XhvoCJOJQJU^JaJ h.Xh\ CJOJQJ^JaJ.jh.XCJOJQJU^JaJmHnHu/jbh.XhvoCJOJQJU^JaJh.XCJOJQJ^JaJ#jh.XCJOJQJU^JaJh\ hVCJaJh\ h\ CJaJh\ CJaJh:h\ CJaJh\ >*CJaJh:h\ >*CJaJ0AXkd$$Ifl@0"  t644 lazytx d)$IfgdxXkd$$Ifl@0"  t644 lazytx0000!0.000C0Y0Z0[0I1J1^1_1`1j1k1ëш||tit^itF/j h.XhvoCJOJQJU^JaJh\ hVCJaJh\ h\ CJaJh\ CJaJh:h\ >*CJaJh\ >*CJaJU.jh.XCJOJQJU^JaJmHnHu/j h.XhvoCJOJQJU^JaJh.XCJOJQJ^JaJh:h\ CJaJ h.Xh\ CJOJQJ^JaJ#jh.XCJOJQJU^JaJ __________________________________________ __________________ (Signature) Date RECIPIENT ORGANIZATION CERTIFICATION Certification: I hereby certify that the RECIPIENT organization has accepted and signed an unmodified copy of the UBMTA (May be the RECIPIENT SCIENTIST if authorized by the RECIPIENT organization): Authorized Official: FORMTEXT      Title: FORMTEXT      Address: FORMTEXT       __________________________________________ __________________ (Signature) Date     v14.02.18 0000C0Z0[0\0]000I1J1_12yy d)$Ifgdx$a$ $ 8a$gd\ $a$gd\ d)gd\ Xkd $$Ifl@0"  t644 lazytxk12 2 22222 2426282B2D2F2Z2\2p2r2t2~2222222232343ĹĹsĹj^j^Sh\ hVCJaJh:h\ >*CJaJh\ >*CJaJ/j h.XhvoCJOJQJU^JaJ/j h.XhvoCJOJQJU^JaJh.XCJOJQJ^JaJh\ CJaJh:h\ CJaJ h.Xh\ CJOJQJ^JaJ.jh.XCJOJQJU^JaJmHnHu#jh.XCJOJQJU^JaJ222F2H2Z22AXkd6 $$Ifl@0$ " t644 lazyt\ d)$IfgdxXkd^ $$Ifl@0$ " t644 lazyt\ 222234383:3>3@3D3F3J3L3`3b3d3f3$a$d)gd\ Xkd $$Ifl@0$ " t644 lazyt\ 4363:3<3@3B3F3H3L3^3`3b3d3f3h\ hVCJaJh2 h.Xh2CJOJQJ^JaJh2CJOJQJ^JaJh*|jh*|U (/ =!"#$% jD$$If!vh#v#v:V l@ t 66,55pytxjD$$If!vh#v#v:V l t 66,55pytxjDt$$Ifz!vh#v#v4:V l@ t6,554azpytxjDt$$Ifz!vh#v#v4:V l@ t6,554azpytxjDjDjDtDText1b$$Ifz!vh#v#v :V l@ t6,55 azyt\ tDText2b$$Ifz!vh#v#v :V l@ t6,55 azyt\ tDText3b$$Ifz!vh#v#v :V l@ t6,55 azyt\ tDText4b$$Ifz!vh#v#v :V l@ t6,55 azytxtDText5b$$Ifz!vh#v#v :V l@ t6,55 azytxtDText6b$$Ifz!vh#v#v :V l@ t6,55 azytxtDText7b$$Ifz!vh#v#v:V l@ t6,55azyt\ tDText8b$$Ifz!vh#v#v:V l@ t6,55azyt\ tDText9b$$Ifz!vh#v#v:V l@ t6,55azyt\ 6666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~_HmH nH sH tH 8`8 Normal_HmH sH tH :A : Police par dfautZi@Z Tableau Normal :V 44 la 2k 2 Aucune liste bb \ Grille7:V066 .XEn-tte  !@ @@ .X Pied de page  !PK!pO[Content_Types].xmlj0Eжr(΢]yl#!MB;.n̨̽\A1&ҫ QWKvUbOX#&1`RT9<l#$>r `С-;c=1gL>Gyi mBTΑ_. zN IFv_uN^ੱ[ 9S[5l|Eʌvm1J5lkke A:o:5 A6]l5lŔ3h^/^BF8_) .5ňr^%=( EdxHdȉm`Tyc13DI&[{{Oy'w޽EJԳ>|vS7^T|?~BLy_?|G}shXHwy,4+x_Nb#RJ#RfqB_ 6š}Ww,1<ޖgW2Fی;Y<{r>:tA8I\*;1ܣ(()z0vu]p&HzFIɀ l 2qٽuym$TZ4^AcJhkH.#Tq]!!X V~Z;tH.ɁK5X:1J2OҸ}W@"oI|!([[>$e4Aԛ1w fV'tn5ԭ^E;;~~Z/8~][ઙSzt{0׿;oq f7Msy^=Kvahjd6z۝u}9okO؃A%M td{\gא'f5Y0 I}orGL)'PK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-!pO[Content_Types].xmlPK-!֧6 -_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!2+theme/theme/theme1.xmlPK-! ѐ'2 theme/theme/_rels/themeManager.xml.relsPK]- c > Z NBk143f3  022f3 7CIUag(.bnt7CIS_eq} %1=C c FFFFFFFFFFFFFFFF8@0( aluca  B S  ? 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