Customer information for project TEMPLATE

Project Leader institution* For definition of data property and rights, contact reference in case the project leader is no longer available.
Project Leader name* For definition of data ownership, responsabilities, access rights and credits.
Project Leader title For definition of data ownership, responsabilities, access rights and credits.
Project Leader unique ID For stable and unambiguous identification of the project leader. For example, an ORCID.
Project Leader email address* For communication and sending data delivery information.
Project Leader contact phone* For sending data release code.
Data Manager 1 name* For definition of access rights and credits.
Data Manager 1 title For definition of access rights and credits.
Data Manager 1 unique ID For stable and unambiguous identification of the first data manager. For example, an ORCID.
Data Manager 1 email address* For communication and sending data delivery information.
First data manager contact phone* For sending data release code.
Data Manager 2 name For definition of access rights and credits.
Data Manager 2 title For definition of access rights and credits.
Data Manager 2 email address For communication and sending data delivery information.
Data Manager 3 name For definition of access rights and credits.
Data Manager 3 title For definition of access rights and credits.
Data Manager 3 email address For communication and sending data delivery information.
Data Manager 4 name For definition of access rights and credits.
Data Manager 4 title For definition of access rights and credits.
Data Manager 4 email address For communication and sending data delivery information.
Data Manager 5 name For definition of access rights and credits.
Data Manager 5 title For definition of access rights and credits.
Data Manager 5 email address For communication and sending data delivery information.
IRB permission If applicable, the project leader confirms that a relevant institutional ethics review board has approved sequencing of the samples enrolled in the project.
Sample type* Defines the input sample type, e.g. genomic DNA, total RNA, library.
Sample species* Defines the species of the sample with latin name, e.g. Homo sapiens.
Sample specimen* Defines the tissue or cell line of origin for each sample, e.g. whole-blood, mononuclear cells, lymphoblastoid cell line.
Condition* Defines the condition or treatment that the sample is selected for, e.g. myelodysplastic syndrome, autism spectrum disorder.
Signee 1 full name* Person who signs the CSA.
Signee 1 title Person who signs the CSA.
Signee 1 email address* Email address to which the CSA will be sent via e-sign.
Signee 1 phone number* For communications on administrative matters.
Signee 2 full name Second person who signs the CSA.
Signee 2 title Person who signs the CSA.
Signee 2 email address Email address to which the CSA will be sent for second signature via e-sign.
Signee 2 phone number For communications on administrative matters.
Signee 3 full name Second person who signs the CSA.
Signee 3 title Person who signs the CSA.
Signee 3 email address Email address to which the CSA will be sent for third signature via e-sign.
Signee 3 phone number For communications on administrative matters.
For Information only email address Email of the person who will be copied, for information only, in the CSA signing process.
Administrative contact full name* Contact person for admin and billing matters.
Administrative contact email address* For communications on admin and billing matters.
Administrative contact phone number.* Phone of the contact person for administrative and billing matters.
Bill to: full name* This information will appear on the bill.
Bill to: title* This information will appear on the bill.
Bill to: full address* This information will appear on the bill.
Billing email address* Email to which the invoice will be sent.
CSRF Token
* Field is required