【Sample of Form M-11】
・ Obtain the latest version of the form file from theJCM website to prepare the document.

(Form M-11-1)

RIKEN BRC

・Use Adobe Acrobat or Reader to prepare thedocument (do not use third-party PDF editing tools).

Fill in Recipient Scientist (must be a Principal

MATERIAL TRANSFER
AGREEMENT
Investigator)
name, official name and address(For Use for Not-For-ProfitofAcademic
Purpose) (including department)
Recipient Organization
without using abbreviation.

RECIPIENT
Recipient Scientist (Principal Investigator): Ichiro Riken
Recipient Organization: Department of Microbiology, Riken University
Address: 3-1-1 Koyadai, Tsukuba, Ibaraki 305-0074 Japan
This Material Transfer Agreement sets forth the terms and conditions under which RIKEN BioResource
Research Center (hereinafter referred to as ‘RIKEN BRC’) will provide with the RECIPIENT, and theRECIPIENT will receive, the biological material specified asCampylobacter rectus, Campylobacter lari subsp. lari, Noviherbaspirillum malthae(JCM No. 6301, 6302, 14870, 18414)

Fill in the latest Scientific name and JCM No. for each strain.
and its derivatives (hereinafter referredto as antheextra‘BIOLOGICALRESOURCE’)
responseto theAttach
sheet entitled“AttachmentinforMATERIAL
RECIPIENT’s request, and with which
the RECIPIENT
scientist andorganization
before theTRANSFER
AGREEMENT”
if thespace is agree
not enough.

RECIPIENT receives the BIOLOGICAL RESOURCE:
1.

2.

The RIKEN BRC, a non-profit public organization financed by the Japanese Government, isengaged in collection, maintenance, storage, propagation, quality control and distribution of thebiological resources, in order to contribute to the Japanese and international scientific community
in the field of life sciences.
(a) The RECIPIENT shall use the BIOLOGICAL RESOURCE for the following specific purpose:
Fill in research purpose (objectives/aims/goals of the research) in detail.
Write specific how and for what purpose you are going to use JCM strain(s).

3.
4.

(b) The RECIPIENT shall obtain a written prior permission from the RIKEN BRC for the usage ofthe BIOLOGICAL RESOURCE for any other purposes than the purpose specified above.
The RECIPIENT shall not use the BIOLOGICAL RESOURCE for diagnosis or treatment ofhumans or other direct applications to human bodies or as food source for humans.
The RECIPIENT agrees to use the BIOLOGICAL RESOURCE complying with the following
specific terms and conditions set forth by the DEPOSITOR, which are listed in the RIKEN BRC
Catalog and/or Website: Terms and conditions for distribution of strain JCM ◯◯◯The following specific terms and conditions are requested by the DEPOSITOR:
In publishing the research results obtained by use of the BIOLOGICAL RESOURCE, citation of the following literaturedesignated by the DEPOSITOR is requested: Int. J. Syst. Evol. Microbiol. 00:1234-1240 (DOI: □□/□□□□)Refer to the table displayed in the lower part of the JCM On-line Catalogue for each strain.

In the case requested by the DEPOSITOR, the RECIPIENT should obtain an approval from theNot applicable–： Fill in “N/A”.
DEPOSITOR using the APPROVAL FORM prior to entering the AGREEMENT with the RIKEN：Click the [information] button, then fill in the whole
Terms andconditions
ImposedBRC.
sentences displayed.
(or print out the webpage as an attachment)
Terms and conditions(2021-04-08)

(Form M-11-3)
13. In case the RECIPIENT is in breach of this AGREEMENT, the RIKEN BRC may request theRECIPIENT to cease its subsequent use of the BIOLOGICAL RESOURCE and other resourcesof the RIKEN BRC.
14. Both parties shall discuss in good faith to enable the amicable resolution of matters, arising inconnection with the interpretation or performance hereof as well as the matters which are notexpressly set forth in this AGREEMENT.
15. Any matter or dispute which cannot be settled through said amicable discussion shall be subject tothe exclusive jurisdiction of Tokyo District Court, Japan. This AGREEMENT shall be governed inaccordance with the laws of Japan.
The RECIPIENT and the RIKEN BRC do hereby sign two original copies of this AGREEMENT andeach party holds one signed copy.

RIKEN BioResource Research Center
3-1-1 Koyadai, Tsukuba, Ibaraki 305-0074 Japan
Director
Toshihiko Shiroishi, Ph.D.
Signature:
Date:

RECIPIENT
Organization:
Address:“Authorized Representative” should be a person authorized
to sign on behalf of the organization.
・Dean of University / College / School / Faculty・Head of Intellectual Property Management Division

Name of Authorized Representative:

Name of Dean, Director or President

Job Title:
Signature:
Date:
Name of Scientist (Principal Investigator):

Recipient (No student or trainee)

Job Title:"Scientist" should be a
Principal Investigator.

Signature:
Date:

RIKEN BRC-JCM(Reception Date(Reception No.

(MTA No.

(2021-04-08)