In case this form does not fit your request please contact neuhaus[at]tum.de.

The fields marked with * are required.



Order request

Billing address

USt-Id-Nr.


Name*

Surname*

E-Mail address*

Alternative E-Mail adress

Phone Number


Name of study for this request*


Typo or origin of sample

Amount of samples


Samples are




Organism*

Other organism

In case your sample is human: Please note the file number of the ethic vote here or send ethic vote via E-mail



Type of analysis test

16S rRNA Amplicon Sequencing: requested region 





Please note the length of Amplicon





Remaining samples*



Isolated DNA*



Sequencing within the scope of CRC1371*



Sequencing within the scope of a cooperation*



Sequencing with Spikes (weight of samples is known)*



Other/ further information



The collected data is used only in the context of the order request at the Core Facility Microbiom, ZIEL- Institute for Food & Health.

This includes in particular:

The members of the ZIEL- Institute for Food & Health, Core Facility Microbiom as well as the responsible technical staff from Information Technology at TUM will have access to the personal data.

Consequences of missing consent:

You have the right to not agree to this declaration of consent - however, the data marked as mandatory fields is required to edit your order, we can´t edit your order without this.

Your rights:

  • right to information
  • right to correct or delete or to restrict of processing or a right to object to processing
  • right to data portability
  • in addition, there is a right of appeal to the Bavarian State Commissioner for Data Protection

Consequences of withdrawing consent:

After receipt of the declaration of revocation, your data may not be further processed and will be deleted immediately. Withdrawing your consent does not affect the legality of the processing that has taken place up to that point. Please send your revocation to the address below.

Contact organization team:

ZIEL - Institute for Food & Health
Core Facility Microbiom
Weihenstephaner Berg 3
85354 Freising
cfm.ziel@tum.de

If you have any further questions about data protection, please contact the data protection officer: www.datenschutz.tum.de



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