Veterinary Genetics
Laboratory
SAMPLE SUBMISSION FORM
WILDLIFE and EXOTIC SPECIES
Faculty of Veterinary Science
University of Pretoria
Private Bag X04
Onderstepoort
0110
Tel: (012) 529 8240
[email protected]
(Valid 31/07/2015 to 31/12/15)
F0008A08
Owner (person to whom the animals / samples belong):
Agent (if not owner – person to whom the report must be sent):
Address:
Tel:
Fax:
E-mail:
Veterinarian / Submitter:
Cell:
Veterinary stamp / Clinic:
LABORATORY TESTS REQUIRED
Animal ID and
Microchip number
(as samples are
marked)
Type of
sample
Species /
Common Name /
AND subspecies
Area / Origin / GPS
coordinates
(S and E)
Estimated
Sex
Age at
sampling
Test Request
(Please select test and refer to
corresponding table)
Parentage DNA profile / Other
certificate
LABORATORY USE ONLY
Parentage information (Required)
OFFSPRING/ CALF
POSSIBLE SIRES (Name and microchip number if possible)
POSSIBLE DAMS (Name and microchip number if possible)
OTHER (Colour testing, relatedness and species identification):
NAME OF ANIMAL
COLOUR VARIANT
(If possible please
attach/email a photo
of the animal)
DESCRIPTION OF ANIMAL (Saddle
back, all black, black face, golden
etc)
RELATEDNESS (Please indicate the SPECIES IDENTIFICATION (Please indicate
animals that need to be tested and
possible species and reason for test –
their relationship)
forensic investigation, unknown samples
found etc)
COLLECTION OF SAMPLES
For blood samples: Please use EDTA (purple stopper tubes) and label clearly with the identification as indicated on the form. If shipped directly keep cool, if stored, keep
frozen.
For hair samples (not recommended in carnivores): Locate the coarsest hairs you can find (preferably tail). Hold the hairs close to the skin and pull. Important: DO NOT
CUT HAIRS. Visually inspect the hairs for intact roots. Enclose at least 20-40 strands of dry hair in an envelope. Label each individual envelope with the name of the animal
sampled.
2
For tissue samples: A block of tissue approximately 1cm from any organs preferably muscle or heart. Skin would be the sample of choice, simplest to send a piece of the
ear. Alternatively biopsy darts are suitable. If shipped directly keep cool, if stored, keep frozen.
COST OF TEST per sample (vat incl.)
Rhino Genotyping for RhODIS database:
R400 (Rhino sampling kits are available on request)
Elephant Genotyping:
R400
Buffalo Genotyping:
R400
Hyena Sexing:
R200
Sable and Roan / Impala:
R400
Gnu (wildebeest):
R400
Wild Felids:
R400
Wild Dogs:
R400
Crocodile:
R400
White lion test or King cheetah test
R2000 (Includes profile and certificate)
Zebra
R400
Black impala test:
R2000 (Confirms black impala and black carriers/ splits) (Includes profile and certificate)
> 10 samples of the above colour tests
R1000 (10 samples must be sent in 1 submission)
WRSA members receive a 20% discount on the Black impala test until end 2015 / please supply the WRSA membership number when submitting the samples
All other species and testing on request
Bone:
R1000
Please note: One copy of the results will be sent to the owner / submitter as named in the upper left hand corner. Please indicate the preferred method for sending results
and where the results must be sent if it is not just to the specified owner.
NO TESTING WILL BE DONE UNTIL FULL PAYMENT HAS BEEN RECEIVED.
PLEASE EMAIL PROOF OF PAYMENT TO: [email protected]
Include a cheque payable to the University of Pretoria for the applicable amount or deposit in the following account:
Bank:
Account number:
Branch:
Reference:
ABSA
2140000038
335545 (Hatfield)
Owner’s name and AB916
Stored samples: The samples will be stored indefinitely in the reference library of the VGL. Every effort will be made to ensure that the
samples are maintained in the condition submitted. All samples are kept on behalf of the “owner” as specified in the space provided.
Samples will only be used as specified by the “owner” on this form unless ceded to the VGL or other party in writing, by the owner, if a
request for use of the samples arises in the future or the owner requests further testing.
DISPATCH OF SAMPLES
Samples should be sent in by the most rapid means possible. Avoid sending samples late in the week or prior to statutory holidays. Samples can be sent by:
Courier to: Veterinary Genetics Laboratory
Speed Service to:
Veterinary Genetics Laboratory
Faculty of Veterinary Science
Private Bag x04
University of Pretoria
Onderstepoort
Soutpan Road
0110
Onderstepoort