Email Address
h3abiorepository@h3abionet.org

Sample Exchange

To submit Biospecimens to the H3Africa Biorepositories, You are required to provide information about the study that generated the Biospecimens, information about the Biospecimens and the Biospecimen Donors using the list of forms below.

Forms

Study Level Information
  • 1. Enter Study Code*
    0
  • 2. Your Study name*
    1
  • 3. Type of Study to be/being conducted*
    2
  • 4. Study Geographical Information*select your country
    3
  • 5. Categories of data for collection*
    4
  • 6. Full Names of contact person*
    5
  • 7. Corresponding address of contact person*
    6
  • 8. Associated Omics experiments*
    7
  • 9. Age range of participants involved in study*
    8
  • 10. Average age of participants involved in study*
    9
  • 11. Number of individuals involved in the study*
    10
  • 12. Type of biospecimen collected*
    11
  • 13. Name of the Hosting biorepository*
    12
  • 14. Study breakdown by race*
    13
  • 15. Study breakdown by ethnicity*
    14
  • 16. Language(s) across the study*
    15
  • 17. Availability of study specific Medical Information*
    16
  • 18. Information on Clinical Diagnosis related to study*
    17
  • 19. Co-morbidity information available for study*
    18
  • 19
General Sample Information
  • 1. Enter Study Code*
    0
  • 2. Phenotype category*
    1
  • 3. Biospecimen / Sample type(s)*
    2
  • 4. Period of specimen collection
    3
  • From*
    4
  • To*
    5
  • 5. Method of sample collection*
    6
  • 6. Storage time at Host Biorepository*
    7
  • 7. Storage type/temp at host Biorepository*
    8
  • 8. Storage type/temp en route to H3A Biorepository*
    9
  • 9. Sample quantity shipped to H3A Biorepository*
    10
  • 10. Total number of aliquots in collection*
    11
  • 12
Individual Donors Information
  • Enter Study Code*Study Identification Number
    0
  • 2. Donor ID / Patient ID*Donor / Patient / Participant Number
    1
  • 3. Biospecimen / Sample type*
    2
  • 4. Enter Donor Age*Participant / Donor Age
    3
  • 5. Select Donor Gender*
    4
  • 6. Survey Record of participant available at EGA*If there exists Survey Records on the participant at EGA, include the details here
    5
  • 6
Shipment Notification form
  • 1. Researchers name*
    0
  • 2. Contact email address*
    1
  • 3. Study name*
    2
  • 4. Study code*
    3
  • 5. Biospecimen description/manifest*Upload a File
      4
    • 6. Attach a signed MTA*Upload a File
        5
      • 7. Valid Import/Export Permits*Upload a File
          6
        • 8. Courier name & contact information*
          7
        • 9. Invoice number*
          8
        • 10. Air Waybill Number*
          9
        • 11. Destination and source*
          10
        • 12. Date shipment was made*
          11
        • 13. Confirmation of delivery/receipt*
          12
        • 13