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Gene Symbol Request Form

Please provide as much information as possible in the form below and click 'Submit'. All non-public information will be treated in confidence.
   
Family name:
First name:
Email address*:
Institute:
Publication status:
Please add any relevant PMID(s), or if not yet published the relevant journal name and manuscript number:
Proposed Gene Symbol*:
Proposed Gene Name/Description:
Chromosomal location:
Other symbols and names used:
eg synonyms/aliases
Entrez Gene/Ensembl ID:
Public sequence accession IDs: 
DNA sequence:
If your sequence(s) does not fit in the box provided please send as an attachment to hgnc@genenames.org
Protein sequence:
If your sequence(s) does not fit in the box provided please send as an attachment to hgnc@genenames.org
Additional  comments and information:
e.g. Enzyme ID, OMIM ID, MGI ID.
If requesting a locus symbol for a specific phenotype please state clearly the phenotype, form of inheritance, chromosomal location, flanking markers and maximum LOD score. Please also stipulate if the causative gene has been identified, and if yes which gene it is.
* Required fields