G6PD: Submit additional mutation data

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Name of Mutation:Required
Nucleotide Number(+):Required
Original Nucleotide: Required
Nucleotide Substitution: Required
Amino acid Number(+):Required
Original Amino acid: Required
Amino acid Substitution: Required
Clinical Class of mutation: If known
Reference authors:Optional
Reference title:Optional
Reference citation:Optional
Your name(*):Required
Your institution(*):Required
EMail address(*):Required

*  Note! We cannot process your submission without a valid EMail address

(+)  You can only submit single site mutations through this form. If the mutation is more complex, please submit by EMail