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Project Index page Format - Lokmanya Tilak Municipal ...

Project Index page Format A. Project Index Page Format Project Index Page Project Title Index No Document Name Page PI Check ( Please specify in Page Nos column NA if not applicable ) Nos. Chk ( SRS. use ). 1. Research Project Format *. a. Project Summary *. b. Research Protocol Application Format *. c. References *. d. Patient Information Sheet in 3 languages *. e. Patient Informed Consent Form in 3 languages *. f. Case Record Form / Questionairre / Patient Diary *. 2. Additional Documents ( As may be required ). a. Investigator Brochure for Sponsored Project b. Clinical Trial Agreement c.

Project Index page Format A. Project Index Page Format Project Index Page Project Title Index No Document Name ( Please specify in “Page Nos” column NA if not applicable )

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Transcription of Project Index page Format - Lokmanya Tilak Municipal ...

1 Project Index page Format A. Project Index Page Format Project Index Page Project Title Index No Document Name Page PI Check ( Please specify in Page Nos column NA if not applicable ) Nos. Chk ( SRS. use ). 1. Research Project Format *. a. Project Summary *. b. Research Protocol Application Format *. c. References *. d. Patient Information Sheet in 3 languages *. e. Patient Informed Consent Form in 3 languages *. f. Case Record Form / Questionairre / Patient Diary *. 2. Additional Documents ( As may be required ). a. Investigator Brochure for Sponsored Project b. Clinical Trial Agreement c.

2 Insurance Policy with suitable validity d. DGCI Approval Letter for Phase I/ II/ III study e. Investigator's undertaking to DCGI for Phase I II III . studies . f. Ethics Committee Clearance status Multicentric . Multinational study only Letter from Ethics Committee . Letter from Sponsor for status g. Food and Drug Administration FDA . marketing manufacturing license for herbal drugs(. h. Please specify if Clearance of other Bodies as may be required Sample List enclosed below . 3. Project Completion Letter *. * Mandatory **. Health Ministry Screening Committee HMSC . Bhabha Atomic Research Centre BARC.)

3 Genetic Engineering Advisory Committee GEAC . Director General of Foreign Trade DGFT . Etc$.


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