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Clinical research consultation application form (Word file, .docx 32 KB)

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· Clinical research consultation application form (required)
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Application Form for Clinical Study Consultation

(※): All fields marked with an asterisk (※) are required.

Applicant name (※)
Affiliation (※)

State the name of your institution and department.
Email address (※)
Title of research (※)

Input the title of your research project.
Questions & consultation objectives (※)

Write questions and consultation objectives in detail.
Application Form for Clinical Study Consultation (※)
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Additional materials 3：

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