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Multicentric Clinical Study - description form
Study title (max 25 words)
General information - chief investigator
First Name
Title
Last name
Position
Institute/organisation
Contact email
Contact phone
Contact postal address
Please upload the Curriculum Vitae of the chief investigator
Click to choose a file or drag here
Other project members involved
Project member 1
First name + Last name
Email address
Position
Institute
Project member 2
First name + Last name
Position
Email address
Institute
Project member 3
First name + Last name
Position
Email address
Institute
Participants, organization and collaborations: Structure and cooperation of the research group
Steering group
Data collection
Interpretation of data
Writing manuscript
MD, PhD xxx
MD xxx
Other?
PhD-candidate?
Statistician?
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