РSignature of Investigator and Study Group 研究小组签字Р姓名正楷РPrinted NameР日期РDateР签名РSignatureР任务分配及授权表РStudy Center Task Authorization FormР方案号РProtocol No.Р研究者РInvestigatorР监查员РMonitorР研究题目РStudy TitleР研究中心РStudy Center Р中心编号РCenter No.Р职责ResponsibilityР主要研究者РPrincipal InvestigatorР合作研究者РCo-investigatorР知情同意书РInformed Consent FormР体检/病史РPhysical Exam/HistoryР病人入选排除РPatient Inc/Excl CriteriaРCRF填写及更改РCRF Entry and CorrectionР伦理联系РEC ContactingР严重不良事件报告РSAE ReportingР病人联系/随访РSubject Contact/ Follow UpР药物管理РDrug ManagementР样本管理РBiology Sample ManagementР应急信封РEmergency Envelop Р其它,请描述:РOthers, please specify:Р姓名正楷Printed NameР职称РTitleР科室РDept.Р任务分配РTask (list the No. in the above responsibility)Р签名及姓名缩写РSignature & InitialsР授权日期РDate when authorizedР主要研究者签名РInvestigator’s Signature:Р Р日期Date:Р / /
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