Submit your own Research Project Proposal for Discussion and Development
at the Clinical Research Training Course (CRTC2014) Workshop

First Name: *

First Name is Required
Last Name: *

Last Name is Required
Position Title/Department: *

Position Title/Department is Required
Institution: * (Hospital, Med. Center..)

Institution is Required
City: *

City is Required
Country of Residence: *

Country is Required
Mobile No.: * Include Country Code

Mobile No. is Required
E-mail: *

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Title of the Research Project:

Propose Workshops Title is Required
Background: (100 words or less)

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Study Objectives: (100 words or less)

Study Objectives is Required
Methodology: (100 words or less)

Methodology is Required
Target Population:

Target Population is Required
Potential Study Sponsor:

Not Required
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