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    TransCelerate Curriculum Vitae Form

    Uploaded by

    P dierick
    This document is an abbreviated curriculum vitae template for medical professionals to provide basic personal and educational information, as well as professional experience, licenses, research interests, clinical trials experience, and Good Clinical Practice training. It includes fields for name, contact details, education history, medical education, professional experience, licenses, research areas, clinical trial phases, current and past clinical research, and GCP training documentation. The signatory confirms the accuracy of the information provided on the two-page form.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    TransCelerate Curriculum Vitae Form

    Uploaded by

    P dierick
    316 views2 pages
    This document is an abbreviated curriculum vitae template for medical professionals to provide basic personal and educational information, as well as professional experience, licenses, research interests, clinical trials experience, and Good Clinical Practice training. It includes fields for name, contact details, education history, medical education, professional experience, licenses, research areas, clinical trial phases, current and past clinical research, and GCP training documentation. The signatory confirms the accuracy of the information provided on the two-page form.

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    This document is an abbreviated curriculum vitae template for medical professionals to provide basic personal and educational information, as well as professional experience, licenses, research interests, clinical trials experience, and Good Clinical Practice training. It includes fields for name, contact details, education history, medical education, professional experience, licenses, research areas, clinical trial phases, current and past clinical research, and GCP training documentation. The signatory confirms the accuracy of the information provided on the two-page form.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    316 views2 pages

    TransCelerate Curriculum Vitae Form

    Uploaded by

    P dierick
    This document is an abbreviated curriculum vitae template for medical professionals to provide basic personal and educational information, as well as professional experience, licenses, research interests, clinical trials experience, and Good Clinical Practice training. It includes fields for name, contact details, education history, medical education, professional experience, licenses, research areas, clinical trial phases, current and past clinical research, and GCP training documentation. The signatory confirms the accuracy of the information provided on the two-page form.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

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    Abbreviated Curriculum Vitae (CV)


    First Name:
    Middle Name:
    Last Name:
    Profession:
    Affiliation Name:

    Address:

    City:
    Postal Code:
    State/Region/Province:
    Country:
    Phone:
    Extension:
    Fax:
    Email:
    Study Location Name
    (if different):
    Address :
    City:
    Postal Code:
    State/Region/Province:
    Country:
    Phone:
    Extension:
    Fax:
    Email (if different):

    EDUCATION
    University Degree Year Completed

    MEDICAL EDUCATION
    University Degree Year Completed

    -1 of 2-
    TransCelerate Investigator CV Template v 3.2: February 19, 2014
    Abbreviated Curriculum Vitae (CV)

    PROFESSIONAL EXPERIENCE/OTHER RELATED TRAINING


    Institution Medical Field Year (Completed)

    Professional License Number:


    State/Region/Province:
    Expiration Date:
    Research Area(s) of Interest:
    Clinical Trial Phases: I II III IV

    List your most Current Clinical Research below:


    Therapeutic Area: Type of Trial Phase: Completed On-Going

    Choose an item

    Choose an item

    Choose an item

    Choose an item

    Choose an item

    Choose an item

    Choose an item

    Choose an item

    GCP Training Documentation (Course Provider/Year Completed):

    By signing this form, I confirm that the information provided on this Abbreviated CV is accurate and reflects my current
    employment and qualifications:

    Signature:___________________________________________________________________ Date: ______________________

    -2 of 2-
    TransCelerate Investigator CV Template v 3.2: February 19, 2014

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