Details about the Investigator: (a) Name; (b) Addr...

Details about the Investigator: (a) Name; (b) Address; (c) Telephone number; (d) Profession (specialty); (e) Date of reporting the event to Central Licensing Authority; (f) Date of reporting the event to Ethics Committee overseeing the site;Central Drugs Standard Control Organization, Ministry of Health and Family Welfare, Govt. of India. (g) Signature of the Investigator.