The Joint Clinical Trials Office

The Joint Clinical Trials Office

CLINICAL TRIAL ARCHIVE DOCUMENT

STUDY DETAILS

Sponsor:

Study title:

R&D number:

Protocol number:

Study Closed Date:

INVESTIGATOR DETAILS

Name:

Address:

Telephone number:

Email address:

BOX CONTENTS

Barcode Number

Archive Date:

Archive Review:

Archived By: Signature:

Site Staff : Signature: