Download SOP-210-G T64 Curriculum Vitae

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Melbourne Health Investigator Curriculum Vitae
First and Family Name:
Present appointment:
(Job Title, Department)
Address
Full work address including postcode
Qualifications
Degree and other professional
qualifications
PhD
MBBS
BN
MSc
BSc
Other:
( relevant qualifications, or specify)
Registration/licence number (if
applicable)
Previous appointments/
experience
(include only relevant therapeutic/
practical experience after gaining
qualifications)
Publications ( appropriate box)
(Number of articles published)
Previous experience in clinical trials
0
0–5
6-10
Protocol design
Recruitment
Consent
11-20
>20
Trial procedures
Other – please describe
below:
Data collection
Data management
Training (accredited courses)
GCP
Research Ethics
Other – please describe
below:
Research Conduct
List all HREC projects that you
currently hold the role of investigator
(Principal and/or Associate)
Signature:
Date:
Curriculum Vitae template
Version 1, October 2007
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