Study Title/ Code Site Investigator (ID)/ (name) Date of visit Type of Name of monitor Signature of monitor Signature of investigator (e.g. Initiation Visit, and/or other CTU representatives and/or other CTU representatives or other appropriate trial centre (yyyy-mm-dd) Monitoring Visit) staff to confirm the visit Seite von
Study Title/ Code Site (ID)/ Investigator (name) Date of visit (yyyy-mm-dd) Type of (e.g. Initiation Visit, Monitoring Visit) Name of monitor and/or other CTU representatives Signature of monitor and/or other CTU representatives Signature of investigator or other appropriate trial centre staff to confirm the visit Seite von