INTRODUCTION TO GCP COMPLIANCE AUDIT METHODOLOGY OF AN INVESTIGATIONAL SITE
6, 7, 8 MAY 2009 - GOA
Registration Information (please use only capital letters)
Title:
ˆ Prof. ˆ Dr. ˆ Mr. ˆ Mrs. ˆ Ms.
Surname:
First Name:
Organisation / Company :
Position:
Department:
Address 1:
Address 2:
Address 3:
Postal Code:
City
Country :
Phone:
Fax:
E-mail address:
Organisation / Company’s Profile
Academic Organisation
Nongovernmental Organisation
Government/Regulatory Organisation
Patient Organisation
Pharmaceutical Industry
Biotech Industry
CRO Industry
Other ______________________
Registration Fee
Rs. 29,500– Service Tax to be added
Payment (participation will be confirmed only after realisation of cheque)
Payment by demand draft
Payment by cheque
All charges to be borne by principal, to the order of SUTRA QUALITY MANAGEMENT Pvt Ltd
Account No. 078010200013697 at AXIS BANK (Panaji Branch)
Please fax (+91(0)832 2465151 or e-mail (events@tpaudit.com), or send by courier this form to
SUTRA QUALITY MANAGEMENT Pvt Ltd
House of Lords – D004 / Opp Marriott
Miramar, Panaji, Goa 403001
INDIA