AGREEMENT SIGNATURE. This Agreement, including its applicable schedules, has been executed and takes effect on the date of last signature written below. Name of MSBase/MGBase centre (e.g. hospital or clinic): Centre Authority (Head of Department, or similar) Signature Date Name written in full Position MSBase Principal Investigator (Signs to acknowledge the Agreement): Signature Date Name written in full MGBase Principal Investigator (Signs to acknowledge the Agreement): Signature Date Name written in full The MSBase Foundation Ltd MSBase Foundation Director: Xxxxxx Xxxxxxxxxx
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AGREEMENT SIGNATURE. This Agreement, including its applicable schedules, Agreement has been executed and takes effect on the date of last signature written below. Name of MSBase/MGBase centre (e.g. hospital or clinic): Click or tap here to enter text. Centre Authority (Head of Department, or similar) Authority: Signature Date Name written in full Position MSBase Principal Investigator (Signs to acknowledge the Agreement): Signature Date Name written in full MGBase Principal Investigator β if applicable (Signs to acknowledge the Agreement): Signature Date Name written in full The MSBase Foundation Ltd MSBase Foundation Director: Xxxxxx Xxxxxxxxxx
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Samples: mgbase.org
AGREEMENT SIGNATURE. This Agreement, including its applicable schedules, has been executed and takes effect on the date of last signature written below. Name of MSBase/MGBase centre (e.g. hospital or clinic): Centre Authority (Head of Department, or similar) Signature Date Name written in full Position MSBase Principal Investigator (Signs to acknowledge the Agreement): Signature Date Name written in full OR MGBase Principal Investigator (Signs to acknowledge the Agreement): Signature Date Name written in full The MSBase Foundation Ltd MSBase Foundation Director: Xxxxxx Xxxxxxxxxx
Appears in 1 contract
Samples: Participation Agreement