Common use of Financial Disclosure Questionnaire Clause in Contracts

Financial Disclosure Questionnaire. Institution and Investigator will ensure that all investigators listed on the Trial staff list (i.e., the delegation log) at the time of Trial initiation as well as all investigators joining after Trial initiation, will provide sufficient and accurate financial information in English on the Financial Disclosure Questionnaire (“FDQ”) provided by the Sponsor. This certification / disclosure must include disclosure interest from their spouse and/or children. Changes to reportable financial information must be promptly communicated to the Sponsor during the course of the Trial and for one (1) year following completion of the Trial. If Investigator or any sub- investigators refuse to disclose their interests, such individuals will not be allowed to participate in the Trial.

Financial Disclosure Questionnaire. Institution and Investigator will ensure that all investigators listed on the Trial staff list (i.e., the delegation log) at the time of Trial initiation as well as all investigators joining after Trial initiation, will provide sufficient and accurate financial information in English on the Financial Disclosure Questionnaire (“FDQ”) provided by the Sponsor. This certification / disclosure must include disclosure interest from their spouse and/or children. Changes to reportable financial information must be promptly without unnecessary delay communicated to the Sponsor during the course of the Trial and for one (1) year following completion of the Trial. If principal Investigator or any sub- sub-investigators refuse to disclose their interests, such individuals will not be allowed to participate in the Trial.

Financial Disclosure Questionnaire. Institution and Investigator will ensure that all investigators listed on the Trial staff list (i.e., the delegation log) at the time of Trial initiation as well as all investigators joining after Trial initiation, will provide sufficient and accurate financial information in English on the Financial Disclosure Questionnaire (“FDQ”) provided by the Sponsor. This certification / disclosure must include disclosure interest from their spouse and/or children. Changes to reportable financial information must be promptly communicated to the Sponsor during the course of the Trial and for one one (1) year following completion of the Trial. If Investigator or any sub- investigators refuse to disclose their interests, such individuals will not be allowed to participate in the Trial.

Financial Disclosure Questionnaire. Institution and Investigator will ensure that all investigators listed on the Trial staff list (i.e., the delegation log) at the time of Trial initiation as well as all investigators joining after Trial initiation, will provide sufficient and accurate financial information in English on the Financial Disclosure Questionnaire (“FDQ”) provided by the Sponsor. This certification / disclosure must include disclosure interest from their spouse and/or children. Changes to reportable financial information must be promptly communicated to the Sponsor during the course of the Trial and for one (1) year following completion of the Trial. If Investigator or any sub- sub-investigators refuse to disclose their interests, such individuals will not be allowed to participate in the Trial.

Financial Disclosure Questionnaire. Institution Provider and Investigator will ensure that all investigators listed on the Trial staff list (i.e., the delegation log) at the time of Trial initiation as well as all investigators joining after Trial initiation, will provide sufficient and accurate financial information in English on the Financial Disclosure Questionnaire (“FDQ”) provided by the Sponsor. This certification / disclosure must include disclosure interest from their spouse and/or children. Changes to reportable financial information must be promptly communicated to the Sponsor during the course of the Trial and for one (1) year following completion of the Trial. If Investigator or any sub- sub-investigators refuse to disclose their interests, such individuals will not be allowed to participate in the Trial.