CONTRACT FOR OBSERVATIONAL TRIAL Title: ____________________ Trial ____________________ Classification: _____ Trial code: ____________________ Foundation code: CV21/XX / CEIm21/XX.June 15th, 2021
FiledJune 15th, 2021Mr./Ms. [FULL NAME], with National ID No. [ID NUMBER], acting on behalf of ____________________, with Tax ID no. ____________________ and domicile in ____________________, who is authorised by a power of attorney granted in [LOCATION] on [DATE], before the notary [FULL NAME OF NOTARY] with number [INSTRUMENT NUMBER], acting on behalf of ____________________, with Tax ID No. G-28291235, acting on behalf of ____________________, with Tax ID ____________________ (hereinafter, SPONSOR) by virtue of commitments signed on [DATE].