Extract to table

Accordingly, the Form 1572 collection process described in this memorandum is integral to, and must proceed in coordination with, the broader MCTA negotiation and site activation process

Within this framework, the Form 1572 serves as the primary mechanism by which an investigator formally agrees to participate in a clinical investigation and to abide by the regulatory requirements applicable to the conduct of that investigation

The investigator is required to attach a current curriculum vitae ("CV") and, where applicable, documentation of relevant training and experience

Protocol Details The essential protocol parameters that must be correctly referenced in each Form 1572 are as follows: Each Form 1572 must accurately reference the protocol number (PPC-4871-III) and the protocol title

Each Form 1572 must reference the correct site name and address, and the site information on the form must match the information set forth in Schedule 1 to the MCTA

Each of the remaining thirty-six (36) Veridian Network sites will designate a site principal investigator who must also complete and execute a Form 1572