Date: {{$ActivityAssignDate}}

To,

Mr. Sunil Jajoo

VP & Cluster Head, Dermatology
Sun Pharmaceutical Industries Ltd.

Dear Mr. Jajoo,

Subject: To understand the level of prevalence, topical treatment choice in management of dermatophytosis.

In response to your letter dated _________, I agree to participate in the study as outlined by you. I understand that:


  • You will provide me with a copy of the study plan, ___ data collection form (DCF)

  • The patients’ identity will not be disclosed in the DCF

  • You will provide the assistance of a personnel to verify the information in the DCF in the given format


My personal details are given below for accuracy of your records.

Name: {{$doctorName}}
Qualifications:
Speciality :
Postal Address:
PIN Code :
Clinic or hospital telephone No. :
Residence telephone No. :

Yours sincerely,

[Signature & Stamp]
{{$doctorName}}