Date: {{$ActivityAssignDate}}

Subject: Participation in the survey - “To understand the need gap in the management of apnea of prematurity”

In response to your letter, I agree to participate in the survey as outlined by you.


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]
{{$doctorName}}