Date: {{$ActivityAssignDate}}

To,


Mr. Sunil Jajoo


VP & Cluster Head, Dermatology

Sun Pharmaceutical Industries Ltd.


Dear {{$doctorName}},


Subject: {{$ActivityName}}


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:
Clinic or Hospital Telephone Number:
Residence Telephone Number:

Yours sincerely,

[Signature & Stamp]
{{$doctorName}}