Date: _______________

To,


Mr. Sunil Jajoo


Sun Pharmaceutical Industries Ltd.

Sun House CTS No. 201 B/1,

Western Express Highway, Goregaon (E),

Mumbai - 400 063; Tel: + 91 22 4324 1234/5239


Dear Mr. Sunil Jajoo,


Subject: Utilization pattern of Sunscreens in real life scenario


In response to your letter dated …. 2023, 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, DRF and full information on Suncros.

  • Suncros will be prescribed and purchased as in my routine practice.

  • The patients’ identity will not be disclosed in the CRF.

“…………………………………………………………………………………………………….”


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

Name: {{$doctorName}}
Qualifications:
Speciality:
Postal Address:
Pin Code:
Clinic/Hospital Tel. No.:
Mobile No.
*PAN Card No.

Yours sincerely,
Doctor Name: Dr. __________________________
Doctor Sign & Date: __________________________

*Imp: Please attach a copy of your PAN card for Administrative records