Guatemala

Clinical Trial Application	Guatemala Clinical Trial Quote Request Guatemala IVE Formulario
Mandated Coverage	Yes
Standard Limits	n/a
Tail Coverage	n/a
Data Required to Quote	• Clinical Trial Quote Request • Protocol and Informed Consent Form in English and Spanish • Protocol Title in Spanish • Local Legal Representative details (Contact Person Name, Address, Telephone Number and E-Mail Address) • Guatemala IVE Formulario must be completed by a Guatemalan entity/local legal representative • No refund for policy cancellation

Clinical Trial Application	Philippines Clinical Trial Quote Request
Mandated Coverage	Yes
Standard Limits	2M USD/protocol
Tail Coverage	1 year after the end of the study
Data Required to Quote	THE PROCESS TO ISSUE DOCUMENTS IS SLOW. PLEASE ALLOW 3-4 WEEKS TIME AS WE ARE NOT ABLE TO EXPEDITE DOCUMENTS • Clinical Trial Quote Request • Protocol and Informed Consent Form in English • Name and contact details of the Local CRO (include full name, contact person, address, email, telephone number) • Copy of the CRO’s Certificate of Accreditation from FDA Philippines • Completed KYC Form (to be provided by Newfront for completion) - No refund for policy cancellation