Indonesia

Indonesia Clinical Trial Quote Request

Yes

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• Clinical Trial Quote Request
• Protocol and Informed Consent Form in English
• Site List in English, inclusive of Full Name(s) of Principal Investigator(s), the Hospital(s)/Site Location(s) Address(es) with Area Code
• Local Representative/CRO details (Contact Person Name, Address, Telephone Number and E-Mail Address)

- Premium payment and payment confirmation required PRIOR to release of certificate
- No refund for policy cancellation

Please allow additional time for processing

Uganda Clinical Trial Quote Request

Clinical Trials Quote Request

Yes

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n/a

• Clinical Trial Quote Request
• Protocol and Informed Consent Form in English
• Legal Representative details of Sponsor ((Contact Person Name, Address, Telephone Number and E-Mail Address)
• Completed Know Your Customer (KYC) Form and Proposal Form to be provided separately
• Premium payment is due in advance of release of policy documents

No refund for policy cancellation