Uganda

Clinical Trial Application	Uganda Clinical Trial Quote Request Clinical Trials Quote Request
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 • 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

Clinical Trial Application	Egypt Clinical Trial Quote Request Clinical Trials Quote Request
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 • Sponsor to provide completed Know Your Country (KYC) form (Newfront to provide separately) • Local CRO or Local Representative details (Contact Person Name and Telephone Number). If there is no local Representative, then please provide the contact details of any site/hospital participating in the trial - Premium is paid directly to the carrier within 14 days of receipt of invoice - No refund for policy cancellation Policy and certificate typically take up to 3-4 weeks for carrier to process so please note this time frame in the submission process