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	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