Application Form for Foreign Press Center/Japan (FPCJ) Supporting Membership Date: ______ /______/_____ (YYYY/MM/DD) To the President,

Source URL: fpcj.jp

DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE

Source URL: puffnstuff.com

• Financial institutions
• Institutional investors
• Liability insurance
• Additional insured
• Subrogation
• Cancellation
• Risk purchasing group
• Insurance
• Types of insurance
• Financial economics

LIST OF PARTICIPANTS of the XXX meeting dd.mm.yyyy; hh:mm – hh:mm Town/Country (name, theme, date, time, town and country of the meeting be added)

Source URL: www.seed.eusbsr.eu

[Host institution and address]

Source URL: www.actris.net

ANNEX 1 AF Study Assessment Form Protocol Number : Date (DD/MM/YYYY): Protocol Title :

Source URL: www.health.gov.bt

• Informed consent
• Comment
• Data
• Computing
• Medical ethics
• Information
• Ethics

Dorm Agreement made and entered into on yyyy-mm-dd in Warsaw by and between: The University of Social Sciences and Humanities (SWPS), based in Warsaw, ul. Chodakowska 19/31, entered into the Register of Non-State Higher

Source URL: www.swps.pl

For Main Board and GEM listed issuers Monthly Return of Equity Issuer on Movements in Securities For the month ended (dd/mm/yyyy) :

Source URL: www.petrochina.com.cn

• Corporate finance
• Equity securities
• Finance
• Preferred stock
• Subscription
• Bonus share
• Dividend
• Shanghai Stock Exchange
• Stock exchange
• Financial economics
• Stock market
• Investment

MDH_IRB FORM 2(H)2012: REVIEW OF RESUBMITTED STUDY PROTOCOL FORMReview of Resubmitted Study Protocol Form MDH IRB Code: Date of Initial Submission:

Source URL: www.maniladoctors.com.ph

MDH_IRB FORM 3(G)2012: SERIOUS ADVERSE EVENT/S REPORTSerious Adverse Event/s Report Principal Investigator:

Source URL: www.maniladoctors.com.ph

• Medicine
• Health
• Adverse event
• Adverse effect
• Serious adverse event
• DD/MM/YYYY
• Reaction
• Science
• Clinical research
• Pharmaceutical industry
• Pharmacology

Declaration of Intent to Enter Into Medical Insurance I, __________________________, born ___________, hereby declare that I will enter FULL NAME DATE OF BIRTH (DD.MM.YYYY)

Source URL: www.norway.or.jp