CARI – Formulaire d’inscription

Nous vous remercions de l’intérêt que vous portez à l’Initiative CPDC-adMare Radiopharmaceutique (CARI).

Pour poser votre candidature, veuillez remplir le formulaire ci-dessous (en anglais seulement). Notre équipe examinera attentivement votre demande et vous contactera dans les meilleurs délais.

Section A – Applicant Information

(Name, Affiliation, Address, Telephone, Fax, e-mail)
(Name, Affiliation, Address, Telephone, Fax, e-mail)
Are any of the researchers involved in this project stand to receive a potential personal financial gain (i.e.: ownership of shares in an industry partner, consulting fees with industry partner, etc.) from the results of the proposed research?
Click or drag a file to this area to upload.

Section B – Project Information

1) Project Introduction

(1 to 2 worded answers). If not applicable please insert N/A.
(1 to 2 worded answers). If not applicable please insert N/A.
(1 to 2 worded answers). If not applicable please insert N/A.
(1 to 2 worded answers). If not applicable please insert N/A.

2) Project Description

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3) Services Required

4) Funding