ANZGOG ASM - New Trial Concept Submission

Name *
Contact Address
Telephone
Mobile
Fax
Email Address *
Title of Concept *
(a) Aims

(b) Background and significance

(c) Study summary including hypothesis, objectives and endpoints

(d) Key eligibility criteria

(e) Statistical considerations

Concept submission check list
The concept submission has covered all the key areas as described in the information sheet. The presenter will be available to deliver the paper on the 3rd day of the ASM. I confirm that the concept submitted is in final presentable form. I have registered to attend the conference. I give the conference organizers, YRD (Aust) Pty Ltd and ANZGOG, permission to publish my concept in the print and electronic media.