Novartis: Recognizing Ongoing Advancements in Dermatological Science

NOVARTIS ONCOLOGY YOUNG CANADIAN INVESTIGATOR (NOYCIA) SUBMISSION FORM

Instructions:

1. Edit the Footer with your name, the abstract title, and date of submission 2. Use this document to insert the following as Word documents (preferred) or Adobe Acrobat PDF files (information provided is confidential):  Abstract  Supervisor Letter (should not exceed one page)  ASCO Acceptance Letter  Applicant Contribution Questionnaire

 Microsoft Word 2007/2010 instructions for inserting text from file:

 Microsoft Word 2003 instructions for inserting a file:

Applicant Information (Please complete the following fields) Applicant Name: Abstract Title: Date of Submission:

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INSERT ABSTRACT BELOW:

INSERT SUPERVISOR’S LETTER BELOW (Max. One Page):

INSERT LETTER OF ACCEPTANCE FROM ASCO HERE:

Applicant CONTRIBUTION QUESTIONNAIRE Instructions: Fill out the table below. Please ensure that the numbers in each row of columns 2-4 add up to 100%. To sum the contributions, right-mouse click on each number in the total row and select “Update Field” or F9 to update the total. Or, highlight the Totals row and click on F9 to update the whole row.

% contribution of the % contribution of the % contribution of the List the names of all the contributing % contribution of the authors/co-authors in author/co-authors in author/co-authors in authors/co-authors in terms of author/co-authors in data collection, patient the statistical design the final drafting of the percentages from high to low the design of the trial accrual and study and analysis abstract logistics

TOTALS Highlight each 0, right-mouse click and must select “Update Field” or F9 to update the 0 0 0 0 =100% totals to the right 

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