Appendix 4: Template of Attendance Sheet for GSK Standalone Meetings

Type of Meeting (SPM, Webinar, Any other): ___________________________

Date: __23RD FEB 2016___
Place: __JAMMU_____
Venue: _ASCOMS HOSPITAL____
Attendance Sheet for Doctors (HCPs) and Other Healthcare Staff (OHS)
GSK may conduct an audio and video recording of the entire scientific meeting or video
record few clippings of the scientific meeting for the purpose of internal record keeping of
GSK at GSKs absolute discretion. In case you have any objection or questions related to the
audio/video recording, kindly contact the GSK staff present at the meeting. By signing the
attendance sheet, you acknowledge that you are aware of the audio/video recording and have
no objection to the same.

GSK ID
Sr.
No

Name of Doctor (HCP) or

Attendee
Signature

MSL No

(only
for (only for
GSK use)
GSK use)

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9
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Attendance Sheet for GSK Staff

Sr.
No

Name of GSK Staff

Designation

Signature

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2
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9
10

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