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Please contact me as I would like
to join the SIMBEC panel.

Thank you for your interest in joining our panel of healthy volunteers, please register by completing the on line questionnaire. If you are suitable, a member of our Volunteer Recruitment team will contact you to discuss the next step in joining our panel of healthy volunteers. Alternatively, please contact Volunteer Recruitment on Free phone 0800 691995 with any questions or to discuss any queries you may have. Thank you.

To enable us to make an assessment of your suitability we will need to ask you some personal details. These confidential details will be held on a database and will only be used by Simbec Research Ltd. to assess your suitability and will not be passed on to a third party. Under the Data Protection Act 1998, you are entitled to see this record and to request additions or corrections where appropriate.

We occasionally conduct studies in patient groups so it would be helpful to us if you
completed all of this section

(must be a UK resident for at least 1 year)

(must be more than 3 months)

(Please contact if yes)

'
"
m
cm

Minimum:
Males 9st 6lb
Females 8st

pounds

Smoking habits: *

(we test as part of the medical)

(must not have donated in the last 3 months)

units

Female Volunteers

Fields marked with an asterisk are mandatory.

Give us a call

Simply contact one of our recruitment staff who will be happy to take you through the initial process of joining our panel of volunteers.

0800 691995


By e-mail