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Serious Adverse Event, & Unanticipated Problem Reporting Form Instructions: When completing this form, refer to the Adverse Event & Unanticipated Problem Policy. Please upload the completed form with
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Start by providing your full name, including your first, middle, and last names.
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Next, enter your complete mailing address, including the street number and name, city, state, and ZIP code.
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Then, include your date of birth in the specified format (e.g., mm/dd/yyyy).
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Specify your gender by selecting either "Male" or "Female."
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Enter your social security number, ensuring its accuracy and confidentiality.
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Provide your contact information, including your primary phone number and email address.
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Indicate your citizenship status, selecting from options such as "U.S. Citizen," "Permanent Resident," or "Non-U.S. Citizen."
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If applicable, indicate your visa type and its expiration date.
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Finally, sign and date the section to confirm the accuracy of the information provided.
Who Needs Section I General Information:
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Individuals applying for a job or educational program may have to fill out Section I General Information when completing an application form.
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New employees may be required to fill out this section as part of their onboarding process for employment verification purposes.
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Students enrolling in educational institutions may need to provide their personal details in Section I General Information for administrative and demographic purposes.
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What is section i general information?
Section I general information is a part of a form or document that includes basic details about an individual or entity.
Who is required to file section i general information?
Individuals or entities required to provide basic information about themselves or their organization.
How to fill out section i general information?
To complete section I general information, one must provide accurate details as requested in the form or document.
What is the purpose of section i general information?
The purpose of section I general information is to collect essential details for record-keeping or verification purposes.
What information must be reported on section i general information?
Basic information such as name, address, contact details, and other relevant details may need to be reported.
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