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CLINICAL SITE INFORMATION FORM Initial Date 12-01-04 I: Information For the Academic Program ration About the Clinical Site Primary Revision Date 4-25-08 Person Completing CSI Michelle Ties zen E-mail
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How to fill out initial date 12-01-04:

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Start by writing the month as "12" to represent December.
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Next, write the day as "01" to represent the first day of the month.
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Finally, write the year as "04" to represent the year 2004.

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Initial date 12-01-04 refers to the starting date of a particular event or process that took place on December 1st, 2004.
The individuals or entities involved in the specific event or process that began on December 1st, 2004, are required to file the initial date.
The initial date 12-01-04 should be filled out by providing all relevant information and details associated with the event or process that started on December 1st, 2004.
The purpose of the initial date 12-01-04 is to establish the starting point or timeline for a particular event or process.
Any relevant information or details related to the event or process that began on December 1st, 2004, must be reported on the initial date.
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