I have fully discussed the objectives of this trial and the content of this protocol with the Sponsor or Sponsor’s representative. I understand that the information in this protocol is confidential and should not be disclosed, other than to those directly involved in the execution or the ethical review of the trial, without written authorization from Cancer Vaccine Development Program. It is, however, permissible to provide information to a patient in order to obtain consent. I agree to conduct this trial according to the protocol and to comply with its requirements, subject to ethical and safety considerations and guidelines, and to conduct the trial in accordance with all applicable regulations, and guidelines as stated in the protocol and other information supplied to me. I understand that the Sponsor may decide to suspend or prematurely terminate the trial at any time, for whatever reason. Such a decision will be communicated to me in writing. Conversely, should I decide to withdraw from execution of the trial, I will communicate my intention immediately, in writing to the Sponsor. Signed: Date: Investigator’s Name and Address: