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'' +I<#/ 1C@ CMJID> )THKCJ>TOD> )@PF@HD< -M@%1 !<O< #JMH DN JI@ JA OC@ JHKM@C@INDQ@ /@KJMO #JMHN 1CDN AJMH ><KOPM@N ))NK@>DAD> KM@%1 ?<O< NP>C <N ?DN@<N@ <NN@NNH@IO <O ?D<BIJNDN G<=JM<OJMT NOP?D@N <O ?D<BIJNDN KM@%1 OM@<OH@IO AJM )) HJNO M@>@IO ?DN@<N@ <NN@NNH@IO KMDJM OJ OC@ NO<MO JA OC@ KM@K<M<ODQ@ M@BDH@I G<=JM<OJMT NOP?D@N KMDJM OJ OC@ KM@K<M<ODQ@ M@BDH@I <I? ?DN@<N@ NO<OPN <O OC@ G<NO <NN@NNH@IO KMDJM OJ OC@ KM@K<M<ODQ@ M@BDH@I 1CDN AJMH HPNO =@ >JHKG@O@? AJM <GG M@>DKD@ION RCJN@ KMDH<MT ?DN@<N@ M@KJMO@? JI #JMH LP@NODJI DN >CMJID> GTHKCJ>TOD> G@PF@HD< )) >@GGNH<GG GTHKCJ>TOD> G@PF@HD< 0)) C<DMT >@GG G@PF@HD< JM KMJGTHKCJ>TOD> G@PF@HD< -)) JOC #JMH CMJID> )THKCJ>TOD> )@PF@HD< -M@%1 !<O< <I? #JMH %J?BFDI <I? +JI%J?BFDI )THKCJH< -M@%1 !<O< HPNO =@ >JHKG@O@? DA OC@ M@>DKD@IO C<? < /D>CO@MqN OM<INAJMH<ODJI AMJH )) OJ ?DAAPN@ G<MB@ >@GG GTHKCJH< KMDJM OJ OM<INKG<IO .L9J<HL<EK /I8EJGC8EK &A OCDN DN < M@KJMO JA < N@>JI? JM NP=N@LP@IO OM<INKG<IO AJM OC@ N<H@ ?DN@<N@ NP=OTK@ <I? K?@J 98J<C@E< ;@J<8J< @EJ<IK N8J EFK :FDGC<K<; =FI K?< GI<M@FLJ KI8EJGC8EK @B K<OD@IO R<N JI 1"! OM<>F AJM OC@ KMDJM %1 KMDJM %1 R<N <POJGJBJPN RDOC IJ >JIN@IO @O> =@BDI <O LP@NODJI &A OCDN DN < M@KJMO JA < N@>JI? JM NP=N@LP@IO OM<INKG<IO AJM < ;@==<I<EK ;@J<8J< @B K<OD@IO R<N KM@QDJPNGT OM<INKG<IO@? AJM < ?DN@<N@ JOC@M OC<I )) =@BDI OC@ AJMH <O LP@NODJI &A OCDN DN < M@KJMO JA < N@>JI? JM NP=N@LP@IO OM<INKG<IO AJM OC@ J8D< ;@J<8J< 8E; K?@J 98J<C@E< ;@J<8J< @EJ<IK ?8J GI<M@FLJCP 9<<E :FDGC<K<; >C@>F OC@ DI?D><OJM =JS <I? >JIODIP@ RDOC LP@NODJI . !DN@<N@ NN@NNH@IO <O !D<BIJNDN . )<=JM<OJMT 0OP?D@N <O !D<BIJNDN . -M@%1 1M@<OH@IO AJM )) . *JNO /@>@IO !DN@<N@ NN@NNH@IO -MDJM OJ OC@ 0O<MO JA OC@ -M@K<M<ODQ@ /@BDH@I . )<=JM<OJMT 0OP?D@N -MDJM OJ OC@ 0O<MO JA OC@ -M@K<M<ODQ@ /@BDH@I . !DN@<N@ 0O<OPN <O OC@ )<NO NN@NNH@IO -MDJM OJ OC@ -M@K<M<ODQ@ /@BDH@I *<IP<G 2K?<O@N 0@>ODJIN JA OC@ #JMHN &INOMP>ODJI *<IP<G <M@ AM@LP@IOGT PK?<O@? 1C@ HJNO M@>@IO PK?<O@N OJ OC@ H<IP<G ><I =@ AJPI? =@GJR #JM <??DODJI<G DIAJMH<ODJI N@G@>O OC@ H<IP<G N@>ODJI <I? M@QD@R OC@ PK?<O@? O@SO &*1/JMB #JMHN &INOMP>ODJI *<IP<G CIBMTR Forms Instructions Manual CLL Pre-HCT Data Form - Revision 2 1

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