To the best of my knowledge I have been explained about Cow Urine Therapy. I am ready to participate in the study voluntarily & I will be regular in follow up by cheek up by doctors in your center. Centre will not be liable for any consequences whether harmful or beneficial during or after the cow urine therapy. I don't have any objection if Cow Urine Therapy and Research Institute, 165 RNT Marg Indore-452001 publishes my Name, Photograph, Address & Telephone no.