Biomedical Research Ethics Approval Form
Research Project Details
Project Title
Principal Investigator
Department
Contact Email
Proposed Start Date
Estimated End Date
Summary of the Research
Brief Summary
Purpose/Objectives
Participants
Describe Participants (number, age, gender, etc.)
Recruitment Procedure
Ethical Considerations
Potential Risks to Participants
Informed Consent Process
Data Confidentiality & Storage Measures
Funding & Other Approvals
Source(s) of Funding
Other Required Approvals (if any)
Investigator Declaration
Signature / Name
Date