Biomedical Research Ethics Approval Form

Project Information

Project Title Principal Investigator (Name & Affiliation) Email Phone Co-Investigators (Names & Affiliations)

Research Details

Study Objectives Summary of Research Procedures Study Duration Location(s) of Study

Participants

Number of Participants Inclusion Criteria Exclusion Criteria

Ethical Considerations

Potential Risks to Participants Potential Benefits to Participants Confidentiality Measures Informed Consent Process

Additional Information

Funding Source Other Relevant Details

Declarations

I confirm that the information provided is accurate, and the research will adhere to ethical guidelines.

Date Principal Investigator Signature