Animal Study Ethics Committee Application
Project Title
Principal Investigator
Department / Institution
Email
Phone
Project Details
Study Objectives
Summary of Proposed Work
Scientific Rationale / Justification
Animal Use Details
Species
Number of Animals
Source of Animals
Housing and Care
Procedures (Describe methods, anesthesia/analgesia, surgery, etc.)
Fate of Animals After Study
Ethical Considerations
Alternatives to Animal Use Considered
Measures to Minimize Pain/Distress
Potential Benefits of Study
Investigator Declaration
Name
Date