Human and Animal Research Ethics Approval Form
1. Applicant Information
Full Name
Department / Institution
Email
Phone
2. Project Details
Project Title
Type of Research
Human
Animal
Both
Project Summary
3. Ethical Considerations
Describe ethical considerations and steps to minimize risk:
4. Participants / Subjects
Number of human participants or animals involved:
Selection criteria for participants/subjects:
5. Consent
Describe how informed consent will be obtained:
6. Data Handling
How will data be collected, stored, and protected?
7. Additional Approvals
Has this research been approved by any other board or committee?
Yes
No
If yes, provide details:
8. Declaration
I hereby declare that the information provided above is correct and complete to the best of my knowledge.
Applicant Signature
Date