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Medical Services Department for Armed Forces Scientific Research Center Research Ethics Committee RESEARCH PROPOSAL TEMPLATE (Non-Granted) Ref. No. REC.T. 2020- Reg. No. H-02-T-078 Date : / /2020 I. Cover/Title Page (Title of the proposal, names, affiliations, contact numbers, e-mails of the investigator/s and expected duration of the study) Title Principal Investigator : Contact No.: Email. : Co. Investigator/s Contact No.: Email: Co. Investigator/s : Contact No.: Email : Co. Investigator/s : Contact No.: Email. : Co. Investigator/s : Contact No.: Email: Co. Investigator/s : 1

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Page 1: €¦ · Web viewSubject Recruitment and Selection, Location, Duration, Potential Risks, Potential Benefits, Data Collection and Analysis of Clinical Studies , Contact People, Informed

Medical Services Department for Armed Forces

Scientific Research CenterResearch Ethics Committee

RESEARCH PROPOSAL TEMPLATE (Non-Granted)

Ref. No. REC.T. 2020- Reg. No. H-02-T-078 Date : / /2020

I. Cover/Title Page (Title of the proposal, names, affiliations, contact numbers, e-mails of the investigator/s and expected duration of the study)

Title

Principal Investigator :

Contact No.: Email. :

Co. Investigator/s

Contact No.: Email:

Co. Investigator/s :

Contact No.: Email :

Co. Investigator/s :

Contact No.: Email. :

Co. Investigator/s :

Contact No.: Email:

Co. Investigator/s :

Contact No.: Email :

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Page 2: €¦ · Web viewSubject Recruitment and Selection, Location, Duration, Potential Risks, Potential Benefits, Data Collection and Analysis of Clinical Studies , Contact People, Informed

Medical Services Department for Armed Forces

Scientific Research CenterResearch Ethics Committee

Co. Investigator/s :

Contact No.: Email. :

Supervisor from the Hospital: Contact No.: Email:

Academic Supervisor (Optional):Contact No.: Email: Affiliations:

Study Duration : Expected Starting Date:

II. Project Summary

III. Introduction

IV. Project Objectives

V. Literature Survey/Background

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Page 4: €¦ · Web viewSubject Recruitment and Selection, Location, Duration, Potential Risks, Potential Benefits, Data Collection and Analysis of Clinical Studies , Contact People, Informed

Medical Services Department for Armed Forces

Scientific Research CenterResearch Ethics Committee

VII. MethodsIn studies involving human subjects, Methods for sampling population and the type of sampling procedure should be mentioned (Subject Recruitment and Selection, Location, Duration, Potential Risks, Potential Benefits, Data Collection and Analysis of Clinical Studies, Contact People, Informed Consent)

VIII. References

IX. Appendices ( Attachments such as questionnaire, check list, data sheet, and any other documents needed for the Research).

1- Researcher’s Undertaking form2- Approval of Department Head.3- Memo from _____________________4- Questionnaire / Check List / Data Sheet.

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