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نموذج الموافقة على إجراء بحث علمي لطلاب الدراسات العليا بمركز الملك فهد للبحوث الطبية 2024
Consent form to conduct scientific research for Postgraduate students at King Fahd Medical Research
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* Indicates required question
Student Name
*
Full name in English
Your answer
اسم الطالب/ة
*
الاسم الرباعي بالعربي
Your answer
Education level
*
Choose
B.S./B.S.c student
M.S./M.S.c student
Ph.D student
University
*
King Abdulaziz University
Jeddah University
Umm Al-Qura University
Other:
Faculty
*
Choose
Faculty of Applied Medical Science
Faculty of Dentistry
Faculty of Medicine
Faculty of Pharmacy
Faculty of Science
Faculty of Computing & Information Technology
Faculty of Marine Sciences
Other
رقم الجوال :|: Mobile Number
*
Your answer
E-mail
*
Your answer
Research Lab or Unit
*
If you know the name of the research unit you will be joining, please type it here. If you do not, please write "any".
Choose
Central Lab (Students Chemistry Lab)
Embryonic Stem Cell Unit
Experimental Biochemistry Unit
Food, Nutrition and Lifestyle Unit
Hematology unit
Immunology Unit
Neuroscience and Aging Research
Regenerative Medicine Unit
Special Infectious Agents Unit
The Mutagen and Carcinogens unit
Toxicology and Forensic Sciences Unit
Vaccines and Immunotherapy Unit
Microbiology Lab
Cancer Biology Lab
Bioinformatics Unit
Natural Product
Reproductive Biology Lab
Animal House
Project Title
English (OPTIONAL)
Your answer
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