AREC Application Form
INVESTIGATORS TO FILL
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GENERAL PARTICULARS Concise descriptive title of study (must contain key words that best describe the study):
Type Title Here *
Details of primary responsible person (PRP) (This may not necessarily be the principal investigator, IP)
Name of PRP *
Office Address *
Contact Number(s) of PRP *
Affiliation of PRP
The Faculty and Department of primary responsible person (PRP)
Faculty *
Department *
Name and Affiliation of Principal Investigator/researcher (may be same as PRP) *
Name(s) and Affiliation(s) of Principal Investigator/researcher (may be same as PRP)
Name(s) *
Affiliation(s) *
Scope of Study *
If for Degree purposes *
Funding: Additional Information (eg. Source of funds and how combined funding is split *
Are there any restrictions or conditions attached to publication and/or presentation of the study results? *
If YES elaborate: (Any restrictions and conditions contained in contracts must be made available to the committee. If you selected NO Type (NONE) *
Date of commencement of study *
MM
/
DD
/
YYYY
Anticipated duration of study *
Objectives of the study (the major objective(s) are to be stated briefly and clearly. If the work is part of a complicated series of studies which will be of long duration it may not be possible to detail the complete protocol for these studies without omitting details which are necessary for evaluation of the research proposal.
In this instance a brief outline of the overall study should be included. *
Background Information: Briefly in 150 words or less describe the scientific or field observation which have prompted the work. A few (up to three) key scientific references may be included: *
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