Standard Application Form For The Ethical Review Of Health-Related Research Studies, Which Are Not Clinical Trials Of Medicinal Products For Human Use As Defined In S.i. 190/2004
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24Version 5.5
May 2011
Office Use:
-
REC Reference No:__________
STANDARD APPLICATION
FORM
For the Ethical Review of
Health-Related Research Studies,
which are not Clinical Trials of
Medicinal Products For Human Use
as defined in S.I. 190/2004
DO NOT COMPLETE THIS APPLICATION FORM
IF YOUR STUDY IS A CLINICAL TRIAL OF A MEDICINAL PRODUCT
Title of Study:____________________________________________
Principal Investigator:______________________________________
Applicant’s Signature:______________________________________
For Official Use Only – Date Stamp of Receipt by REC:
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