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Original by SARASWATHI.K 26MDT0123

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ETHICS REVIEW APPLICATION FORM

This form is submitted to the Vidyashilp University Research Ethics Committee (VU-REC) for ethical review, scrutiny, and approval of the proposed research study. It is accompanied by a declaration by the applicant.

APPLICATION TO BE FILLED BY THE APPLICANT/RESEARCH SCHOLAR/ PRINCIPAL INVESTIGATOR
I.	GENERAL INFORMATION
1.	Name of the Applicant:	
2.	Principal Investigator/s 
(Name, Position, Affiliation, Domain Expertise, Email):	
3.	Details of the Co‑Investigator(s), if any (Name, Position, Affiliation, Domain Expertise, Email):	
4.	Principal Investigator/s (in case of PhD Research Scholar): 
(Name, School, Domain, Year of study, Email):	
5.	Details of the Co‑Investigator(s), if any (in case of PhD Research Scholar): 
(Name, School, Domain, Role in the research, Email): 	
6.	Details of the Supervisor: 
(in case of PhD Research Scholar):	
7.	Please state the name and email address of the person(s) to copy to in the VU-REC’s acknowledgement email. If no name(s) are listed, the VU-REC Secretariat will only correspond with the PI.

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