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University of the Immaculate Conception

REC_FO_0022
Research Ethics Committee (REC)
Control No.: _________
Bonifacio Street, Davao City, Philippines

Ethics Review Checklist

STUDY PROTOCOL INFORMATION


Control No. Protocol Code: XX UG – YY-01-2021
Study Protocol Title
Illuminating the Struggles and Aspirations of
Hotel Employees affected by the Pandemic

Principal Investigator Jhon Lloyd Y. Laluces


Study Protocol Submission Date

Telephone No. (082) 227-82-86 (loc. 211) ● Email Address: rpic@uic.edu.ph Page 1 of 4
University of the Immaculate Conception
REC_FO_0022
Research Ethics Committee (REC)
Control No.: _________
Bonifacio Street, Davao City, Philippines

Verified Complete By

Basic Requirements (must submit)


 Curriculum Vitae (CV) of the Adviser(s) and the Researcher (At least 1 copy)
 All grades [certificate of grades –c/o registrar] - (Graduate and Post Graduate
Students)
 Photocopy of the receipt (1 copy)

Telephone No. (082) 227-82-86 (loc. 211) ● Email Address: rpic@uic.edu.ph Page 2 of 4
University of the Immaculate Conception
REC_FO_0022
Research Ethics Committee (REC)
Control No.: _________
Bonifacio Street, Davao City, Philippines

Full Board (require to submit 5 copies each)


 Revised copy of the manuscript
 Minutes of the proposal defense
 Routing Form
 Ethics Review Checklist (RPIC_FO_0022)
 Application Form [with human] (RPIC_FO_0023)
 Study Protocol Assessment Form (RPIC_FO_0024)

Telephone No. (082) 227-82-86 (loc. 211) ● Email Address: rpic@uic.edu.ph Page 3 of 4
University of the Immaculate Conception
REC_FO_0022
Research Ethics Committee (REC)
Control No.: _________
Bonifacio Street, Davao City, Philippines

 Study Protocol Information Form (RPIC_FO_0025)


 Informed Consent Assessment Form (RPIC_FO_0026)
 Informed Consent Form when Questionnaires are used (RPIC_FO_0027)
 Sample Informed Consent (RPIC_FO_0057)
 Sample Assent Form (RPIC_FO_0057B) (for below 18 yrs. Old respondents)
 Sample MOA for Authorship (RPIC_FO_0058)

Telephone No. (082) 227-82-86 (loc. 211) ● Email Address: rpic@uic.edu.ph Page 4 of 4

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