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Informed Consent Form: Title of The Research Study
Informed Consent Form: Title of The Research Study
Title of the Research Study Pirata Ulit, Pirata: A Study on the Concepts and Practices of
Piracy among Broadcasting Students of Polytechnic University
of the Philippines
Background For the survey, the respondents for the survey are
selected through stratified random sampling method. The
data will be collected from first-year to fourth-year
Broadcasting students of the Polytechnic University of the
Philippines enrolled in the academic year 2021-2022.
In the survey, there is a section students could fill out in
case they want to participate in an interview for this study.
Students' emails will be collected for easier communication.
The interview is used for further understanding of the
quantitative data.
Purpose of the Study This study is all about the concepts and practices of
piracy, music, film, literature, and software, of Broadcasting
students’ from Polytechnic University of the Philippines. It seeks
to understand the moral dilemma (if there is any) they come
across while committing the act, knowing they will be future
content creators that will be harmed or affected by the same
act itself.
All of the data collected will be solely used for this
study and nothing more. There will be no conflict of interest
with the study, the participants, and/or the researchers.
S423, 4th Floor South Wing, PUP A. Mabini Campus, Anonas Street, Sta. Mesa, Manila 1016
Trunk Line: 5335-1787 or 5335-1777 local 235/357
Website: www.pup.edu.ph | Email: vpredl@pup.edu.ph
S423, 4th Floor South Wing, PUP A. Mabini Campus, Anonas Street, Sta. Mesa, Manila 1016
Trunk Line: 5335-1787 or 5335-1777 local 235/357
Website: www.pup.edu.ph | Email: vpredl@pup.edu.ph
Contact Information:
If you have questions about this research study, or you experience adverse effects
as the result of participating in this study, you may contact the researcher/s whose
contact information is provided on the first page.
The plan for this research study has been reviewed by the University Research Ethics
Board (UREB)/ College/Branch Research Ethics Board (C/BREB). If you have
questions regarding your rights as a research participant, or if problems arise which
you do not feel you can discuss with the researcher/s, you may contact the
UREB/C/BREB through the RMO Research Ethics Center at (02) 5335-1787 local 235.
Consent Statement:
I have read and I understand the provided information and have had the
opportunity to ask questions. I understand that my participation is voluntary and that
I am free to withdraw at any time, without giving a reason and without cost. I
understand that I will be given a copy of this consent form. I voluntarily agree to
take part in this study.
__________________________________________ __________________
Signature over Printed Name of Participant Date
__________________________________________ __________________
Signature over Printed Name of Researcher Date
S423, 4th Floor South Wing, PUP A. Mabini Campus, Anonas Street, Sta. Mesa, Manila 1016
Trunk Line: 5335-1787 or 5335-1777 local 235/357
Website: www.pup.edu.ph | Email: vpredl@pup.edu.ph