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La Consolacion University Philippines

Bulihan, City of Malolos, Bulacan 3000

Research Ethics Committee

Submission Checklist

Name of the Principal Investigator: ________________________________________


Date of Submission: ___________________________
IMPORTANT: The purpose of this checklist is to provide support for LCUP-REC Secretariat
conducting screening of submission materials.
ITEM
MANDATORY DOCUMENTS YES NO NA
NO.
Cover Letter address to

1 RESEARCH ETHICS COMMITTEE


La Consolacion University Philippines
Malolos City, Bulacan
2 PRE-REC-FO-008 Research Protocol Application Form

3 PRE-REC-FO-009 Protocol Review Assessment Form

4 PRE-REC-FO-0010 Informed Consent Form (ICF) Checklist

5 PRE-REC-FO-011 Detailed Budget Sheet

Complete Study Protocol / Research Proposal (REVISED Proposal


6 Manuscript after Proposal Defense) in one (1) PDF file containing
Preliminary Pages, Chapter 1 (The Problem and its Setting) and Chapter
2 (Methodology), Appendices, Bibliography and Curriculum Vitae
Informed Consent Form (ICFs) in English and local dialect (for studies
7 with human participants)

Assent form in English and local dialect (for studies involving minors
8 and relevant subjects incompetent to sign an Informed Consent Form)

Research participants recruitment procedures (e.g. advertisement,


9 notices, if applicable)
10 Data Collection Forms/Case Record Form

11 Curriculum Vitae (CV) of Principal Investigators and study members

12 PRE-REC-FO-013 Document Receipt Form (one copy only)

National Commission for Indigenous People (NCIP) Clearance for


13
studies involving indigenous people
14 Site profile

PRE-REC-FO-012

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