CENTRAL VISAYAS

RESEARCH ETHICS COMMITTEE

(CV-REC)

Submission Checklist (Form 2E)

SUBMISSION CHECKLIST
IMPORTANT: The purpose of this checklist is to provide support for CV-REC Secretariat
conducting screening of submission materials.

ITEM
MANDATORY DOCUMENTS YES NO NA
NO.
1 Cover Letter
2 Research Protocol Application Form
3 Protocol Review Assessment Form
4 Informed Consent Form (ICF) Checklist
5 Detailed Budget Sheet
6 Study Protocol
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 Document Receipt Form (one copy only)
13 National Commission for Indigenous People (NCIP) Clearance
14 Site profile

SUBMITTIED BY:

____________________________________________

RECEIVED BY:

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