CONSENT FOR PARTICIPATION IN THE STUDY

Title: A descriptive study to assess the Factors Influencing Early Initiation of Breast Feeding
Among Postnatal Mothers in Selected Hospital 0f District Moradabad (U.P).

You are being requested to be a part of the above mentioned study purely on voluntary basis.
Before agreeing to participate in the present study it is important that you read and
understand the following information. An oral presentation of this document shall be made, if
you have any questions/ clarification please discuss during the presentation. You will be
provided two copies of this form, please sign the original copy and submit to us for our records,
please retain the duplicate copy for your reference and records.

Risk: There is no risk associated with the present study.

Compensation: You will not be entitled to any compensation for participation in this study is
completely voluntary. Regarding any doubts/ questions about this study, you may contact
personally to the investigator’s mobile no. given.

Confidentiality: Your name and other details will be kept confidential, will be accessible to the
study personnel and if necessary to the Jamia Hamdard Institutional Review Board.

Right to withdraw: By your own free will, at any time you can withdraw from participation in
the study and by doing so it will not have any negative effect on your career.

Volunteer’s Declaration: I have thoroughly read and understood the above information and I
offer my consent for my inclusion in the study and agree to offer my full cooperation.

Volunteer’s Name: Signature of the Volunteer

Investigator’s Name : Km. Rifa

Contact Number : 8527434380

Email: rifausmani98@gmail.com