Professional Documents
Culture Documents
Title
□ Protection of privacy and confidentiality of research information including data protection plan
□ Vulnerability of research participants
□ Risks of the study (including social risks)
□ Benefits of the study
□ Patient-related compensations/reimbursements/entitlements
□ Informed consent process and recruitment procedures
□ Terms of reference of collaborative study (eg. Intellectual property agreements)
□ Terms of available study-related insurance
□ Not Applicable
□ I have no conflict of interest in any form (financial, proprietary, professional.) with the sponsor/s,
the study, my co-investigators or the site
□ I have personal/ family financial interest in the results of the study
VII. Endorsement
College Research Coordinator Signature:
College Dean Signature:
VIII. Acknowledgement
Research Director Signature:
Date
This is a quality document. Revision of this document should undergo the standard procedure. The original copy of this document is filed at the University Research
Office. The user should secure the latest revision of this document from the Research Office.
FR-RES-FAR
Revision Status/Date: 00/2022 September
UNIVERSITY RESEARCH OFFICE
Maximina St., Villa Arca Subd., Brgy. Baesa,
Project 8, Quezon City, Philippines
NOTE:
1. This application must be submitted through the College Research Coordinator along with the Faculty Progress Report (FR-RES-FPR).
2. For Faculty-led research, the faculty will serve as co-author and the principal author will be the student.
3. All the required fields must be filled out using Microsoft Office Word
4. Submit three (3) hardcopies of the accomplished forms at the University Research Office.
This is a quality document. Revision of this document should undergo the standard procedure. The original copy of this document is filed at the University Research
Office. The user should secure the latest revision of this document from the Research Office.
FR-RES-FAR
Revision Status/Date: 00/2022 September