AARUPADAI VEEDU MEDICAL COLLEGE AND HOSPITAL
KIRUMAMPAKKAM, PUDUCHERRY-607403
Institutional Research Committee
Section A – Details of the Faculty
1. Title of the Proposal:
2. Name of the Principal Investigator:
3. Department:
4. Position:
5. At AVMC Since:
6. Broad Area of Research: Biomedical/Clinical Trial/Others:
7. Funding Agency targeted (if extramural):
8. Name & Address of the Co-Investigator: 1
9. Name & Address of the Co-Investigator: 2
10. Name & Address of the Co-Investigator: 3
11. Name of Head of the Department:
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Section B- Guidelines/check-list for original research proposal submission to IRC
1)Original proposal with following heading– 0
he proposal should be written in English (Times New Roman, font size 12, double
T
spacing,
and justified settings) under following headings:
A. Title of the research work (with details of authors and their affiliations)
B. Introduction
C. Objectives
D. A brief review of literature
E. Material and Methods:
• Study design
• Sample size and sampling (Justification, adequacy)
• Data collection tool (questionnaire)
• Statistical analysis
2) Documents to be maintained in Clinical Trials
3) References in Vancouver style
4) Questionnaire (Please check copyright, if it is standard tool or scale)
5) Consent form
6) Patient Information sheet
6) Submitted a soft copy by email: irc@[Link]
7) Flow chart of Sample / patient enrolment
(Please submit a hard copy of the original proposal along with checklist)
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Section C- Technical details of the project/proposal
1. Introduction (Need for the present study)
2. Gaps in the current understanding:
3. Research Question:
4. Aim/Objective of the Research Study: (primary and Secondary)
5. Brief description of the Research work planned:
6. Current status of the domain (literature review):
7. Prior work done (if any)
8. Methodology of the research work:
Setting:
Study design:
Study participants:
Role of each Co-investigator (if so):
Sample size:
Sampling: (Sampling procedure, Inclusion\Exclusion Criteria, Blinding &
Randomization)
ata collection procedure: (Questionnaire\Data collection proforma\ Details of
D
measurement\Biological sample collection)
9. Statistical Analysis
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10.Budget for the Study for each Dept. / Centre
11.Study duration with work plan: ( Please provide in a tabular form, mentioning
achievable objectives / mile stone and project
deliverable)
Signature of the Principal Investigator:
Signature of the Co-Investigator:1
Signature of Co-Investigator: 2
Signature of Co-Investigator: 3
Signature of Head of the Department:
Remarks of Dean/Director Medical Research:
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