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ETHICAL REVIEW COMMITTEE
University of Health Sciences, Lahore
Khayaban-e-Jamia Punjab, Lahore
Office: 042-99231304-09, Fax 042-99231857
Title of the Project
Name of
Researcher
Discipline/Specify
Specialty
Ph.D
M.Phil
MD
MS
MDS
M.Sc.
Research project
Supervisor
Institution
Study Design
Study Population
Please answer each question by ticking the appropriate box
YES
NO
N/A
1.
Have you, before filling in this form, read a relevant research ethics guideline of animal,
human or biological material research?
2.
Is the project multidisciplinary with involvement of different departments / institutes?
3.
Does the PI/Co-PIs of the project (early stage/experienced) have appropriate scientific
skills and experience for execution of the project under consideration?
4.
Does the study involve participants who are particularly vulnerable? (e.g. refugees,
prisoners, victims of violence, patients with sensitive medical conditions e.g. HIV/AIDS,
drug addiction) or are unable to give informed consent (e.g. children, people with
learning disabilities)?
5.
Does the study involve archival material collected during research/routine laboratory
testing and the material cannot be traced to its origin or cannot be accessed?
6.
If the answer to the items 2,4,5 is yes, then have you taken formal approval from the
collaborating institutes/organizations/centers?
7.
Will the study involve discussion of sensitive topics (e.g. sexual activity, drug use) or
induce embarrassment, psychological stress or anxiety or cause harm or negative
consequences?
8.
Is there any potential conflict of interest relating to the study?
If yes then have you declared the nature of conflict in the prescribed proforma? (This
declaration may be made a part of any existing proforma)
9.
Will financial inducements (other than reasonable expenses and compensation for time)
be offered to participants?
10.
Will drugs, placebos, or other substances (e.g. food or drink constituents, dietary
supplements) be administered to the study participants?
11.
If answer to 10 is yes, then is the proposed research registered with Drug Regulatory
Authority of Pakistan according to DRAP Act 2012?
(Guidelines available online at
http://www.dra.gov.pk/userfiles1/file/ProcedureforClinicalTrialApplications.pdf)
12.
Does this study involve handling, transportation and storage of Infectious agents, toxins,
or chemicals (pathogenic to humans, animals or plants)?
13.
If answer to 12 is yes, then are the standard biosafety measures (contamination control,

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ETHICAL REVIEW COMMITTEE University of Health Sciences, Lahore Khayaban-e-Jamia Punjab, Lahore Office: 042-99231304-09, Fax 042-99231857 Title of the Project Name of Researcher Discipline/Specify Specialty Ph.D M.Phil MD MS MDS MHPE M.Sc. Research project Supervisor Institution Study Design Study Population 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. Please answer each question by ticking the appropriate box Have you, before filling in this form, read a relevant research ethics guideline of animal, human or biological material research? Is the project multidisciplinary with inv ...
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