Ethics Committee Form

                                                                                                                                                                 Date: ___________


                                                           Reference: _______________

                                                                 Subject:  (Article Title)

The following documents were reviewed & Approved

1.       Brief Curriculum Vita of Principal Investigator.

2.       Covering Letter

3.       Joint Undertaking by PI.

4.       Project Summary

5.       Research Protocol Application Form.

6.       Reference

7.       Patient Information Sheet in English or Hindi

8.       Inform Consent Form in English or Hindi

9.       Questionnaire for counselors

The following members of the Ethics Committee were present at the meeting held on (Date) in at (Time) in (Place)


Name of EC Member


Position in EC

















Signature with Stamp


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