Written Informed Consent Form printable pdf download

Written Informed Consent Form

Appendix 1(b)

Written Consent Form

Project Title:

I ___________________________________________ (NRIC No. _______________________)

(Name of Volunteer in block letters)

have read or have been verbally informed and understood all information given to me about my

participation this study. I have been given the opportunity to discuss it and ask questions. All my questions

have been answered to my satisfaction and I voluntarily agree to take part in this study. I understand that I

will receive a copy of this signed Written Informed Consent Form.

_________________________________

_______________________

Signature of Volunteer

Date

I have explained the nature and purpose of the study to the Volunteer named above.

________________________________

________________________ _________________

*Signature of Principal Investigator/

NRIC No

Date

Co-Investigator

*Name of Principal Investigator/: _________________________________________________

Co-Investigator

__________________________ _________________________ __________________

Signature of Witness

NRIC No

Date

Name of Witness:

____________________________________________________________

*Delete where necessary

IMU/SOP/PGSR/02 [Appendix 1(b)]

PGSR/Management of Research Projects

Revised as at 1 December 2014 (15th Edition)

Written Informed Consent Form