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Consent Form: Write The Name of The Research Project Here

The document provides a template for a consent form that must be completed for each participant in a research project. It outlines the key information that must be disclosed to participants, including the voluntary nature of participation, risks involved, right to withdraw, and plans for privacy and use of data. The form must be signed by the participant and witness, and kept on file by the researcher.

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PARAMESWARI RAMASAMY
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2K views1 page

Consent Form: Write The Name of The Research Project Here

The document provides a template for a consent form that must be completed for each participant in a research project. It outlines the key information that must be disclosed to participants, including the voluntary nature of participation, risks involved, right to withdraw, and plans for privacy and use of data. The form must be signed by the participant and witness, and kept on file by the researcher.

Uploaded by

PARAMESWARI RAMASAMY
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

Please print the form on the official letterhead of the organisation and submit with your application.

It is a
compulsory requirement for the researcher to obtain and keep the original copy of the consent form for each
participant.

Consent Form

Write the name of the research project here

I participant name, agree to participate in the research project titled project title, conducted by
researcher(s) name who has (have) discussed the research project with me.

I have received, read and kept a copy of the information letter/plain language statement. I have had the
opportunity to ask questions about this research and I have received satisfactory answers. I understand
the general purposes, risks and methods of this research.

I consent to participate in the research project and the following has been explained to me:

 the research may not be of direct benefit to me


 my participation is completely voluntary
 my right to withdraw from the study at any time without any implications to me
 the risks including any possible inconvenience, discomfort or harm as a consequence of
my participation in the research project
 the steps that have been taken to minimise any possible risks
 public liability insurance arrangements
 what I am expected and required to do
 whom I should contact for any complaints with the research or the conduct of the
research
 I am able to request a copy of the research findings and reports
 security and confidentiality of my personal information.

In addition, I consent to:


 audio-visual recording of any part of or all research activities (if applicable)
 publication of results from this study on the condition that my identify will not be
revealed.

Participant name:_______________________________________________________(please print)

Signature:___________________________________________________________________________

Date:___________________________

Witness name:__________________________________________________________(please print)

Signature:___________________________________________________________________________

Date:___________________________

Researcher name:_______________________________________________________(please print)

Signature:___________________________________________________________________________

Date:___________________________

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