Currentness under review. Whether this instrument remains applicable is under review. Consult the later instruments and source context below before relying on it.
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National Health Sciences Research Committee
STUDY REPORT SUBMISSION FORM 15-01
Protocol Title :
Protocol number:
Principal
investigator
phone number:
e-mail address :
Sponsor name
Address:
Phone :
Study site(s):
Total Number of patients/subjects :
Number of subjects received the test articles:
Study articles:
Dosage form:
Study dose(s):
Duration of the study
Objectives:
Promoting Scientific and Ethical Conduct of Health Research in Malawi
Executive Committee: Dr M. Joshua (Chairperson), Dr S. Mndolo (Vice-Chairperson)
Registered with the USA Office for Human Research Protections (OHRP) as an International IRB
IRB Number IRB00003905 FWA00005976
Email: research@mail.gov.mw
Rendered from the linked Office original — page 1; retained table layout and symbols. This is a render, not an official PDF page.
Results:
(Use extra blank
paper, if more space is
required.)
Principal investigator: Date:
Promoting Scientific and Ethical Conduct of Health Research in Malawi
Executive Committee: Dr M. Joshua (Chairperson), Dr S. Mndolo (Vice-Chairperson)
Registered with the USA Office for Human Research Protections (OHRP) as an International IRB
IRB Number IRB00003905 FWA00005976
Email: research@mail.gov.mw
Rendered from the linked Office original — page 2; retained table layout and symbols. This is a render, not an official PDF page.