Contact details of the person(s) responsible for the trial: Post Title Name Department Mobile Number Section C: Human Subjects Involved Expected start date and end date of the to clinical trial (from “dd-mm-yyyy” “dd-mm-yyyy”): From To Age range of human subjects: _________________________________________________________ Total number of human subjects needed: _________________________________________________ Justification of the total number of human subjects needed: Location of the trials: On PolyU campus in the following location(s): Outside PolyU campus in the following location(s): Section D: Declaration by Applicant I will comply with the Code of Ethics for Research Involving Human Subjects and all subjects in the clinical study to this application will be preceded by careful assessment of predictable risks in comparison with foreseeable benefits to
Contact details of the person(s) responsible for the trial: Post Title Name Department Mobile Number Section C: Human Subjects Involved Expected start date and end date of the clinical trial (from “dd-mm-yyyy” to “dd-mm-yyyy”): From To Age range of human subjects: _________________________________________________________ Total number of human subjects needed: _________________________________________________ Justification of the total number of human subjects needed: Location of the trials: On PolyU campus in the following location(s): Outside PolyU campus in the following location(s): Section D: Declaration by Applicant I will comply with the Code of Ethics for Research Involving Human Subjects and all subjects in the clinical study to this application will be preceded by careful assessment of predictable risks in comparison with foreseeable benefits to
Form_CRESC.docx