Study Personnel Statement: I have accurately read aloud the information sheet to the potential study subject, and to the best of my ability made sure that the subject understands the procedures. I confirm that the subject was given an opportunity to ask questions which were answered correctly and to the best of my ability. I confirm that the individual was not coerced into giving consent, and the consent has been given freely and voluntarily. _______________________________________________ _______________________ Signature of personnel obtaining consent Date _______________________________________________ _______________________ Name of study personnel obtaining consent Date
Study Personnel Statement: I have accurately read aloud the information sheet to the potential study subject, and to the best of my ability made sure that the subject understands the procedures. I confirm that the subject was given an opportunity to ask questions which were answered correctly and to the best of my ability. I confirm that the individual was not coerced into giving consent, and the consent has been given freely and voluntarily. _______________________________________________ _______________________ Signature of personnel obtaining consent Date _______________________________________________ _______________________ Name of study personnel obtaining consent Date
UNITID-PGDRM%20MUJUNI%20BRIAN%20MUHABUURA%20%20%20SUBMIT(Autosaved)_0.docx