Ethics Forms and Templates
Mandatory Reports to DSRB
Application Forms
|
Document No.
|
Form
|
Effective Version
|
|
205-002
|
Annex A - Placebo use
|
Ver 2.0, dated 19 Jan 07
|
|
205-003
|
Annex B - Conflict of Interest Declaration
|
Ver 9.1, dated 01 July 22
|
|
205-004
|
Annex C - Biological Materials Storage
|
Ver 2.0, dated 19 Jan 07
|
|
205-005
|
Annex D - Industry Sponsored Studies
|
Ver 2.0, dated 19 Jan 07
|
|
205-006
|
Annex E - Waiver of Informed Consent
|
Ver 2.0, dated 19 Jan 07
|
|
205-007
|
Annex F - Research involving Pregnant Women, Foetuses & Neonates
|
Ver 2.0, dated 19 Jan 07
|
|
205-008
|
Annex G - Research involving Children (For persons less than 21 years old)
|
Ver 2.0, dated 19 Jan 07
|
|
205-009
|
Annex H - Research involving Prisoners
|
Ver 2.0, dated 19 Jan 07
|
|
205-015
|
Waiver of CITI Certification Form (for waiver of PI's minimum training requirements)
|
Ver 1.0, dated 1 Aug 06
|
|
205-029
|
DSRB Waiver of Completion of SGGCP Certification Form
|
Ver 2.0, dated 19 Jun 14
|
|
205-031
|
Study Team Member List for FCOI Declaration
|
Ver 4.0, dated 27 Nov 19
|
| 205-037 |
Notice of Intent Application Form |
Ver 1.0, dated 30 Mar 12 |
|
E01
|
Study Team Members list
|
Ver 1.0, dated 19 Jan 07
|
|
E02
|
Principal Investigator's Declaration
|
Ver 1.0, dated 19 Jan 07
|
|
E03
|
Study Team Members' endorsement
|
Ver 1.0, dated 19 Jan 07
|
|
205-021
|
Departmental Representative endorsement
|
Ver 2.0, dated 30 Mar 22
|
|
205-022
|
Institutional Representative endorsement
|
Ver 3.0, dated 30 Mar 22
|
| 205-035 |
HoD and CMB Endorsement |
Ver 1.0, dated 30 Mar 22 |
|
E06
|
Characteristics of Target Study Participants
|
Ver 1.0, dated 19 Jan 07
|
NHG Standing Database Registry
DSRB Templates for Study Documentation
The following templates are provided as a guide for PI's to create their own study documents. These templates contain the critical elements which are required by the DSRB. While it is not compulsory to use these templates, PI's are encouraged to do so.
|
Document No.
|
Form
|
Effective Version
|
|
207-001
|
(a) Informed Consent Form Template 
(b) Summary of Changes for ICF Template
|
Ver 13, dated 31 Jan 22
|
|
1704-15
|
Optional Consent Form for the Donation of Leftover Biological Samples 
|
Ver 2.0, dated 26 Nov 21
|
|
1704-16
|
Optional Consent Form for the Donation of Leftover Biological Samples with English Short Consent Form Template for non-english speaking subject
|
Ver 2.0, dated 26 Nov 21
|
|
1704-17
|
Optional Consent Form for the Donation of Leftover Biological Samples with Simplified Chinese Short Consent Form Template for non-english speaking subject
|
Ver 2.0, dated 26 Nov 21
|
|
1704-18
|
Optional Consent Form for the Donation of Leftover Biological Samples with Malay Short Consent Form Template for non-english speaking subject
|
Ver 2.0, dated 26 Nov 21
|
|
1704-19
|
Optional Consent Form for the Donation of Leftover Biological Samples with Tamil Short Consent Form Template for non-english speaking subject
|
Ver 2.0, dated 26 Nov 21
|
|
207-002
|
Study Protocol Template
|
Ver 3, dated 1 Jun 09
|
|
207-003
|
Sample language for documentation of Capacity
|
Ver 1, dated 1 Aug 06
|
|
207-004
|
ICF with Original English Short Consent Form Template for non-english speaking subject
|
Ver 10, dated 30 Nov 18
|
|
207-005
|
ICF with Simplified Chinese language Short Consent Form Template for non-english speaking subjects
|
Ver 10, dated 30 Nov 18
|
|
207-006
|
ICF with Malay language Short Consent Form Template for non-english speaking subjects
|
Ver 10, dated 30 Nov 18
|
|
207-007
|
ICF with Tamil language Short Consent Form Template for non-english speaking subjects
|
Ver 10, dated 30 Nov 18
|
|
207-008
|
Assent Form Template
Summary of Updates to DSRB Assent Form Template
|
Ver 2, dated 14 Feb 22
|
|
207-009
|
Certification of Translation
|
Ver 1, dated 13 Aug 12
|
|
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|
Declaration of Use of Annoymised Data and/or Samples for Research
|
Ver 1, dated 18 Aug 23
|
