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Lokmanya Tilak Municipal Medical College

and Lokmanya Tilak Municipal General Hospital

Sion Mumbai

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Home / Ethics Committee / Project Index page Format

Project Index page Format

Project Index Page

 Project Title 

Index

No Document Name ( Please specify in “Page Nos” column NA if not applicable ) Page Nos.  PIChk     SRSChk
1Research Project  Format  *   
 aProject Summary *   
 bResearch Protocol Application Format *   
 cReferences *   
 dPatient Information Sheet in 3 languages *   
 ePatient Informed Consent Form in 3 languages *   
 fCase Record Form / Questionairre / Patient Diary *   
     
2Additional Documents ( As may be required )   
 a.Investigator Brochure for Sponsored project   
 b.Clinical Trial Agreement   
 c.Insurance Policy with suitable validity   
 d.DGCI Approval Letter  for Phase I/ II/ III study   
 e.Investigator’s undertaking to DCGI (for Phase I, II, III, studies)   
 f.Ethics Committee Clearance /status– ( Multicentric / Multinational study only ) Letter from Ethics Committee / Letter from Sponsor for status   
 gFood and Drug Administration (FDA) marketing/manufacturing license for herbal drugs.   
 h**Please specify if Clearance of other Bodies as may be required ( Sample List enclosed below )   
3Project  Completion Letter *   
  • * Mandatory

**
Health Ministry Screening Committee (HMSC) /

  • Bhabha Atomic Research Centre (BARC) /
  • Genetic Engineering Advisory Committee (GEAC) /
  • Director General of Foreign Trade (DGFT)
  • Etc.