NANYANG RESEARCH PROGRAMME

Human Test SubjectApproval Form

1.Approval must be sought prior to any human test subjects being identified / engaged. This also applies to candidates identified for interviews and questionnaire surveys.
2.This Human Test Subject Approval Form must be completed and duly signed by the NRP Supervisor and the Associate Chair / NIE Academic Group Head.
3.The NTU Institutional Review Board (IRB) Approval Letter for a) Biomedical Research; or b) Social, Behavioural, Educational Sciencesmust be submitted along with this Human Test Subject Approval Form().
4.For matters relating to IRB’s approval for human test subject, please email to. Alternatively, you may contact Ms Germaine Foo () or Ms Julinah Binte Abdullah () from the Research Integrity and Ethics Office should you require further clarification.
5.NSS-Financedoes not recommendany form of tokens of appreciation for test subjects to be paid out in cash. Instead, cash vouchers with trackable serial numbers should be purchased. All tokens of appreciation handed out have to be accounted for – issued vouchers are to be tracked by their serial number with the name and NRIC/FIN/Passport no. of the receiving party clear indicated. The receiving party is also required to sign as an acknowledgment of receipt of the vouchers. This is as per required by NTU’s auditors.
  1. NATURE OF RESEARCH

Archived/ Existing Database / Experiments / Clinical Research
Questionnaire / Survey / Others, please specify:
  1. RESEARCH MAY INVOLVE

Human Subjects
Healthy Volunteers / Children (under 21 years old*) *Written Parental Consent is required
Pregnant Women / Outpatients / Inpatients
Prisoners / Cognitively Impaired Persons (Please specify: )
  1. REIMBURSEMENT

No reimbursement is required for research subjects
Reimbursement is required for research subjects (as indicated in the table)
Amount to be reimbursed per human test subject
(Amount capped at $15 per hour to a maximum of $45 per session) / S$
Target Number of human subjects
TOTAL AMOUNT / S$
NB: The NRP Research Grant is capped at S$600 (inclusive of GST)
  1. PARTICULARS OF NRP SUPERVISOR

Name of NRP Supervisor: / NRIC/ FIN:
/ Project Code:
Signature: / Date:
  1. VERIFICATION BY ASSOCIATE CHAIR / NIE ACADEMIC GROUP HEAD* (List of signatories as per appended URL)

Name of Associate Chair / NIE Academic Group Head: / Signature: / Date:
  1. APPROVAL BY DIRECTOROF ADMISSIONS
/
  1. CHECKED BY

Signature:
Director of Admissions / Name & Signature
Head, Talent Outreach

*

TALENT OUTREACH SECTION Office of Admissions

Student Services Centre Level 3, 42 Nanyang Avenue, Singapore 639815

Tel: +65 6790-6633 | Fax: +65 6794 6510

Email: |