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FORM C - Noguchi

FORM C - Noguchi

FORM C -

NOGUCHI MEMORIAL INSTITUTE FOR MEDICAL RESEARCH (NMIMR) COLLEGE OF HEALTH SCIENCES, UNIVERSITY OF GHANA, LEGON INSTITUTIONAL REVIEW BOARD NMIMR IRB Form C Version Date: July 2012 FORM C – AMENDMENT FORM INSTRUCTIONS: 1. Please complete all sections and submit one hard copy of the amended protocol.. 2. Submit 14 hardcopies of this form to the NMIMR-IRB Office. The amended documents with highlighted changes should accompany the amendment form. Send a soft copy hbaidoo@noguchi.mimcom.org or nirb@noguchi.mimcom.org to facilitate the review process. 3. Use very clear font size such as Times New Roman 12pt, Arial 11 pt, Calibri 12pt. SECTION A: BACKGROUND INFORMATION Study title Principal Investigator Study start date Certified Protocol Number (CPN) Anticipated end date Office Use Only Protocol Number: 1

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