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1. Name of the research project

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2. Name of the chief investigator

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3. Position of the chief investigator

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4. Affiliation of the chief investigator

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5. Name of primary contact person for the research project

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6. Contact phone number

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7. Contact email address

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8. URL for a web page where prospective participants can find necessary information

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9. Do you have approval from a human research ethics committee (HREC) for the research project?

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10. HREC approval number for the project or reason for not having HREC approval

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11. Information about the research project to inform prospective participants about the background, aims, and what is involved

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12. End date of the research project

Date

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13. Start date for the research project

Date

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14. Please confirm agreement with the following statement:

T