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000T2. DLSU D ERC Response Template Application
000T2. DLSU D ERC Response Template Application
Date : ______________
Dear Mr/Ms ________________________ (name/ sign)
Likewise, you need to submit ALL the requirements (as PHREB standards) to proceed to the review
process:
1. REVISED Proposal
2. ICF (English and Tagalog- Template c/o ERC secretary)
3. ICAF (Template c/o ERC secretary)
4. Validated Instruments (Checklist, Questionnaire, Scale, Tools)
5. Image or Advertisement of Recruitment process
6. List of sites/sources/links (for large data)
Equally, this is to inform you that based on NEGHHR 2017 (The Research Ethics Review Process Guideline),
the DLSU-DERC can desist in providing Ethics Review Certification for any completed research paper
without undergoing the Ethics Review process.
After the review process, expect an email about the feedback/recommendations you need to address in
your ICF to gain Ethics Approval. Equally, DLSUD and the DLSU-DERC do not have budget allocated for the
Ethics Review operations, thus, please settle the Ethics Review fee amounting to Php 1,750.00 at any
UNION BANK or using UNION BANK MOBILE APPLICATION. Just look for De La Salle University-
Dasmariñas as merchant name, (in the description, kindly indicate fee for Ethics Review).
Mode of Funding (Please check [] the appropriate box)
Personal budget
URO budget
Collegiate/Departmental/Office budget (Thrust Fund): ___________________________
Kindly send a copy of your transaction/receipt to dlsud_ierc@dlsud.edu.ph. Kindly indicate ATTN: Ethics
Review Fee (Complete Name-Title of Research/College).
The Ethics Certification will be provided after sending your Revised ICF and receipt/transaction to
dlsud_ierc@dlsud.edu.ph
In Saint La Salle,