Republic of the Philippines Form No.

:FM- DPM-CFCST-RER-04
Issue Status : 01
COTABATO FOUNDATION COLLEGE OF SCIENCE AND TECHNOLOGY Revision No. : 00
Barangay Doroluman, Arakan, Cotabato Date Effective
Approved
: 27 January 2022
: President
Contact No. +639685331496 / +639670025670
Email Address: admin@cfcst.edu.ph Website: www.cfcst.edu.ph

RESEARCH ETHICS REVIEW

STUDY PROTOCOL ASSESSMENT FORM (Form B)
Control No.: ____________________

Study Protocol Title GLUTINOUS WHITE CORN PRODUCTION AS INFLUENCED BY KINDS OF

ANIMAL MANURE AND EM-1 CONCENTRATION
Researcher ANGEL G. OBERIO
Department GRADUATE SCHOOL
Date submitted

To be filled up by Department RERC/CFCSTRERC:

CFCSTRERC
Reference Number:
Type of Review full board expedited exempted
Primary Reviewers
Secondary Reviewer/s
(Member/s)
Quorum Status
Conflict of Interest

INSTRUCTIONS
To the Researcher:
To the Primary Reviewer:
ASSESSMENT POINTS
Please indicate in the space provided below whether or not the specified assessment point
is addressed by your study protocol. To facilitate the evaluation of the assessment point,
indicate the page and paragraph where this information can be found.
Please evaluate how the assessment points outlined below have been appropriately
addressed by the study protocol, as appl icable, by confirming the submitted information
and putting your comments in the space provided under “REVIEWER COMMENTS.”
Finalize your review by indicating your conclusions under “RECOMMENDED
ACTION” and signing in space provided for the primary reviewer.
To be filled out by the
PIs/Researcher
Indicate if the Page and
study protocol paragraph
contains the where it is REVIEWER COMMENTS
specified found
assessment point

1. SCIENTIFIC DESIGN YES N/A PAGE #

1.1 Objectives / 3
Review of alignment with research problem
1.2 Literature Review /
Review of results of previous studies of the variables 7
1.3 Research Design /
Review of appropriateness of design in view of 17
objectives, and questions

1.4 Sampling Design /

Review of appropriateness of sampling methods and
techniques
1.5 Sample Size /
Review of justification of sample size
1.6 Data Analysis Plan /
 Republic of the Philippines Form No. :FM- DPM-CFCST-RER-04
Issue Status : 01
COTABATO FOUNDATION COLLEGE OF SCIENCE AND TECHNOLOGY Revision No. : 00
Barangay Doroluman, Arakan, Cotabato Date Effective
Approved
: 27 January 2022
: President
Contact No. +639685331496 / +639670025670
Email Address: admin@cfcst.edu.ph Website: www.cfcst.edu.ph

Review of appropriateness of statistical and non-

statistical methods of data analysis
1.7 Inclusion Criteria /
Review of precision of criteria both for scientific merit
and safety concerns; and of equitable selection
1.8 Exclusion Criteria /
Review of criteria precision both for scientific merit and
safety concerns; and of justified exclusion
1.9 Withdrawal Criteria /
Review of criteria precision both for scientific merit and
safety concerns
2. CONDUCT OF STUDY YES N/A PAGE #
2.1 Specimen handling /
Review of specimen for storage, access, disposal, and
terms of use
2.2 PI/Researcher Qualifications /
Review of CV and relevant certifications to ascertain
capability to manage study related risks
2.3 Duration / 21
Review of length/ extent of the study
3. ETHICAL CONSIDERATIONS YES N/A PAGE #
3.1 Voluntary Participations /
Willingness of human participants to be involved in the
investigation after fully knowing the purpose of the
study
3.2 Privacy and Confidentiality /
Review of measures or guarantees to protect privacy and
confidentiality of participant information
3.3 Informed Consent Process /
Review of application of the principle of respect for
persons, who may solicit consent, how and when it will
be done
3.4 Recruitment /
Appropriateness of identified recruiting parties
3.5 Risks /
Review of level of risks and measures to mitigate these
risks (including physical, psychological, social
economic), including plans for adverse event
management
3.6 Benefits /
Review of potential direct benefit to participants; the
potential to yield generalizable knowledge about the
participants’ condition/ problem; non0material
compensation to participant (health education or other
creative benefits)

3.7 Biosafety /
Review of sample collection, processing and proper
disposal of infectious and or any biological hazards
3.8 Incentives or compensation /
Review of amount and method of compensations,
financial incentives, or reimbursement of study-related
expenses
3.9 Community consideration /
Review of impact of the research on the community
where the research occurs and/or to whom findings can
be linked; including issues like stigma or draining of
local capacity; sensitivity to cultural traditions, and
involvement of the community in decision about the
conduct of study
 Republic of the Philippines Form No. :FM- DPM-CFCST-RER-04
Issue Status : 01
COTABATO FOUNDATION COLLEGE OF SCIENCE AND TECHNOLOGY Revision No. : 00
Barangay Doroluman, Arakan, Cotabato Date Effective
Approved
: 27 January 2022
: President
Contact No. +639685331496 / +639670025670
Email Address: admin@cfcst.edu.ph Website: www.cfcst.edu.ph

4.0 Collaborative study terms of reference /

Review of terms of collaborative study especially in case
of multi-country/ multi-institutional studies, including
intellectual property sharing, transparency, and capacity
building
4.1 Falsification /
Review of no trace of purposefully misrepresenting the
work to fit a model or theoretical expectation. No
evidence of over claiming or exaggerations.
4.2 Conflict of Interest (COI) /
Review of no trace of COI, i.e. Disclosure of COI ( COI
is a set of conditions in which a professional judgment
concerning primary interest such as the participants’
welfare or the validity of the research tends to be
influenced by a secondary interest such as financial or
academic gains or recognitions.
4.3 Focus Group Participant Identification /
Review of addressing the fact that the information
discovered within the group becomes common
knowledge among those in attendance; thus, there must
be a provision in the consent form reminding participants
to keep the information discussed confidential.
4.4 Deceit /
Review of evidence that the benefit of misleading the
respondents outweigh any potential harm to them.
4.5 Observation /
Review of provisions to address an ethical issue when
observing people in public or quasipublic place, e.g. to
have notices placed at the entrance of the store indicating
that the researchers will be operating in this area at
specific times.

4.6 Permission from Organization/Location /

Review of if it has expressed getting a written
permission from the organization in which the research
is being undertaken or the location in which the data are
being collected. When getting written permission, the
person to talk to must have the authority to give the
permission sought and that the activities are organized
well in advance.
4.7 Technology Issues /
Review of the provisions as to the use of online panels,
collection of data online, and how does one view the
information being communicated in an online
environment, are put in place and are made
understandable to the participants.
4.8 Authorship /
Review of the provisions on authorship must be made
clear, e.g. authorship qualifications, i.e. authorship credit
should be based only on substantial contributions to
conception and design, or acquisition of data, or analysis
and interpretation of data; drafting the article or revising
it critically for important intellectual content; and final
approval of the version to be published.

RECOMMENDED ACTION:
□ APPROVED
 Republic of the Philippines Form No. :FM- DPM-CFCST-RER-04
Issue Status : 01
COTABATO FOUNDATION COLLEGE OF SCIENCE AND TECHNOLOGY Revision No. : 00
Barangay Doroluman, Arakan, Cotabato Date Effective
Approved
: 27 January 2022
: President
Contact No. +639685331496 / +639670025670
Email Address: admin@cfcst.edu.ph Website: www.cfcst.edu.ph

□ MINOR MODIFICATIONS MUST BE IMPLEMENTED (PENDING APPROVAL A)

□ MAJOR MODIFICATIONS MUST BE IMPLEMENTED (PENDING APPROVAL B)
□ DISAPPROVED
JUSTIFICATION FOR RECOMMENDATION

Prepared by:

ANGEL G. OBERIO
Researcher Name & Signature

Reviewed by: (Primary Reviewer)

_____________N/A________________
Member of Department Ethics Reviewer

MUSA M. TAGAL , PHD

Department Ethics Coordinator