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TITLE OF THE STUDY

TITLE OF THE STUDY. Presented By <Name>. Research Mentor <Name & Address>. ------* Institutional Animal Ethics Committee Sri Ramachandra Institute of Higher Education and Research Institute Chennai-600 116. A. RESEARCH TYPE 1.Academic 1.1.P.G/Ph.D 1.2.Basic Research 2.Industry

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TITLE OF THE STUDY

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  1. TITLE OF THE STUDY Presented By <Name> Research Mentor <Name & Address> ------* Institutional Animal Ethics Committee Sri Ramachandra Institute of Higher Education and Research Institute Chennai-600 116

  2. A. RESEARCH TYPE 1.Academic 1.1.P.G/Ph.D 1.2.Basic Research 2.Industry 2.1 Regulatory 2.2 Non-Regulatory 3.University Affiliated 3.1. SRIHER 3.2.Others B. FUNDS 1.Government Fund 2.Private Sponsored Fund 3. Self Fund 4.Scholarship Fund RESEARCH TYPE AND FUNDS

  3. Test Item Details • Test Item details • Uses:

  4. AIM OBJECTIVE AIM & OBJECTIVE

  5. METHODS • Procedure: • Animal Husbandry: • Invasive procedure(if any): • Parameters: • Disposal method:

  6. SUMMARY OF ANIMALS REQUIRED Disclaimer : Hereby, I assure to the committee that for an experiment purpose I shall follow the IAEC approved protocol only. Any non-invasive changes to be done during experiment will be reported to IAEC through member secretary. Further, I shall submit duly filled ‘Form- D’ along with brief results as per CPCSEA regulations to member secretary.

  7. Thank You

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