SRM MEDICAL COLLEGE, HOSPITAL & RESEARCH CENTRE

SRM Nagar, Kattankulathur, Potheri- 603023.

RESEARCH PROJECT PROPOSAL FORMAT

(Kindly furnish 1hard copy in A4 double space Times new Roman font of size 12& 1 CD)

Name and Designation of Principal Investigator, contact no& Email

Name and Designation of Co-Investigator(s)/ Guide & Email

Name of the Institute/Hospital/ field area where research will be conducted

Covering letter with approval from Head of the department & Dean

Approval letter from Statistician

Details of the research project (Protocol should contain the following details)

1. Title of the project

2. Purpose(is it part of degree / diploma/Ph.D)

3. Details of the research plan indicating overall aims& objectives of the research, hypothesis

and importance of the research proposal. Present knowledge and relevant references.

Give here the following details:

Study design- indicating the total number of cases/samples/animals to be studied.

Mode of selection of subjects especially in experiments involving human beings.

Equipment’s and other materials to be used.

Methodology/techniques to be employed for evaluating the results including

statistical methods.

Any potential to obtain patents etc.

Duration of Research Project (Period which may be needed for collecting the data

& for analyzing the data).

Performa, questionnaires, follow up card etc.

Patient information sheet and informed consent form in local language.

For any drug/device trial, all relevant pre-clinical animal data & clinical trial data

from other countries, if available.

Statement describing compensation for study subjects for participation and /or study

related injuries.

Any regulatory clearances required.

An agreement to report any serious side effects or adverse drug reactions to IEC.

Statement of conflicts of interest, if any.

Any other information relevant to the study.

4. If any, preliminary work already done by the Investigator on this subject.e.g. selection

of subjects, standardization of methods, with results etc.

5. Links with other departments,institutions for multi-centric projects, collaborations etc.

including obtaining of permission for the same.

6. Facilities in terms of equipment, etc., available at the institution for the proposed

project.

7. Source of funding and financial requirements for the project.

8. Check list signed by principal investigator, guide (in case of students) & statistician.