جامعة أم القرى

جامعة أم القرى

Research Request Form

     من : - 2024/12/22 م , إلى : - 2026/12/31 م

توجد نسخة محفوطة من النموذج .. لا تنس إرسال النموذج بعد الانتهاء من إكمال كافة الحقول المطلوبة لمسح النسخة المحفوظة. اضغط هنا


    الموضوع المختصر

    فضلاً أدخل موضوع مختصر

    Research Request Form

     Research title

    Research title


    * The research type

    * Research Proposal

    Including the methodology (PDF or Word)

    الامتدادات المسموح بها : csv, doc, docx, pdf, ppt, pptx, ppsx, txt, xls, xlsx
    الحجم المسموح به : 1024
     عرض

    * The institutional review board letter (IRB) / Ethical Approval

    PDF please. In case no IRB approval is required please submit the decision letter.

    الامتدادات المسموح بها : mp3, wav, wma, mp4, wmv, avi, flv, gif, jpg, jpeg, png, 7z, csv, doc, docx, gz, gzip, pdf, ppt, pptx, ppsx, txt, xls, xlsx, zip
    الحجم المسموح به : 1024
     عرض

     The Name of the Principle Investigator

    in English please


     Co Authors

    for example 1-.............. 2-.........* works at UQU- College of Pharmacy 3-.........


    * Supervisor's Name

    in English please


     Which Machine/s or device do you need to use ?

    Applicant's Information

    * Applicant's name

    Applicant's name


     Applicant's Email

     Applicant's Mobile number

    966XXXXXX


     Applicant's Position/ Place of work/ University/ College

    for example: Student/Umm Al-Qura University/ Faculty of Medicine or Periodontist/ King Faisal Hospital/ Ministry of Health etc


    Agreement

    Do you agree to the terms

    I agree to the terms of use which mandates aknowledging College of Pharmacy research lab in the publication and/or including at least one of College of Pharmacy staff members with a relevant qualification in the study as a participant after fulfilling the required criteria for participation in the publication. Also, i have been informed that College of Pharmacy is not responsible for providing the study with any material and the approval is merely for using the available lab equipments.



     
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