Protocol Submission

Department of Surgery Research Committee · University of Cape Town

Applicant Details

Firstname*

Surname*

Email*

Professional Title*

Request Protocol Fast Track *

Protocols that do not make use of the provided proforma will not be considered for fast tracking and will automatically be rolled over to the next meeting.

Only retrospective folder reviews / Registry analysis will be considered for fast tracking.

Fast TrackNot for Fast Track

Protocol Details

Protocol Title*

Protocol Description*

Purpose of Protocol (degree)*

Files

The Protocol filename conforms to website requirements*

Protocol file*

One file only. 10 MB limit. Allowed types: doc, docx.

Datasheet file*

This file refers to the variable fields to be collected in the protocol. One file only. 10 MB limit. Allowed types: pdf, doc, docx, ppt, xls, xlsx.

Supplementary file

Optional. One file only. 10 MB limit.

Submission Information

Supervisor *

Supervisor has read and approved protocol before submissionN/A — This protocol does not have a supervisor attached

Submission type *

First SubmissionRe-Submission

I have read the protocol checklist*