DEPARTMENTAL APPROVAL OF MREC STUDY

MREC REGISTRATION NUMBER: 

TITLE OF PROPOSED RESEARCH:

NAMES OF LOCAL INVESTIGATOR(S):

DEPARTMENT OF PRINCIPAL LOCAL INVESTIGATOR: 

I hereby confirm that the ………………………………………………….……department
have reviewed the research project stated above and:

•	are satisfied with the local investigator(s) qualifications/suitability for conducting this research
•	have no objection to the research taking place within the department in the event of ethical approval being granted. (N.B. studies that involve NHS patients/use NHS resources must also seek approval from the Hammersmith Hospital NHS Trust R&D office before commencing any project)

Signed: ………………………………………………………………(Head of Department)

Date:     ………………………………………………………………

Name (PRINT): ……………………………………………………..