Change of Details Form for HRECs and their Organisation(s)

Important information

The organisation with primary responsibility for a Human Research Ethics Committee (HREC) should notify NHMRC of any change of details for the HREC and/or for the organisation(s) which has responsibility for the HREC.

This form is used to notify NHMRC of one or more of the following changes:

change of HREC contact details
change of HREC contact officer details
change of HREC chairperson details
change of organisation details
addition of a responsible organisation(s).

For changes in HREC membership, registered HRECs only need to advise of changes to the chairperson (using this form). However, organisations and HRECs that are certified under NHMRC's National Certification Scheme of Institutional Processes related to the Ethical Review of Multi-centre Research are required to advise of all membership changes (by emailing HREC.admin@nhmrc.gov.au).

Instructions

complete relevant section/s of the online form
additional information can be provided in the further information box, if relevant
a copy of the form will be emailed to you upon submission.

HREC details

Name of HREC currently registered with NHMRC: *

HREC EC number: *

Name of organisation currently registered with NHMRC as the primary organisation: *

Change of details

Select all that apply:

Change of HREC contact details

Change of HREC contact officer details

Change of HREC chairperson details

Change of organisation details

Addition of a responsible organisation(s)

Change of HREC contact details:

New name of HREC:

Address:

Suburb/City:

State:

Postcode:

Email:

Website:

Change of HREC contact officer details

Title

Full name:

Position:

Phone number:

Change of HREC chairperson details:

(see NS 5.1.30.a )

Title:

Full name:

Email:

Change of organisation details

Organisation name:

Position of head of organisation:

Email address for head of organisation:

Indicate which category best describes the organisation:

Addition of a responsible organisation

Organisation name:

Position of head of organisation:

Email address for head of organisation:

Indicate which category best describes the organisation:

Further information

Further information:

Email address: *

Declaration

I declare that: *

I declare that: * *

the information supplied in this form is true and accurate
I accept the risks and conditions outlined in the NHMRC Privacy Policy.

Full name: *

Position: *

Date: *

Day

Month

Year