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Consent Form UK Data Archive Study Number 7523 - Northern Ireland General Election Survey, 2015 NORTHERN IRELAND GENERAL ELECTION SURVEY 2015 1 Version 2.1 June 2013 THE 2015 NORTHERN IRELAND GENERAL ELECTION STUDY INVESTIGATORS: Professor Jon Tonge (University of Liverpool) Professor Peter Shirlow (Queen’s University Belfast) Professor Jocelyn Evans (University of Leeds) Professor Bernadette Hayes (University of Aberdeen) Professor Paul Mitchell (LSE) SURVEY ORGANISATION: Social Market Research (SMR) Belfast. Director: Donal McDade Funder: Economic and Social Research Council Northern Ireland 2015 General Election Survey PARTICIPANT CONSENT FORM Title of Research Project: THE 2015 NORTHERN IRELAND GENERAL ELECTION SURVEY Pleaseinitial box 1. I confirm that I have read and have understood the information sheet dated [DATE] for the above study. I have had the opportunity to consider the information, ask questions and have had these answered satisfactorily. 2. I understand that my participation is voluntary and that I am free to withdraw at any time without giving any reason, without my rights being affected. In addition, should I not wish to answer any particular question or questions, I am free to decline. 3. I understand that, under the Data Protection Act, I can at any time ask for access to the information I provide and I can also request the destruction of that information if I wish. 4. I understand that confidentiality and anonymity will be maintained and that I will not be identified in any publication 5. I agree to take part in the above study. Participant Name Date Signature Name of Person taking consent Date Signature Researcher Date Signature 2 Version 2.1 June 2013 Principal Investigator: Market Research Organisation: Professor Jon Tonge Donal McDade Department of Politics Social Market Research University of Liverpool 3 Wellington Park Roxby Building Belfast BT9 6DJ Liverpool L69 7ZT Tel: w 02890 923362 Tel: w: 0151-794-2899 (direct) [email protected] m: 0778 8190742 Email: [email protected] Version 2.1 May 2015 3 Version 2.1 June 2013 .
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