<p> University of Leeds Research Degree Assessment: Academic Integrity, Safeguarding Data and Ethical Requirements This form to be completed by the PhD student and submitted with their student report</p><p>Candidate Student ID Name: Number Title of Report</p><p>Ethical Considerations of the Project Before completing this section of the form, please read the guidance notes published at http://researchsupport.leeds.ac.uk/index.php/academic_staff/good_practice/university_ethics_policies/</p><p>(i) Is ethical review required? Yes No If Yes please go to section (ii) or If No please go to section (v) (ii) Has ethical approval been granted? Yes No If Yes please go to sections (iv) or If No please go to section (iii) (iii) If you have answered No to question (ii) please provide additional information here: If you have answered yes to question (ii) please state from which body approval was sought (eg (iv) Research Ethics Committee (for research with animals), University Faculty Research Ethics Committee for research that should be reviewed), NHS or other lead institution AND give reference number for approval (if appropriate)</p><p>(v) I confirm that I am aware of and comply with the University’s procedures for the review of ethical issues arising from research involving animals; human participants or their data; the release of genetically modified organisms into the environment; or the potential for serious adverse impact upon the environment. http://researchsupport.leeds.ac.uk/index.php/academic_staff/good_practice/university_ethics_policies/ Signature of Candidate Date:</p><p>Statement of Academic Integrity & Safeguarding the University’s Data I confirm that the attached report is my own work and I have not presented anyone else’s work as my own and that full and appropriate acknowledgement has been given where reference has been made to the work of others I have read and understood the University’s published rules on plagiarism and also any rules specified at School/Faculty level. I understand that if I commit plagiarism I can be expelled from the University and that it is my responsibility to be aware of the University’s regulations on plagiarism and their importance. http://www.leeds.ac.uk/rds/assets/word/policies/guidance_plagiarism_procedures.doc I re-confirm my consent to the University copying and distributing any or all of my work in any form and using third parties (who may be based outside the EU/EEA) to monitor breaches of regulations, to verify whether my work contains plagiarised material, and for quality assurance purposes. I confirm that I am aware of and comply with the University’s policy for “Safeguarding Data – Storage, Backup and Encryption” http://campus.leeds.ac.uk/isms/policies/safeguarding/</p><p>Signature of Candidate Date:</p><p>May 2010</p><p>1</p>