www.leeds.ac.uk/rds/assets/word/Forms/ac_integrity_transfer.doc Research Degree Transfer Assessment: Academic Integrity, Safeguarding Data and Ethical Requirements To be completed by the candidate and submitted with the transfer report Candidate Name: Title of Report Student ID Number 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/ (i) Is ethical review required? Yes No (ii) Has ethical approval been granted? Yes No (iii) If you have answered No to question (ii) please provide additional information here: (iv) If you have answered Yes to question (ii) please state from which body approval was sought (eg 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) (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, their data or their tissue; or the potential for significant environmental impact. http://researchsupport.leeds.ac.uk/index.php/academic_staff/good_practice/university_ethics_policies/ If Yes please go to section (ii) or If No please go to section (v) If Yes please go to sections (iv) or If No please go to section (iii) Signature of Candidate Date: Statement of Academic Integrity & Safeguarding the University’s Data I confirm that the attached transfer 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 consent to the University making available to third parties (who may be based outside the EEA) any of my work in any form for standards and monitoring purposes including verifying the absence of plagiarised material. I agree that third parties may retain copies of my work for these purposes on the understanding that the third party will not disclose my identity 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/ Signature of Candidate Date: Sept 2011 1