IRB#:
PI:
To the Vanderbilt University Institutional Review Board:
I, ____________________________ declare that I am fluent in and understand the English language and the __________________________ language. To the best of my knowledge and belief, the attached translation(s) are true, accurate and correct.
Attached are (1) the original documents (In English) and (2) the __________________________
- translated version(s).
Other than my role as a translator, I have no other involvement with the above-referenced research proposal.
Translator’s Name (Print): _________________________________________________________
Address: _______________________________________________________________________
Phone No.: (_____) - ______ - __________ Fax No.: (_____) - ______ - _________________
E-mail: __________________________________________
_________________________________________________ _______________________
Signature Date
IRB Form #1128, Translator’s Declaration
Version Date: March 1, 2006
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