Sample of Waiver of Informed Consent

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Republic of the Philippines

Department of Education
Region VII
SCHOOLS DIVISION OF TOLEDO CITY

Waiver of Informed Consent

Madam/Sir:

Good day!

We are currently having a research study entitled, “STRATEGIC INTERVENTION


MATERIAL FOR SENIOR HIGH SCHOOL.” You are one of the chosen few to be my
respondents. Given what has been mentioned, I would humbly solicit your kind
assistance and cooperation to participate in this study. I would need your sincere and
honest answers/responses to each question with the best of your knowledge and
perception.

Your heartfelt response on this matter is greatly appreciated and will be of tremendous
help to the outcome of the study. Rest assured that all the information gathered will be
treated with utmost care, respect, and confidentiality, and will not affect your level of
performance in school.

Thank you very much.

Respectfully yours,

ALTHEA MARTINEZ
Research Leader

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