Research Participant Consent — MUT-CF-003 | Data Privacy Management System

MUT-CF-003

Research Participant —
Informed Consent Form

Research Ethics Declaration

This research has been approved by the MUT Research Ethics Committee. Participation is entirely voluntary. You may withdraw at any time without giving reasons and without any negative consequences.

Contact	research@mut.ac.ke \| dpo@mut.ac.ke
Data Retention	5 years after project completion, then securely deleted

Research Project Details

Research Project Title

Purpose of the Research

What Participation Involves

Special Category Data

Does this study collect special category data?

Your Consents — KDPA s.32

🚫 Right to withdraw: You may withdraw at any time without negative consequences. Contact: research@mut.ac.ke or dpo@mut.ac.ke

Your Details

Full Name *

Email Address *

Relationship to MUT

Declaration: I confirm I have read and understood the research information. I have had the opportunity to ask questions. I voluntarily agree to participate and understand my right to withdraw at any time without consequences.

📋 This consent record will be stored in the MUT Consent Register. Reference: MUT-CF-003. Ethics Committee: research@mut.ac.ke