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nshd:confform [20/03/2018 @ 10:13]
adammoore
nshd:confform [20/04/2018 @ 12:54]
p.curran
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 The following text is from the PDF version of the form.  To download and complete the form for submission, please use this The following text is from the PDF version of the form.  To download and complete the form for submission, please use this
 {{nshd:​ConfidentialityForm-v7.pdf | link}} {{nshd:​ConfidentialityForm-v7.pdf | link}}
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 +Remember that a Data Sharing Agreement must be in place between your research institution and the LHA and you must sign and return a Confidentiality Form before any data extracts can be provided to you.
  
 To see where this form fits in the overall NSHD Data Sharing process see [[nshd:​submission | here]]\\ ​ To see where this form fits in the overall NSHD Data Sharing process see [[nshd:​submission | here]]\\ ​
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- ​Signature ​   __________________________________________________________________ ​  Date: _________________________________________ 
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-Contact Details: 
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-First name: ____________________________________________________________________ 
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-Surname: ​   ____________________________________________________________________ 
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-Address: ​   ____________________________________________________________________ 
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-            ____________________________________________________________________ 
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-Post Code:  ____________________________________________________________________ 
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-City:       ​____________________________________________________________________ 
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-Tel:        ___________________________________________________________________ 
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-Email: ​     ___________________________________________________________________ 
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