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NSHD Data Access Request Form


The following text is from the PDF version of the form. To download and complete the form for submission, please use this link

N.B. if your application is part of studying for a PhD, your supervisor(s) must be named as co-applicant(s) on the application.

To see where this form fits in the overall NSHD Data Sharing process see here

This form should be used to submit a data access request to the Data Sharing Committee of the MRC Lifelong Health and Ageing Unit at UCL. To enable the form to be considered we expect all sections of the form to be completed.

Please note that information in sections 1,2, and 4 will be made publicly available to other researchers applying for access to NSHD data. Information supplied by you in all other sections will be treated as confidential. By submitting this form you are consenting to the disclosure of this limited set of information to other researchers. If you do not consent to this, please do not submit this form.

N.B. if your application is part of studying for a PhD, your supervisor(s) must be named as co-applicant(s) on the application.

SECTION 1 – Public Information

Enter Name Enter Position
Principal ApplicantPosition
Enter Institution NameEnter email address.
Institution Email Address
Enter Name. Enter Position
Co-applicantPosition
Enter InstitutionEnter email address.
Institution Email Address

If there are more co-applicants please list their names, positions, and institutions here.

Click or tap here to enter text.
Further co-applicants

SECTION 2 – Public Information

Click or tap here to enter text.
Title of Project
Click or tap to enter a date.Click or tap to enter a date.
Project Start Date Project End Date

SECTION 3 – Confidential Information

Will/has the project be(en) peer reviewed and funded?
Enter funding organisation
Funding Organisation
Brief description of the project including proposed output

(no more than 1 side of A4 and no more than 10 key references)
Click or tap here to enter a project description.

SECTION 4 – Public Information

Public summary of this project.
Click or tap here to enter public summary for this project.

SECTION 5 – Confidential Information

Are other studies included in this project?\\
(If yes, please specify the other studies)
Click or tap here to enter names of other studies.
Does your project involve genotyping?
If yes please specify


  1. list of SNPs to be genotyped;


  2. pre-existing data on genotype frequency;


  3. reference any of the applicant’s previous experience in this area

Click or tap here to enter above details.
Does your project involve DNA?
This is only provided in certain circumstances; please see the guidelines available on our website. State amount, rationale for request of DNA, and describe the processes to be carried out.
Click or tap here to enter above details.
DNA samples: Are there any special requirements for the DNA extraction or potential problems with using pre-amplified rather than genomic DNA?
Please specify:
Click or tap here to enter requirements.
Does your project involve RNA or other cellular material?
If yes, please state amount and rationale for request, and describe the processes to be carried out. Also please answer the next question.
Click or tap here to enter above details.
Feasibility and quality control: Does(Do) the applicant(s) have sufficient experience and expertise to carry out the DNA or RNA investigations described?

Please cite relevant publications
Click or tap here to enter above details.

SECTION 6 – Confidential Information

Analyses: What variables from the NSHD database will be required for statistical analysis?
Click or tap here to enter variables required.

SECTION 7 – Confidential Information

Within your organisation, who will be responsible for managing the information security of any NSHD data shared with you.
Click or tap here to enter name and role of person.
What policies and/or certifications does your organisation have in place to safeguard the confidentiality, integrity and availability of digitally stored information?
Click or tap here to enter above details.
What is the location of the data centre or servers which will be used to store any NSHD data supplied to you?
Click or tap here to enter address including country.
How will access to NSHD data be controlled?
Choose from the following list or write your own answer.
Who will be responsible for the day-to-day management of any NSHD data shared with you?
Click or tap here to enter name and role of person.

SECTION 8 – Confidential Information

How did you find out about the NSHD?
Choose from the following list.
enter today’s date.
Signature Date
Print name here.
Print Name