Clinical panel sequencing of cancer of unknown primary using Comprehensive cancer panel (CCP)

University of Melbourne Cancer Research Centre (UMCCR) Data Access Committee (DAC) request form

University of Melbourne Cancer Research Centre (UMCCR) Data Access Committee (DAC) request form Email the completed form to: UMCCR-DAC@unimelb.edu.au The following form is to be used to submit an expression of interest to access data under the purview of the UMCCR-DAC and does not represent a binding data access agreement. REQUESTOR INFORMATION Graduate research student requestors must include their supervisor or a senior researcher as the Principal Investigator. Please use institutional email addresses only. Requestor Name: Job Title/Position: Department and Institution: Telephone: Email: Postal Address: Principal Investigator (if different to the Requestor) Name: Job Title/Position: Department and Institution: Telephone: Email: Postal Address: Authorised Institutional Representative Name: Job Title/Position: Institution: Telephone: Email: Postal Address: DATA REQUESTED Data description Include the EGA study and dataset accession number(s), other data identifier(s) and/or the name of the publication describing the data. Data type Is the requested data identifiable? (Whole-genome sequencing data is not considered identifiable.) ☐ Yes ☐ No PROJECT DETAILS Project description Describe the project in which the data will be used (500 words maximum). This should include specific details of the aims and what you plan to do with the data. Members of the project team requiring access to the data. Include the following information: Name Job title/position Institution Email Supervisor Feasibility Describe previous experience in this field of research and/or in similar projects by the requestor, principal investigator and other members of the project team. ETHICS APPROVAL Does this project require approval from a Human Research Ethics Committee (HREC) or comparable committee? ☐ Yes ☐ No If yes, name the HREC from which approval has been requested or obtained and attach relevant documentation (ethics application and/or approval documentation). If no, please explain why ethics approval is not required.