CONSENT 
I have received my copy of this form to keep in plenty of time to read it and 
seriously consider it. I have also received the Experimental Subjects' Bill of Rights, which 
I have read and understand. I have had an opportunity to discuss the Study and ask the 
Investigator any questions I have about the Study and my participation. 
Participation in this study is entirely voluntary. I have the right to refuse without 
any harm to my continued receipt of treatment. I also have the right to withdraw at any 
time. 
By signing this consent form, I consent to be treated with HIV-IT (V) or a placebo 
under the Principal Investigator's direction. 
Subject's Signature 
Date 
Investigator's Signature 
Date 
Witness' Signature 
Date 
[922] 
Recombinant DNA Research, Volume 17 
