Hi,
many thanks for your efforts.
Could you please give a few more details:
Who are you?
What is the purpose of your research?
Who will be the assessor? Which organisation is responsible for handling the information?
Who will have access to the information and in which ways will the information be used?
You ask for a lot of information that might potentially identify the author (3, 4, 5), how will you warrant anonymity, please?
Kind regards,
Fyzzio