7073135367

7073135367



BORANG PERMOHONAN KELULUSAN ETIKA PELAJAR PASCA IJAZAH (M.Med. M.Sc & Ph.D) PUSAT PENGAJIAN SAINS PERUBATAN (PPSP)

ETHICAL APPROVAL APPLICATION FORM lor POSTGRADUATE STUDENT (M.Med, M.Sc & Ph.D) PPSP

Nota:-(Notes):-

1.    Borang permohonan terdiri daripada 8 mukasurat.

(Application form consists o 18 pages).

2.    Conloh Carta Aliran Projek dan Carta Gana siła rujuk mukasurat 9-11.

(Example of 'Project Flow Chart 'and ‘Gantt Chart' relerpage 9-11).

3.    Senarai kumpulan FOR rujuk mukasurat 12-14 dan kumpulan SEO dimukasurat 15 untuk rujukan sahaja [tidak perlu dicetakj.

(L/st of FOR group refer page 12-14 and SEO group refer page 15).For reference only (no need to print],

4.    Permohonan hendaklah dimajukan ke Pejabat Bhg. Siswazah, PPSP untuk diperakukan oleh Dekan dan Timbalan Dekan (Pengajian Siswazah & Latihan Iktisas), PPSP.

Please send the form lo the Postgraduate Office, School of Medical Sciences for endorsement by the Dean and Deputy Dean (Postgraduate and Professional Training), School of Medical Sciences.

5.    Selepas mendapat perakuan Dekan dan Timbalan Dekan (Pengajian Siswazah & Latihan Ikhtisas), PPSP, serahkan 3 salinan borang ini (termasuk salinan asal) ke Pejabat Pelantar Penyelidikan Sains Klinikal. USM untuk tindakan lanjut.

(Following the approval from the Dean and Deputy Dean (Postgraduate and Professional Training). School of Medical Sciences, please make 3 copies (including odginał copy) and send to Clinical Science Research Platform Office, USM forfurtheraction).

FOR POSTGRADUATE OFFICE S USE ONLY

Stamp Datę received (From PG Student):

Received by:

Sig naturę:

Stamp Datę received (From Dean's Office):

Received by:

Sig naturę:

Stamp Datę received (Research Platform Office):

Received by:

Sig naturę:

JEPeM€r»calFcrn<l1/Veł 3 - 2010 Updrted 1V12/2010



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