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INSTITUT PENYELIDIKAN PERUBATAN KUALA LUMPUR Prosedur Pengurusan Penyelidikan MS ISO 90012008

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INSTITUT PENYELIDIKAN PERUBATAN KUALA LUMPUR Prosedur Pengurusan Penyelidikan MS ISO 90012008 Powered By Docstoc
					                                  Prosedur Pengurusan Penyelidikan MS ISO 9001:2008
INSTITUT PENYELIDIKAN PERUBATAN
          KUALA LUMPUR



  Prosedur Pengurusan
      Penyelidikan
    MS ISO 9001:2008
PROSEDUR PENGURUSAN
    PENYELIDIKAN
SISTEM PENGURUSAN KUALITI
      MS ISO 9001:2008

                  PPP/IMR


                Tarikh Kuatkuasa
                   5 Nov 2008




  Institut Penyelidikan Perubatan
             Jalan Pahang,
          50588 Kuala Lumpur

                 Diluluskan Oleh

              Dr Shahnaz bt Murad
      Pengarah Institut Penyelidikan Perubatan




  Dikeluarkan Kepada:                       No Salinan Terkawal:
                               
              ‐Prosedur Pengurusan Penyelidikan‐ 
       Institut Penyelidikan Perubatan Kuala Lumpur                             




                           SENARAI KANDUNGAN

Bhgn                              Perkara                          Mukasurat
       Rekod Pindaan

1      Objektif                                                       01
2      Skop                                                           01
3      Rujukan                                                        01
4      Definisi dan Singkatan
        Definisi                                                      01
        Singkatan                                                     02
5      Tanggungjawab dan Tindakan
        Penerimaan dan Penyemakan Proposal Melalui Kaedah Manual      03
        Penerimaan dan Penyemakan Proposal Melalui Kaedah             03
        Pendaftaran Penyelidikan NMRR
        Mesyuarat JPP-IMR Untuk Penilaian Keseluruhan Proposal        04
        Melalui Penyerahan Secara Manual Atau Kaedah Pendaftaran
        NMRR
        Pemantauan Kemajuan Penyelidikan                              05
        Pemantauan Penamatan Penyelidikan                             05
        Pemantauan Selepas Tamat Projek                               06
        Pemantauan Hasil Penyelidikan (Penerbitan/ Pembentangan/      06
        Paten)
        Penutupan Fail Projek                                         06
6      Rekod Pelaksanaan                                              07
       Senarai Lampiran
        Borang JTP/KKM-3ver1.1
        Borang Semakan Proposal Baru Penyelidikan
        Ministry Of Health Grant Technical Evaluation Form
        Quarterly Financial Report
        Project Activity Report
        Milestone Achievement Report
        End of Project Report
        Laporan Pemantauan Hasil Penyelidikan
        Permohonan Menghadiri Seminar dan Membentangkan Kertas
        Saintifik serta Pembiayaan
        Permohonan Kelulusan Menerbitkan Hasil Penyelidikan
        Borang Soal Selidik Kepuasan Pelanggan
                               
               ‐Prosedur Pengurusan Penyelidikan‐ 
        Institut Penyelidikan Perubatan Kuala Lumpur                            




                             REKOD PINDAAN

Keluaran    Tarikh        Keterangan Ringkas            Seksyen/    Diluluskan
/Pindaan                                                Mukasurat      Oleh
                                  Pindaan
                                                         Terlibat

  1.1      07/06/10 Pindaan ke atas keseluruhan         Semua       Pengarah
                    Prosedur Pengurusan
                                                                    IMR
                    Penyelidikan hasil daripada
                    semakan dan penambahbaikan
                    dokumentasi ISO 9001:2008
                                    
                ‐Prosedur Pengurusan Penyelidikan‐ 
         Institut Penyelidikan Perubatan Kuala Lumpur                                  




1. OBJEKTIF

  a) Untuk memastikan projek penyelidikan dijalankan mengikut peraturan yang ditetapkan
      oleh JPP-IMR berasaskan kehendak pelanggan (agensi peruntukan).
  b) Untuk memastikan proses pengurusan sesebuah projek penyelidikan dilakukan
     secara teliti dan teratur.

2. SKOP

  Prosedur ini digunakan sebagai panduan oleh semua penyelidik bermula dari proses
  penyediaan proposal sehingga penutupan projek. Ia juga digunakan oleh Urusetia JPP-
  IMR untuk menguruskan projek penyelidikan di IMR.

3. RUJUKAN

    i. MS ISO 9001:2008
    ii. Manual Kualiti
   iii. NIH Guidelines and Forms
   iv.   MOSTI Guidelines and Forms
    v. Garis Panduan Penilaian dan Pemantauan Pengurusan Penyelidikan

4. DEFINISI DAN SINGKATAN

  DEFINISI
   Agensi Peruntukan         : Agensi yang akan membiayai projek penyelidikan seperti
                               NIH, MOSTI dan agensi lain.
   Ketua Penyelidik          : Pegawai yang mengetuai Pasukan Penyelidik
   Pasukan Penyelidik        : Terdiri daripada pegawai perubatan, pegawai penyelidik,
                               kolaborator dan kumpulan sokongan yang dikenalpasti
                               dalam cadangan projek penyelidikan
   Kolaborator               : Institusi yang bekerjasama dengan ketua penyelidik
   JPP-IMR                   : Jawatankuasa yang dipengerusikan oleh Pengarah IMR
                               dan ahli-ahlinya terdiri daripada beberapa orang pakar
                               dalam disiplin tertentu yang dilantik oleh Pengarah
   Jawatankuasa Etika dan    : Jawatankuasa yang dipengerusikan oleh Timbalan Ketua
   Penyelidikan Perubatan      Pengarah Kesihatan (Penyelidikan dan Sokongan
   (MREC)                      Teknikal), KKM. Ahli-ahlinya terdiri daripada Pengarah-
                               Pengarah Institut di bawah NIH, pakar perubatan dan
                               penyelidik dalam disiplin tertentu daripada KKM dan
                               universiti, wakil Akademi Perubatan Malaysia, ahli
                               farmasi,     pegawai     undang-undang,        jururawat,
                               juruteknologi makmal perubatan dan lain-lain lagi.




                                                                                    1-7
                             
             ‐Prosedur Pengurusan Penyelidikan‐ 
      Institut Penyelidikan Perubatan Kuala Lumpur                               




Jawatankuasa            : Jawatankuasa yang terdiri daripada pegawai veterinar,
Penjagaan dan             pegawai perubatan dan pegawai penyelidik daripada
Penggunaan Haiwan         Institut Penyelidikan Perubatan, universiti-universiti
Makmal (ACUC)             tempatan dan Jabatan Perkhidmatan Haiwan.


SINGKATAN
JPP-IMR                 : Jawatankuasa Penilaian Penyelidikan IMR
Urusetia                : Urusetia Jawatankuasa Penilaian Penyelidikan IMR
NMRR                    : National Medical Research Register
MREC                    : Medical Research and Ethics Committee (Jawatankuasa
                          Etika dan Penyelidikan Perubatan)
ACUC                    : Animal Care and Use Committee (Jawatankuasa
                          Penjagaan dan Penggunaan Haiwan Makmal)
NIH                     : National Institutes of Health (Institut Kesihatan
                          Kebangsaan)
KKM                     : Kementerian Kesihatan Malaysia
MOSTI                   : Ministry of Science, Technology and Innovations




                                                                              2-7
                                   
                  ‐Prosedur Pengurusan Penyelidikan‐ 
           Institut Penyelidikan Perubatan Kuala Lumpur                                   




5. TANGGUNGJAWAB DAN TINDAKAN

TANGGUNGJAWAB                                        TINDAKAN
                        Penerimaan dan Penyemakan Proposal Melalui Kaedah
                        Manual
Urusetia                1.   Mengedar Borang Proposal melalui laman web IMR, e-mel
                             atau hard copy untuk diisi oleh Ketua Penyelidik.
                        2.   Menerima borang proposal daripada Ketua Penyelidik yang
                             telah diluluskan oleh Ketua Pusat / Ketua Unit. Salinan
                             secukupnya perlu disediakan oleh Ketua Penyelidik untuk
                             diedarkan kepada anggota panel JPP-IMR.
                        3.   Memberi nombor kod JPP-IMR kepada setiap proposal yang
                             diterima.
                        4.   Menyemak proposal mengikut Borang Semakan Proposal
                             Baru Penyelidikan yang mengandungi perkara-perkara
                             berikut:
                             - Gantt Chart
                             - Budget: Direct Project Funding
                             - Budget: Disbursement Schedule
                             - Funding Sources
                             - Contractual Matters
                             - CV of All Key Researchers
                        5.   Mengedarkan salinan proposal lengkap kepada anggota
                             panel JPP-IMR untuk dinilai sebelum mesyuarat JPP-IMR.
                        Penerimaan dan Penyemakan Proposal Melalui Kaedah
                        Pendaftaran Penyelidikan NMRR
Ketua Penyelidik        6.   Mendaftar sebagai penyelidik melalui laman web
                             ‘www.nmrr.gov.my’ untuk mendapatkan ‘ID penyelidik’.
Ketua Penyelidik        7.   Menyediakan proposal penyelidikan mengikut format yang di
                             tetapkan di dalam laman web tersebut.
                        8.    Menghantar proposal bagi penilaian oleh panel JPP-IMR
                             (Reviewer) secara on-line.
Urusetia NMRR           9.   Menghantar e-mel ‘alert’ kepada Urusetia JPP-IMR untuk
                             memulakan proses penilaian.
Urusetia               10. Memberi tugas kepada panel JPP-IMR (Reviewer) yang
                           berkaitan bagi penilaian proposal penyelidikan.
JPP-IMR                11. Menilai proposal melalui laman web NMRR sebelum
                           mesyuarat JPP-IMR.




                                                                                      3-7
                                   
                  ‐Prosedur Pengurusan Penyelidikan‐ 
           Institut Penyelidikan Perubatan Kuala Lumpur                                  




TANGGUNGJAWAB                                     TINDAKAN

                        Mesyuarat JPP-IMR Untuk Penilaian Keseluruhan Proposal
                        Melalui Penyerahan Secara Manual Atau Kaedah Pendaftaran
                        NMRR
Urusetia                12. Mencadangkan kepada Pengerusi JPP-IMR supaya penilaian
                            proposal penyelidikan dimasukkan ke dalam agenda
                            Mesyuarat JPP-IMR.
                        13. Menetapkan tarikh mesyuarat JPP-IMR untuk penilaian
                            proposal.
                        14. Memaklumkan tarikh mesyuarat beserta jadual penilaian
                            proposal kepada Ketua Penyelidik yang berkenaan dan
                            semua ahli panel JPP-IMR.
JPP-IMR                 15. Menilai dan membuat keputusan mengenai proposal
                            penyelidikan.
Urusetia                16. Memaklumkan keputusan penilaian proposal kepada Ketua
                            Penyelidik dengan keputusan seperti di bawah:
                              Lulus: tiada pindaan
                              Lulus dengan pindaan: pindaan perlu dibuat dalam
                               tempoh masa yang ditetapkan
                              Lulus bersyarat: perlu memenuhi syarat yang ditetapkan
                               oleh JPP-IMR/NIH/KKM (contoh: kelulusan dari MREC)
                              Tidak diluluskan
                        17. Memaklumkan tindakan pembetulan yang perlu diambil oleh
                            Ketua Penyelidik.
                        18. Menerima proposal yang telah dipinda beserta maklumat
                            pindaan / pembetulan dari Ketua Penyelidik.
                        19. Mengemukakan proposal yang telah dipinda beserta Ministry
                            Of Health Grant Technical Evaluation Form yang telah
                            dinilai oleh Pengerusi Panel JPP-IMR kepada Agensi
                            Peruntukan untuk mendapatkan kelulusan melalui Pengarah
                            IMR.
Pengarah                20. Menerima keputusan daripada Agensi Peruntukan dan
                            serahkan kepada Urusetia.
Urusetia                21. Memaklumkan keputusan Agensi Peruntukan beserta
                            dengan pecahan peruntukan kepada Ketua Penyelidik dan
                            satu salinan dikemukakan kepada Unit Kewangan.
Ketua Penyelidik        22. Semua urusan kewangan boleh dijalankan setelah surat
                            pecahan peruntukan diedarkan kepada Ketua Penyelidik dan
                            Unit Kewangan IMR.




                                                                                    4-7
                                   
                  ‐Prosedur Pengurusan Penyelidikan‐ 
           Institut Penyelidikan Perubatan Kuala Lumpur                                 




TANGGUNGJAWAB                                     TINDAKAN
                        Pemantauan Kemajuan Penyelidikan
Urusetia                23. Memaklumkan kepada Ketua Penyelidik untuk menyediakan
                            laporan Suku Tahunan dan Setengah Tahunan selewat-
                            lewatnya seminggu sebelum tarikh yang ditetapkan.
Urusetia                24. Memantau kemajuan projek mengikut garispanduan yang
                            ditetapkan oleh NIH (rujuk Quarterly Financial Report,
                            Project Activity Report dan Milestone Achievement
                            Report Guidelines and Form) atau Agensi Peruntukan
                            melalui laporan-laporan berikut:
                           (i) Laporan Suku Tahunan mengandungi:
                                 Quarterly Financial Report
                              Tarikh Laporan: 31 Mac, 30 Jun, 30 Sep, 31 Dis
                           (ii) Laporan Setengah Tahunan mengandungi:
                                 Project Activity Report
                                 Milestone Achievement Report
                              Tarikh Laporan: 15 Jul, 15 Jan (tahun berikutnya)
Ketua Penyelidik        25. Menyediakan laporan kemajuan penyelidikan dengan
                            melengkapkan borang suku tahunan dan setengah tahunan
                            dan serahkan kepada Urusetia.
Urusetia                26. Menyemak laporan dan menganalisis data kemajuan projek
                            dengan menggunakan kaedah yang bersesuaian.
                        27. Menyerahkan satu salinan laporan suku tahunan dan
                            setengah tahunan kepada Agensi Peruntukan.
                        Pemantauan Penamatan Penyelidikan
                        28. Memantau projek yang telah tamat melalui borang End of
                            Project Report (rujuk End of Project Report Guidelines
                            and Form).
                        29. Memaklumkan kepada Ketua Penyelidik sebaik sahaja projek
                            tamat mengikut jadual untuk menyerahkan laporan tamat
                            projek dalam tempoh 3 bulan selepas tamat projek.
Ketua Penyelidik        30. Menyediakan laporan tamat projek dengan melengkapkan
                            borang End of Project Report dan serahkan kepada
                            Urusetia.
Urusetia                31. Menyemak dan menganalisis data laporan tamat projek
                            dengan menggunakan kaedah yang bersesuaian.
                        32. Menyerahkan satu salinan laporan tamat projek kepada
                            Agensi Peruntukan.




                                                                                     5-7
                                   
                  ‐Prosedur Pengurusan Penyelidikan‐ 
           Institut Penyelidikan Perubatan Kuala Lumpur                                   




TANGGUNGJAWAB                                     TINDAKAN
                        Pemantauan Selepas Tamat Projek
Urusetia                33. Memantau projek yang telah tamat (rujuk Garis Panduan
                            Penilaian dan Pemantauan Pengurusan Penyelidikan)
                            sehingga penutupan projek.
Ketua Penyelidik        34. Menyedia laporan pemantauan selepas tamat projek dengan
                            melengkapkan Laporan Pemantauan Hasil Penyelidikan
                            dan serahkan kepada Urusetia bagi setiap setengah
                            tahunan.
                            Tarikh Laporan: 15 Jul, 15 Jan (tahun berikutnya).
                        Pemantauan Hasil Penyelidikan (Penerbitan/ Pembentangan/
                        Paten)
Urusetia                35. Menerima dan menyimpan satu salinan permohonan
                            penerbitan yang telah diluluskan oleh Pengarah beserta
                            manuskrip, pengesahan penerimaan daripada Editor Jurnal
                            dan salinan artikel yang telah diterbitkan (Permohonan
                            Kelulusan Menerbitkan Hasil Penyelidikan).
                        36. Menerima dan menyimpan salinan permohonan
                            pembentangan yang telah diluluskan oleh Pengarah beserta
                            abstrak, pengesahan penerimaan daripada pihak penganjur
                            dan bukti kehadiran pembentang (Permohonan Menghadiri
                            Seminar dan Membentangkan Kertas Saintifik serta
                            Pembiayaan).
                        37. Menerima dan menyimpan salinan permohonan paten yang
                            telah diluluskan oleh Pengarah dan pengesahan penerimaan
                            paten.
                        Penutupan Fail Projek
Urusetia                38. Menutup fail projek setelah JPP-IMR berpuashati dengan
                            hasil penyelidikan seperti penerbitan, pembentangan
                            dan/atau permohonan paten.
                        39. Penutupan fail projek dilakukan setelah mendapat kelulusan
                            dari panel JPP-IMR
                        40. Menghantar Borang Soal Selidik Kepuasan Pelanggan
                            setelah penutupan projek kepada Agensi Peruntukan untuk
                            penilaian.
                        41. Merekod dan membuat analisis kepuasan pelanggan setelah
                            mendapat maklumbalas dari Agensi Peruntukan.




                                                                                     6-7
                                           
                     ‐Prosedur Pengurusan Penyelidikan‐ 
              Institut Penyelidikan Perubatan Kuala Lumpur                                       




6.           REKOD PELAKSANAAN

 BIL.                   NAMA REKOD                         LOKASI                TEMPOH
                                                                                SIMPANAN
      i.     Proposal                              Bilik Ketua Penyelidik /   5 tahun selepas
                                                   Urusetia                     projek ditutup
      ii.    Salinan proposal yang telah dipinda   Bilik Ketua Penyelidik /   5 tahun selepas
                                                                              projek ditutup
                                                   Urusetia
     iii.    Semakan Proposal Projek Baru          Bilik Urusetia             5 tahun selepas
                                                                              projek ditutup
     iv.     Keputusan Agensi Peruntukan           Bilik Ketua Penyelidik /   5 tahun selepas
                                                                              projek ditutup
                                                   Urusetia
      v.     Surat-menyurat berkenaan dengan       Bilik Ketua Penyelidik /   5 tahun selepas
             keputusan Jawatankuasa-                                          projek ditutup
                                                   Urusetia
             jawatankuasa penyelidikan
     vi.     Quarterly Financial Report            Bilik Ketua Penyelidik /   5 tahun selepas
                                                                              projek ditutup
                                                   Urusetia
     vii.    Project Activity Report               Bilik Ketua Penyelidik /   5 tahun selepas
                                                                              projek ditutup
                                                   Urusetia
     viii.   Milestone Achievement Report          Bilik Ketua Penyelidik /   5 tahun selepas
                                                                              projek ditutup
                                                   Urusetia
     ix.     End of Project Report                 Bilik Ketua Penyelidik /   5 tahun selepas
                                                                              projek ditutup
                                                   Urusetia




                                                                                          7-7
Form JTP/KKM-3ver1.1


  I.       Project Identification


A.       NMRR Project ID :


----------------------------------------------------------------------------------------------------------------------
B.       Type of Grant (Please tick one only. Small research grants are for amounts not exceeding RM
10,000 each)

             Major Research Grant                         Small Research Grant
-----------------------------------------------------------------------------------------------------------------------
C.       Project Title




-----------------------------------------------------------------------------------------------------------------------
D.       Principal Investigator (Please indicate the name and identification card number of the principal
         investigator)




------------------------------------------------------------------------------------------------------------------------
E.       Department (Please indicate the name, address, telephone number and fax number of the
         Department in which the principal investigator is based. Where available, indicate the e-mail address
         of the principal investigator too)




------------------------------------------------------------------------------------------------------------------------
F.       Key words (Please provide a maximum of 5 key words that describes the research project. These
         key words shall be used in a database on research in the Ministry of Health)




                                                     Page 1 of 12
Form JTP/KKM-3ver1.1


    II.       Objectives of the Project


A.         Objectives of the project (Please describe the measurable general and specific objectives of
          the project and define the expected results. Use results-oriented wording with verbs such as ‘to
          define …’, ‘to determine …’, ‘to develop …..’ )




------------------------------------------------------------------------------------------------------------------------
B.       Research background of the project (Please indicate if the project is new, modification, or
extension. Give a summary of your literature review and related research to indicate originality and feasibility
of proposed research. If modification, indicate why modification is required. If extension, indicate findings of
previous research project and why extension is required).

              Project Status (Please tick one)           New           Modification            Extension
                                                                         of previous             of previous
                                                                         project                 project

------------------------------------------------------------------------------------------------------------------------
C.       Type of Research (Please tick one only)
         o        Scientific (basic) research
          o       Technology development (applied research)
          o       Prototype development (design and engineering)
          o       Social / policy research
------------------------------------------------------------------------------------------------------------------------
D.       Field of Research (Please tick one only)
         o        Biomedical
          o       Clinical
          o       Public health
          o       Epidemiological
          o       Health systems
          o       Health economics
          o       Behavioural
          o       Others, please specify ………………………………………
------------------------------------------------------------------------------------------------------------------------
E.       Ministry of Health 9MP Health Research Priority Areas being addressed (Please
          refer to the Ministry of Health Research Priorities for the 9th Malaysia Plan as in www.nih.gov.my)

         CAM Disease / Cross Cutting Group :

         Research Scope :

         Relative Rank :


-------------------------------------------------------------------------------------------------------------


                                                     Page 2 of 12
Form JTP/KKM-3ver1.1

III.     Benefits of the Project


A.       Direct customers / beneficiaries of the project (Please identify clearly, the potential
         customers / beneficiaries of the research findings and provide details of their relevance to the health
         services. If this is a directed / requested research, please name the health service provider involved)




------------------------------------------------------------------------------------------------------------------------
B.       Outputs expected from the project (Please refer to the outputs in the Guidelines and give
         further details. Your actual outputs at the completion of the project shall be compared with the
         outputs listed here. Any unjustified shortfall may be detrimental to your future application)




------------------------------------------------------------------------------------------------------------------------

  IV. Project Structure (Optional for Small Research Grants)

A.       Departments and research organizations involved in the project (Please identify all
MOH Departments and other research organizations collaborating in the project and describe briefly the role
/ contribution to the project)




                                                     Page 3 of 12
Form JTP/KKM-3ver1.1


B.        Project team
               Name                   Department/ Organization   Estimated days on
                                                                      project
Principal Investigator :




Co-investigators :




Support staff :




Contract staff : (Indicate numbers)




Total :




                                       Page 4 of 12
Form JTP/KKM-3ver1.1



     V.       Research Approach

A.        Project Activities (Please list and describe the main project activities. The timing and duration
          of these activities are to be shown in the Gantt chart in Section VI)




------------------------------------------------------------------------------------------------------------------------
B.       Key milestones (Please list and describe the principal milestones of the project. The timing of
          milestones is to be shown in the Gantt chart in Section VI. A key milestone is reached when a
          significant phase in the project is completed.)




------------------------------------------------------------------------------------------------------------------------
C.       Risks of the project (Please describe the factors that may cause delays in, or prevent
          implementation, of the project as proposed above; estimate the degree of risk)

     Factors:




                                             Low               Medium            High
          Technical risk:

          Timing risk:

          Budget risk:

-------------------------------------------------------------------------------------------------------------
D. Duration (Indicate the planned starting date of the project and the elapsed time, in months, to
      complete the project. Do not include time for preparation of publication)



          Starting date:

          Duration (in months):

-----------------------------------------------------------------------------------------------------------------------


                                                     Page 5 of 12
Form JTP/KKM-3ver1.1



VI.    Project Schedule

(Please prepare additional pages if necessary)

          Project Activities                      200_                      200_
                                      J   F M A M J J A S O N D J   F M A M J J A S O N D




Use () to indicate planned milestones.




                                                 Page 6 of 12
Form JTP/KKM-3ver1.1


  VII.     Project Funding


A.       Direct project expenses (Please indicate the yearly costs for the project. The amounts should
         only include costs, which are to be requested from the MOH Allocation on Research Development.
         Use additional pages if necessary. Details and justification for each cost category should be
         prepared in the form shown in Appendix B.*Please refer to your Department’s Financial Unit in
         stating the allocation as OS-Objek Sebagai)

        Cost category                   Total RM             200_ RM        200_ RM        200_RM
OS21000 :Travel &
Transportation
          (In Country)
OS22000 : Travel &
Transportation
            (Overseas)
OS24000 : Rentals

OS25000 : Raw Materials

OS27000 : Research materials
and Supplies

OS29000 : Special services

OS29000 : Temporary &
contract personnel

OS35000 : Special equipment
and accessories

OTHERS (Please list as OS*)

TOTAL


B.       Disbursement Schedule (Please indicate how the fund requested above in Section VII. A, will
         be allocated)

     Department/          Total RM             200_ RM                 200_ RM           200_ RM
     Organization




                                              Page 7 of 12
Form JTP/KKM-3ver1.1


C.     Funding Sources (Please indicate all sources of funding for the project)

       Funding Sorces                            RM                        % of Total Funding
MOH Allocation on Research
Development (this is the total
amount requested for in Section
VII.A above)
Operating budget

Other sources (please specify)




                                            Page 8 of 12
Form JTP/KKM-3ver1.1




VIII. Contractual Matters

(For Small Research Grant application, submit only information for the Principal Investigator and not collaborators)
------------------------------------------------------------------------------------------------------------------------
Principal Investigator
Name:

Signature:                                                                       Date:

Head of Department of Principal Investigator

Name:

Signature and Official Stamp:


Date:
------------------------------------------------------------------------------------------------------------------------
Co-Investigator
Name:

Signature:                                                                       Date:

Head of Department of Co-Investigator

Name:

Signature and Official Stamp:


Date:
------------------------------------------------------------------------------------------------------------------------
Co-Investigator
Name:

Signature:                                                                       Date:

Head of Department of Co-Investigator

Name:

Signature and Official Stamp:


Date:



                                                     Page 9 of 12
Form JTP/KKM-3ver1.1
------------------------------------------------------------------------------------------------------------------------
Repeat for Co-Investigators, if necessary


  IX.      CURRICULUM VITAE

(Please prepare and submit a curriculum vitae of all key researchers for major research grant application. For small
research grant application submit only the curriculum vitae of the principal investigator. The curriculum vitae should
contain the following information below)

1.       Name:
2.       I/C No.
3.       Age:
4.       Nationality:
5.       Name and address of Department / Institution:
6.       Title of Position currently held:
7.       Official telephone number:
8.       Official fax number:
9.       Official e- mail:
10.      Academic and professional qualifications: (List all qualifications in the following format:
         title,field, year, name and place of institution)
11.      Number of years of experience in the field related to this project.
12.      List all major research projects completed or involved in which are in the field related to this
         project (List the projects in the following format: title, year started, year completed, position
         held in project, major findings and outputs)




                                                    Page 10 of 12
Form JTP/KKM-3ver1.1
                                                          APPENDIX A
Summary of literature review and related research




                                          Page 11 of 12
Form JTP/KKM-3ver1.1
                                                                                        APPENDIX B

(Please provide detailed breakdown and justifications for all project costs requested in Section VII. A. Use
additional pages if necessary)

         Cost Category                  Total RM           200_ RM           200_ RM           200_ RM




                                               Page 12 of 12
                                                                                    versi 2


                           URUSETIA JAWATANKUASA PENILAIAN PENYELIDIKAN
                                  INSTITUT PENYELIDIKAN PERUBATAN
                                    Jalan Pahang, 50588 Kuala Lumpur
                                 Tel : 03-2616 2492 Faks : 03-2616 2721
                                                 




                           BORANG SEMAKAN PROPOSAL BARU PENYELIDIKAN 
 MAKLUMAT PROJEK:

 Tahun :                                                             LOI/RP   RIP
 Kod JPP-IMR :
 Ketua Penyelidik:
 Unit / Pusat :
 Tarikh Mula :                                      Tarikh Tamat :
 Tajuk Penyelidikan :



 SENARAI SEMAK:


   1. Gantt Chart
   2. Budget – Direct Project Funding
   3. Budget – Disbursement Schedule
   4. Funding Sources
   5. Contractual Matters (signatures)
          a.     Principle Investigators
          b.     Head Department of PI
 6. CV of all key researchers


 KOMEN DAN CADANGAN:




Disemak dan disahkan;


.......................................
(Nama & Cop Rasmi)



Tarikh:
                      MINISTRY OF HEALTH RESEARCH GRANT TECHNICAL EVALUATION FORM

 A.      NMRR ID :

         Project title:

         Project leader:

         Tel:                                                               Fax:

 B.      Name of evaluator:

         Date of this evaluation:                                                           First                          Follow-up

 C. Summary of assessment (Please tick appropriate box.                 Also, provide additional comments in Section G. Numbers in
         parentheses refer to the corresponding section in the Application Form)



                                                                        Inadequate                     Acceptable                Very Good
                                                                             1               2            3               4           5
 1.      Scientific merit of research objectives

 2.      Credibility of benefits assessment

 3.      Appropriateness of the project structure

 4.      Robustness of the technical methodology

 5.      Appropriateness of the risk assessment

 6.      Cost effectiveness of the approach

 7.      Overall assessment

      Note: A proposal should be rejected if either item 1 (scientific merit of research objectives) or
      item 4 score is less than 3




        D.      Decision (Please tick appropriate box)


                Recommended for funding

                Rejection of application recommended (Please list reasons for rejection and suggestions in Section F)




MOH GRANT TECHNICAL EVALUATION FORM
                                                                          1
 E.     Recommended Funding (Please provide below the recommended funding for the project)

                      Cost Categories                                    Recommended Funding (RM)
                                                           20__       20__    20__    20__      20__           Total
       OS21000 Travel and transportation
       OS24000 Rentals
       OS25000 Raw material
       OS27000 Research materials & supplies
       OS29000 Special services
       OSTemporary and contract personnel
       OS35000 Special equipment and
            accessories
      Others (Please list as OS)
      Total Funding


       F.     Comments regarding assessment (Please provide below an explanation for any assessment made in Section C showing
              a rating below “acceptable”). Also provide reasons for proposal rejected and suggestions for improvement.




      ________________________________________
              Signature & Chop of Director / Evaluator




      Date:




MOH GRANT TECHNICAL EVALUATION FORM
                                                                  2
    G. MREC Decision


               Funding supported       Total : RM___________    Funding duration : ____________


               Funding rejected       Reason/s :




     ……………………………………….                              Date : ………………………..
       MREC Chairman




    F.   Funding Approval


               Funding approved       Total : RM___________     Funding duration : ____________


               Funding rejected       Reason/s :




     ……………………………………….                                         Date : ………………………..
       Deputy Director General of Health
       (Research & Technical Support)




MOH GRANT TECHNICAL EVALUATION FORM
                                                   3
QUARTERLY FINANCIAL REPORT
GUIDELINES AND FORM

A.     Purpose

The purpose of the quarterly financial report is to allow the NIH Secretariat to monitor the
actual/committed expenditures incurred by each approved project.

B.     Information required

The project leader is required to indicate the cumulative actual/committed expenditure
incurred up to the end of the quarter. Project leaders are reminded that deviation from the
approved budget breakdown is not permitted unless with permission from the Deputy
Director-General of Health (R&TS). Request for additional budget should be indicated
with appropriate justifications.

C.     Responsibility

It is the responsibility of the project leader to complete the quarterly financial report.

D.     Date of submission

The quarterly financial report is to be submitted by 31 March; 30 June; 30 September; 31
December

E.     Submission procedure

One copy of the report is to be submitted to the Head of Department. The Head of
Department should compile reports of all approved projects in the Department and submit
to the :

       NIH Secretariat,
       Ministry of Health Malaysia
       c/o Institute for Health Management
       Jalan Rumah Sakit, Bangsar
       59000 Kuala Lumpur
QUARTERLY FINANCIAL REPORT
_______________________________________________________________________

A.     Project Code:          ……………………………………

       Project Title: ………………………………………………………………………
       ………………………………………………………………………………………
       ……………………………………………………………………………………….

       Name of Project Leader: ……………………………………………………….
       Telephone No.: ………………………… Fax no.: ……………………………...
       E-mail: ………………………………….


     Date: ……………………….                        Signature: ……………………………
_______________________________________________________________________
_
B.   Cumulative project expenditure up to end of quarter

       Year: …………………

       Quarter (tick where appropriate):
     January -           April -            July -           October -
     March               June               September        December

         Category                 Allocation (RM)         Cumulative
                                                        expenditure (RM)
OS21000 : Travel and
transportation (in country)

OS22000 : Travel and
transportation (overseas)

OS24000 : Rentals

OS25000 : Raw Materials

OS27000 : Research
materials and supplies
0S29000 : Special services

OS29000 : Temporary and
contract personnel
OS35000 : Special
equipment and accessories
Others (Please list as OS)

TOTAL
_______________________________________________________________________

C.     Request for additional budget (Complete only if additional budget is required. State
clearly the amount requested, breakdown into the above categories, and justification why
additional budget required)
PROJECT ACTIVITY REPORT
GUIDELINES AND FORM

A.     Purpose
The purpose of this project activity report is to allow both the project leader and the NIH
Secretariat to monitor the progress of approved projects.

B.     Information required
The project leader is required to report the progress of each activity scheduled for the
reporting period. As far as possible, progress should be reported in measurable terms
such as number of samples collected, number of analysis done, etc. In the event that any
activity is behind schedule, the project leader is required to :
         provide reasons for any delays; and
         suggest adjustments to the original project schedule.

C.     Responsibility
Each project leader is to complete this Project Activity Report and submit it together with
the Milestone Achievement Report. The Head of Department is responsible to collect all
reports for approved projects of the Department and submit them to the NIH Secretariat

D.     Frequency
The Project Activity Report is to be submitted not later than 15 July (report for the period
January - June) and 15 January (report for the period July - December of the previous
year).

E.     Submission procedure
One copy of the Project Activity Report is to be submitted to the Head of Department. The
Head of Department will compile all reports from the Department. The compilation is then
submitted to:

       NIH Secretariat
       Ministry of Health
       c/o Institute for Health Management
       Jalan Rumah Sakit Bangsar
       59000 Kuala Lumpur
PROJECT ACTIVITY REPORT
_____________________________________________________________________

Project code: ………………………………..
Project Title: …………………………………………………………………………..
…………………………………………………………………………………………..
…………………………………………………………………………………………..
Name of Project Leader: ………………………………………………………………
Telephone no.: ……………………….. Fax no.: ……………………………
E-mail: ……………………………….

Date: ……………………….                Signature: ………………………….
_____________________________________________________________________

State actual progress for each research activity (refer to original project schedule).
As far as possible, progress should be reported in measurable terms such as
number of samples collected, number of analysis done, etc.

Year:                           Period:        Jan-Jun          Jul-Dec

Indicate current status of project:        On-going                 Terminated
               Abandoned                   Suspended                Completed

If project is terminated/abandoned/suspended, state reasons:




_____________________________________________________________________

Title of activity:

Progress (state reasons for any delays):




Note: Repeat this section for each activity scheduled for the period.
      Attach copy of original project schedule. Where necessary, include revised
      project schedule.
MILESTONE ACHIEVEMENT REPORT
GUIDELINES AND FORM

A.    Purpose
The purpose of this project activity report is to allow both the project leader and the NIH
Secretariat to monitor the overall progress of approved projects.

B.    Information required
The project leader is required to indicate whether the milestones proposed in the original
project plan are achieved. If any milestone is not achieved according to schedule, the
project leader is required to:
     provide reasons for the non-achievement; and
     suggest adjustments to the project approach and schedule.

C.    Responsibility
Each project leader is to complete this Milestone Achievement Report and submit it
together with the Project Activity Report. The Head of Department is responsible to collect
all reports for approved projects of the Department and submit them to the NIH
Secretariat.

D.    Frequency
The Milestone Achievement Report is to be submitted not later than 15 July (report for
the period January - June) and 15 January (report for the period July - December of the
previous year).

E.    Submission procedure
One copy of the report is to be submitted to the Head of Department. The Head of
Department should compile reports of all approved projects in the Department and submit
to the :

      NIH Secretariat
      Ministry of Health
      c/o The Institute for Health Management
      Jalan Rumah Sakit Bangsar
      59000 Kuala Lumpur
MILESTONE ACHIEVEMENT REPORT
(Repeat Sections B and C for each milestone that is due. Other Sections need to be completed once only)


____________________________________________________________________
A.   Project number: …………………………………………………………….
     Project title: ………………………………………………………………….
     …………………………………………………………………………………
     …………………………………………………………………………………
     Name of Project Leader: …………………………………………………….
     Tel. no.: ………………………           Fax. no.: ………………………………
     E-mail: ………………………
_____________________________________________________________________
B.   Milestone achievement (Please attach a copy of the original project schedule)

       Name of milestone: ……………………………………………………………
       …………………………………………………………………………………
       Planned milestone date: ………………………………………………………

        Status:            Achieved           Not achieved (please              complete
                                              sections C, D, E and F)

       Milestone description:




____________________________________________________________________
C.   Reasons for non-achievement (Please give reasons for non-achievement of the
     milestone)




____________________________________________________________________
D.   Suggested adjustments to the project approach (Please state the changes that
     are proposed)




_____________________________________________________________________
E.   Impact on project schedule (Please attach revised project schedule, if
     applicable)

       Revised date for this milestone: …………………….
       New date of project completion:………………. Original date: ……………….
____________________________________________________________________
F.   Impact on project budget (Please attach revised budget if necessary)

        Original approved budget: RM …………………………..
        Revised budget:           RM …………………………..

____________________________________________________________________

Date:                             Signature:
END OF PROJECT REPORT
GUIDELINES AND FORM

A.     Purpose
The purpose of the End of Project Report is to allow the NIH Secretariat and other MOH
Departments to assess the findings of research project, their utilization (or potential
utilization) and where possible, their impact.

B.     Information required
The project leader is required to provide the following information:
    Project summary for compilation and dissemination;
    Extend of achievement of original objectives;
    Project outputs; and
    Utilization of findings and potential commercialization.

C.     Responsibility
The project leader is to complete the End of Project Report and submit to the Head of
Department.

D.     Date of submission
The End of Project Report is to be submitted not later than 3 months after scheduled
compilation of the research project.

E.     Submission procedure

The Head of Department is to submit all End of Project Reports of the Department, to:

       NIH Secretariat
       Ministry of Health Malaysia
       c/o Institute for Health Management
       Jalan Rumah Sakit Bangsar
       59000 Kuala Lumpur.
END OF PROJECT REPORT
_____________________________________________________________________

A.     Project code: ………………………..
       Project title: ……………………………………………………………………
       …………………………………………………………………………………..
       …………………………………………………………………………………..
       Name of Project Leader: ……………………………………………………….
       Tel. no: ………………………………          Fax no: ………………………….
       E-mail: ………………………………

     Date: ………………….        Signature of project leader: …………………….
_____________________________________________________________________

B.      Summary for the Research Activity Annual Report (Please summarize the
project objectives, significant results or findings achieved, and utilization/impact of results
or findings)
C.       Funding Received (Please list all funds and source of funding used for the
         project)



           FUNDING SOURCE                            AMOUNT (RM)




D.       Achievement of objectives

        Original project objectives (Please state the general and specific objectives as
         described in the original project proposal)




        Objectives achieved (Please state the extent to which the project objectives have
         been achieved. Just like the objectives, the achievement must be stated in
         measurable terms)




        Objectives not achieved (Please state the objectives that were not achieved and
         give reasons for non-achievement)
E.      Utilization and impact of research findings (Where applicable, please describe
the utilization (how, where, when, whom, etc.) of research results or findings. State the
measurable impact arising from utilization of the research results or findings.)




F.        Indirect outputs

     1. Number of publications: ……………………
        (Please list the publications using the format below.)

          You CH, Lee KY, Chev RY, Menguy R (1980). Electrogastrographic study of
          patients with unexplained masses, bloating and vomiting. Gastroenterology
          79(2):311-314.

 NO.                                      TITLE
1.

2.

3.


     2. Number of unpublished reports: …………..
        (Please list the reports using the format below.)

          Public Health Institute, Ministry of Health. National Health and Morbidity Survey
          (1986-1987): Purpose, scope and methodology. Malaysia, Kuala Lumpur, 1987.

NO.                                       TITLE
  1.

     2.

     3.
  3. Number of oral presentations at scientific meetings: …………………..
     (Please list oral presentations using format below.)

   Mazlan AB, Kamal A, Susila R. Contribution of Health Research Towards National
   Health Development. Paper presented at the Health Research Seminar. Malaysia,
   Kuala Lumpur, July.

NO.                                    TITLE
  1.

   2.

   3.


  4. Number of poster presentations at scientific meetings: …………………..
     (Please list poster presentations using format below.)

        Noraznawati I, Ho TM, Nathan S, Wan KL. Identification of recombinant clones of
        house dust mites, S. pontifica. Poster presented at 11th National Biotechnology
        Seminar, Malacca, November.

NO.                                    TITLE
  1.

   2.

   3.


   5. Training (Please list number of personnel trained for each category below.)

CATEGORY                           NUMBER PERSONNEL TRAINED
B.Sc or equivalent
M.Sc or equivalent
PhD or equivalent
Short courses (No of courses: ………)
Attachment training
Others (Please specify)



   6. Intellectual Property

CATEGORY                               NUMBER
Patent obtained
Patent pending
Patent application to be filled
Copyright
   7. Linkages (Please list the names of the linkages established)

CATEGORY                         NAME
Linkages with local research 1.
institutions                     2.
                                 3.
Linkages with foreign research 1.
institutions                     2.
                                 3.
Linkages with local industries   1.
                                 2.
                                 3.
Linkages with foreign industries 1.
                                 2.
                                 3.


   8. Commercialization (Please state whether the findings of this project have any
      potential for commercialization. If commercialization has already started, please
      describe any commercialization activities that had already been undertaken)
                                                                                              versi 1


                 LAPORAN PEMANTAUAN HASIL PENYELIDIKAN

                 INSTITUT PENYELIDIKAN PERUBATAN (Institute for Medical Research)
                 Jalan Pahang, 50588 Kuala Lumpur



 MAKLUMAT PROJEK PENYELIDIKAN

 Kod JPP-IMR:                                 NMRR:
 Tajuk Projek:



 Ketua Penyelidik:
 Tarikh Mula (mmm-yy) :                            Tarikh Tamat (mmm-yy):
 Jumlah Peruntukan (RM):



 HASIL-HASIL PENYELIDIKAN

 1. PENERBITAN:

 You CH, Lee KY, Chev RY, Menguy R (1980). Electrogastrographic study of patients with unexplained
 masses, bloating and vomiting. Gastroenterology 79(2):311-314.


 No Tajuk                                                                            Status

 1.


 2.


 3.


 4.


 5.


Status:
DGA : DG Approval :setelah mendapat kelulusan Ketua Pengarah Kesihatan
SUB : Submitted to Journal Editor
ACC : Accepted / In-Press
PUB : Published



                                                                                                     1
                                                                                                  versi 1


2. LAPORAN TEKNIKAL:

Public Health Institute, Ministry of Health. National Health and Morbidity Survey (1986-1987): Purpose,
scope and methodology. Malaysia, Kuala Lumpur, 1987. (ISBN No)


No                                                 Tajuk

1.


2.


3.


3. PEMBENTANGAN LISAN:

Mazlan AB, Kamal A, Susila R. Contribution of Health Research Towards National Health
Development. Paper presented at the 2nd Health Research Seminar. Kuala Lumpur, 12- 14 July 2005.


No                                                 Tajuk

1.


2.


3.


4. PEMBENTANGAN POSTER:

Noraznawati I, Ho TM, Nathan S, Wan KL. Identification of recombinant clones of house dust mites, S.
pontifica. Poster presented at 11th National Biotechnology Seminar, Malacca, 10 – 12 November 2005.


No                                                 Tajuk

1.


2.


3.




                                                                                                          2
                                          versi 1



5. PATEN:

Tajuk Paten:



Tahun Paten:

Status:
Approval
Names of
Patents Holder
[Inventor’s]:


Disediakan oleh:

Tandatangan Ketua Penyelidik;




(Nama dan Cop Rasmi)            Tarikh:




                                               3
                                                                                versi 2

                       PERMOHONAN MENGHADIRI SEMINAR DAN
                 MEMBENTANGKAN KERTAS SAINTIFIK SERTA PEMBIAYAAN
                  INSTITUT PENYELIDIKAN PERUBATAN (Institute for Medical Research)
                                 Jalan Pahang, 50588 Kuala Lumpur

                              Arahan Kepada Pemohon

  1. Borang ini mengandungi tiga bahagian: Bahagian A, Bahagian B dan Bahagian C. Untuk
     Bahagian A dan Bahagian B perlu dipenuhkan. Manakala Bahagian C hendaklah
     mendapat kelulusan Ketua Unit, Ketua Pusat dan Pengarah Institut Penyelidikan
     Perubatan.
  2. Borang yang telah diisi dengan lengkap hendaklah dihantar untuk kelulusan Pengarah
     dan disertakan brosur seminar dan abstrak pembentangan.
  3. Permohonan yang telah mendapat kelulusan Pengarah, perlu menghantar satu (1)
     salinan borang kepada Urusetia JPP-IMR.


BAHAGIAN A
I. MAKLUMAT BERKENAAN PEMOHON


   a.   Nama Pemohon:

   b.   Jawatan / Gred:

   c.   Unit:

   d.   Pusat:

II. BUTIR-BUTIR PEMBENTANGAN


   a.   Jenis Pembentangan:           LISAN        POSTER

   b.   Tajuk:


   c.   Nama dan Jabatan
        Penulis Bersama:




   d.   Anjuran:

   e.   Tarikh Persidangan:

   f.   Tempat Persidangan:


                                                                                     1
                                                                               versi 2


 III. BUTIR-BUTIR PENYELIDIKAN


      a.   Kod Projek JPP-IMR:

      b.   Ketua Penyelidik:

      c.   Peruntukan:

      d.   Tajuk Penyelidikan:



           Jika penyelidikan yang tidak mempunyai kod JPP-IMR, sila nyatakan kod
           projek agensi berkenaan dan peruntukan seperti berikut :

           Kod Penyelidikan:

           Peruntukan:

 IV. BUTIR-BUTIR PEMBIAYAAN

      ANGGARAN KOS                                                        RM
 1.   Yuran Pendaftaran
 2.   Anggaran kos perjalanan
 3.   Anggaran kos hotel / makanan
                                                      JUMLAH


BAHAGIAN B
Saya pernah menghadiri Persidangan/Seminar/Bengkel berikut dalam tahun ini di dalam
dan luar negara

       i. Nama persidangan dll      :
           Tempat                   :
           Tempoh                   :


       ii. Nama persidangan dll     :
           Tempat                   :
           Tempoh                   :


Tandatangan pemohon :                                           Tarikh:
(Nama & Cop Rasmi)


                                                                                    2
                                                                                                                                   versi 2


BAHAGIAN C

Ulasan Ketua Unit, Institut Penyelidikan Perubatan, Kuala Lumpur

......................................................................................................................................

Permohonan ini disokong/tidak disokong.



                                                                                         ...................................................
Tarikh :                                                                                (Tandatangan & Cop Ketua Unit)



Ulasan Ketua Pusat, Institut Penyelidikan Perubatan

.......................................................................................................................................

Permohonan ini disokong/tidak disokong.



                                                                                        ...................................................
Tarikh :                                                                             (Tandatangan & Cop Ketua Pusat)



Ulasan Pengarah, Institut Penyelidikan Perubatan

.......................................................................................................................................

Saya selaku Pengarah Institut Penyelidikan Perubatan dengan ini;

a) meluluskan /tidak meluluskan permohonan ini.

b) pembiayaan permohonan ini menggunakan peruntukan :_______________________




                                                                                         ...................................................
Tarikh :                                                                                 (Tandatangan & Cop Pengarah)




                                                                                                                                          3
                                                                                versi 2

                 PERMOHONAN KELULUSAN MENERBITKAN HASIL
                 PENYELIDIKAN
                 INSTITUT PENYELIDIKAN PERUBATAN (Institute for Medical Research)
                 Jalan Pahang, 50588 Kuala Lumpur

                               Arahan Kepada Pemohon

  1. Borang ini mengandungi tiga bahagian: Bahagian A, Bahagian B dan Bahagian C.
     Bahagian A dan Bahagian B perlu dipenuhkan. Bahagian C perlu mendapat kelulusan
     Ketua Unit, Ketua Pusat dan Pengarah Institut Penyelidikan Perubatan.

  2. Borang yang telah diisi dengan lengkap hendaklah dihantar untuk kelulusan Pengarah
     dan disertakan satu salinan draf manuskrip.

  3. Permohonan yang telah mendapat kelulusan Pengarah, perlu menghantar satu (1)
     salinan borang tersebut kepada Urusetia JPP-IMR.


BAHAGIAN A
I. MAKLUMAT BERKENAAN PEMOHON


   a.   Nama Pemohon:

   b.   Jawatan / Gred:

   c.   Unit:

   d.   Pusat:

II. BUTIR-BUTIR PENERBITAN

   a.   Nama dan Unit/Pusat/Institusi Pengarang-Pengarang:




   b.   Tajuk Penerbitan:




   c.   Nama jurnal/prosiding/monograf/buletin dan lain-lain penerbitan di mana kertas
        dicadang diterbitkan:




                                                                                     1
                                                                               versi 2




BAHAGIAN B

I.    BUTIR-BUTIR PENYELIDIKAN


      a.   Kod Projek JPP-IMR:

      b.   Ketua Penyelidik:

      c.   Peruntukan:

      d.   Tajuk Penyelidikan:



           Jika penyelidikan yang tidak mempunyai kod JPP-IMR, sila nyatakan kod
           projek agensi berkenaan dan peruntukan seperti berikut :

           Kod Penyelidikan:

           Peruntukan:

II.   OBJEKTIF-OBJEKTIF PENYELIDIKAN

a)


b)


c)

d)


e)




                                                                                    2
                                                                             versi 2

 III.   CIRI-CIRI PENYELIDIKAN (tandakan [X] di kotak yang sesuai)

        a)   Jenis Penyelidikan
                 Biomedical
                 Health systems
                 Health behavioural
                 Health economics
                 Environmental
                 Others :


        b) Bidang penyelidikan
                 Perolehan pengetahuan baru
                 Meningkatkan pendiagnosaan penyakit
                 Meningkat rawatan penyakit
                 Meningkat kawalan penyakit
                 Meningkat pencegahan penyakit
                 Others :


        c)   Kumpulan yang boleh mengguna hasil penyelidikan
                 Pegawai-pegawai Perubatan
                 Penyelidik-penyelidik
                 Pengarah-pengarah Program
                 Pegawai-pegawai Makmal
                 Other:


PENGESAHAN:

Bersama-sama ini disertakan satu salinan draf manuskrip untuk kelulusan menerbitkan
hasil penyelidikan.


Tandatangan pemohon :




(Nama & Cop Rasmi )




Tarikh :

                                                                                  3
                                                                                                                                   versi 2

BAHAGIAN C

Ulasan Ketua Unit, Institut Penyelidikan Perubatan, Kuala Lumpur

......................................................................................................................................

Permohonan ini disokong/tidak disokong.



                                                                                      ......................................................
Tarikh :                                                                                (Tandatangan & Cop Ketua Unit)



Ulasan Ketua Pusat, Institut Penyelidikan Perubatan

.......................................................................................................................................

Permohonan ini disokong/tidak disokong.

                                                                                                       .
                                                                                       ...................................................
Tarikh :                                                                            (Tandatangan & Cop Ketua Pusat)



Ulasan Pengarah, Institut Penyelidikan Perubatan

.......................................................................................................................................

Permohonan ini dilulus/tidak diluluskan.



                                                                                         ...................................................
Tarikh :                                                                                 (Tandatangan & Cop Pengarah)




                                                                                                                                          4
                                                                                           versi 2

             URUSETIA JAWATANKUASA PENILAIAN PENYELIDIKAN
                    INSTITUT PENYELIDIKAN PERUBATAN

                   BORANG SOAL SELIDIK KEPUASAN PELANGGAN

Projek penyelidikan berikut telah dibiayai oleh agensi tuan/puan dan mempunyai kaitan
langsung dengan program/aktiviti jabatan tuan/puan. Selaras dengan keperluan MS ISO
9001:2008, pihak tuan/puan diharap dapat meluangkan masa untuk melengkapkan penilaian
tuan/puan terhadap projek ini dengan mengisi borang soal selidik mengikut skala berikut:

1 = tidak memuaskan, 2 = lemah, 3 = memuaskan, 4 = baik, 5 = cemerlang

Kod JPP-IMR:                                      NMRR ID:
Tajuk Projek:
Ketua Projek:


                                                                      1     2    3     4       5
1. Pelaksanaan Projek
  1.1 Pencapaian Objektif
  1.2 Ketepatan Masa
  1.3 Keberkesanan Kos
  1.4 Persembahan Laporan
2. Kegunaan Hasil Penyelidikan
  2.1 Releven kepada Program
  2.2 Feasability/Practicability aplikasi hasil kajian
  2.3 Potensi Impak terhadap program/pesakit
  2.4 Potensi Komersial
3. Sumbangan Penyelidikan
  3.1 Pembangunan Modal Insan
  3.2 Pemindahan Teknologi
  3.3 Kolaborasi dan Jaringan antara institusi
  3.4 Impak Jurnal

Komen Pelanggan (jika ada):




Untuk kegunaan Urusetia JPP-IMR

1.1   1.2    1.3    1.4    1.5    2.1    2.2    2.3      2.4   3.1   3.2   3.3   3.4   Jumlah



Tahap Kepuasan Pelanggan : [Jumlah skala / (Bil. Jawapan x 5)] x 100 = _____ %


Disemak dan disahkan oleh: _____________________________
                           (Nama/Cop & Tarikh)

				
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