Garis Panduan Pengurusan Penyelidikan - Edisi 2017

RMC-CLAIM2017/1

AKUAN PENERIMAAN HONORARIUM

Adalah saya……………………………………No K.P…………………………………….dengan ini
mengakui telah / belum menerima bayaran sebanyak RM…………………… (GRED: ) sebagai
bayaran untuk perkhidmatan bagi geran penyelidikan: penemuduga program / maklumat
professional / penyediaan carta / juruanalisa sistem / menaip / pangaturan program / kaji selidik
seperti berikut :

……………………………………………………………………………………………………………
……………………………………………………………………………………………………………

Perkiraan adalah seperti berikut : (Contoh : kadar sehari /sejam x bilangan hari / jam )

……………………………………………………………………………………………………………
……………………………………………………………………………………………………………

Yang benar,

……………………………………………………. No staf/pelajar :
(Tandatangan penerima)
Nama :
Tarikh :

Adalah dengan ini disahkan saya telah / belum menyerahkan wang sebanyak
RM ……………... sebagai bayaran perkhidmatan bagi geran penyelidikan seperti kenyataan di

atas dan bukan digunakan atas manfaat peribadi saya.

Tandatangan : …………………………………………………….

Nama : (Ketua projek/ahli projek)

Tarikh :

KADAR MENGIKUT KELAYAKAN
Pekeliling Perbendaharaan Bil 2. Tahun 2005, Bil 19. Tahun 2002 dan Kadar Bayaran bergantung kepada Pekeliling Penyelidikan Universiti

PERKARA KADAR BAYARAN HAD MAKSIMUM
BULANAN
Kumpulan Pengurusan Tertinggi Penceramah sambilan/ Fasilitator
Kumpulan Pengurusan & Pensyarah Sambilan Tidak melebihi ½
Professional Gred 53 & 54 daripada gaji
Kumpulan Pengurusan & RM300 sejam RM100 sejam
Professional bulanan pegawai
Gred 45-52 RM200 sejam RM100 sejam
Kumpulan Pengurusan &
Professional Gred 41-44 RM150 sejam RM 90 sejam
Kumpulan Sokongan
RM120 sejam RM 80 sejam
RM 80 sejam RM 60 sejam

KADAR ASAS MENGIKUT KELAYAKAN AKADEMIK KADAR ASAS KELAYAKAN PELAJAR
(BUKAN GRA)
(KHIDMAT LUAR)
Diploma/Sijil Sarjana Muda Sarjana Ph.D Tidak melebihi RM500 sebulan

RM100 sejam RM200 sejam RM300 sejam RM400 sejam

Nota : Pengakuan penerimaan tidak boleh dibayar kepada Ketua/ahli Projek / GRA / Staf UiTM untuk geran
 penyelidikan projek

 Bayaran Individu tidak dibenarkan melebihi 3 bulan

LAMPIRAN 9

Borang REC 4 / 2016

CHECKLIST FOR APPLICANTS

ITEM YES NO
1 Have you completed the REC 1 form - Application for Ethics Approval?

2 Have you completed the REC 1E form – Part E: Ethical Issues

Questionnaire?
3 Have you completed the REC 2 form – Subjects Information Sheet and

Consent Form?

4 Have you obtained the signatures of all your co-researchers/ team

members?
5 Have you presented your project to your Faculty’s Research Committee

and obtained approval for it? (Kindly attach the minutes of the meeting
from your faculty or cover letter by the faculty’s chair of the research
committee.)

6 Please send a softcopy (burned to CD) and 1 set of hardcopy of the forms

to:

The Secretariat
Research Ethics Committee
Research Management Centre (RMC)
Institute of Research Management and Innovation (IRMI)
Universiti Teknologi MARA
40450 Shah Alam

You are advised to submit your application at least 2 weeks before the
date of the next meeting (please check the meeting schedule at the
website: [email protected])
7 Prepare a short presentation of your project (5-10 minutes). You would
want to impress upon the Committee that you have adequately addressed
the ethical issues in your research.
8 Researchers will be called to present their applications.

9 Decisions for the applications will be announced two weeks after the meeting. The possible
outcomes are:

(a) Approval,
(b) Conditional approval subjected to amendments,

 To re-present
- Require researcher to send cover letter mentioning the amendment/s
- Highlight the amendment/s in the amended proposal
- Send hard and softcopy of the required documents to the REC secretariat
- To present again in the next REC meeting

 Do not need to re-present
- Require researcher to send cover letter mentioning the amendment/s
- Highlight the amendment/s in the amended proposal
- Send hard and softcopy of the required documents to the REC secretariat

(c) Request for further supporting documents,
(d) Recommendation to resubmit or
(e) Rejection due to ethical issues that cannot be satisfactorily resolved.

Borang REC 1 / 2016 Rev 1

Research Management Institute
Universiti Teknologi MARA
40450 SHAH ALAM

Tel: 03 – 5544-2094, Faks: 03 – 5544-2096/2767

Borang Permohonan Kelulusan Etika Application Form for Ethics Approval

Jawatankuasa Etika Penyelidikan Research Ethics Committee

Permohonan ini dikemukakan untuk tujuan kelulusan menjalankan penyelidikan yang
beretika. Sila lampirkan salinan kertas cadangan penyelidikan.
This application is for the purpose of obtaining approval to conduct research ethically.Please
attach a copy of Research Proposal

BAHAGIAN A: Maklumat Ringkas Projek Part A : Brief Details of Project

Tajuk Projek :
Title of Project :

Nama Ketua Projek:
Name of Project Leader :

No.Staf:
Staff ID:

Bidang Pengkhususan :
Area of Specialisation :

Alamat Jabatan dan
Hospital/ Institut:
Affiliation :

No.Telefon/ E-mail :
Contact No/ E-mail :

Keputusan Peringkat Fakulti Decision at Faculty Level
Sila kepilkan minit mesyuarat sebagai rujukan
Please attach the minutes of the meeting for reference

Kami telah meneliti permohonan ini dan mencadangkan seperti di bawah:
We have deliberated on the application and propose as below:

Penyelidikan melibatkan risiko minima. Dicadangkan mendapat
kelulusan.
Minimal risk research. Recommend to approve.

Penyelidikan melibatkan risiko melebihi minima untuk pembentangan.
More than minimal risk research for presentation.

Ulasan jika ada Comments if any

1

Borang REC 1 / 2016 Rev 1

Tandatangan Signature Cop rasmi Tarikh
Pengerusi AJK Penyelidikan Fakulti Official stamp Date
Chairman of Faculty Research Committee

2

Borang REC 1 / 2016 Rev 1

Pengesahan Penyelia Projek Verification by Project Supervisor
Disemak & disahkan oleh penyelia Reviewed & verified by supervisor

Tandatangan / Signature : .....................................................................................
Nama / Name : .....................................................................................
Jawatan / Position : .....................................................................................
Jabatan / Affiliation : .....................................................................................
No. Telefon / Contact Number : .....................................................................................

Nota** : Perlu diisi oleh penyelia semua pelajar yang menjalankan penyelidikan
Note** : To be filled by supervisor for all students conducting research.

3

Borang REC 1 / 2016 Rev 1
BAHAGIAN B: Protokol Projek Part B : Project Protocol
1. Latar belakang: Background

(Keterangan ringkas tentang masalah yang dikaji dan penyemakan literatur
untuk menyokong keterangan tentang masalah yang dikaji. Sila lampirkan
sekiranya ruang tidak mencukupi)
A brief explanation of the problem to be studied and literature review to support. Please
append if more space is required.

Rujukan: Reference

2. Objektif dan justifikasi projek penyelidikan dijalankan:
Objectives and justifications for the project to be carried out :

3. Faedah yang dijangka:
Expected benefits :

4. Tarikh penyelidikan bermula-berakhir: :
Date of research commencement-ending :

5. Jangkaan tarikh pengumpulan data bermula:
Expected date of data collection:

6. Lokasi projek penyelidikan dijalankan:
Location where the project will be carried out :

4

Borang REC 1 / 2016 Rev 1

7. Keterangan bagaimana hasil kajian akan digunakan:
Explain how the results will be used :

8. Kaedah penyelidikan termasuk proses memperolehi keizinan responden/
penjaga responden: (Sila terangkan perkara-perkara berikut)
Experimental methods including the informed consent process for participants/
guardian: (Please explain the following)

8.1 Rekabentuk kajian, metodologi yang diguna:
Experimental design and methodology :

8.2 Saiz sampel, kriteria pemilihan:
Sample size and selection criteria :

8.3 Pembahagian kumpulan ujian dan kontrol; dan ciri-ciri kohort atau sampel
dan jenis kontrol:
Division of test and control groups, cohort properties or samples, and type of control :

8.4 Pemprosesan data dan penganalisaan statistik:
Data processing and statistical analysis :

[Sila lampirkan contoh lembaran maklumat subjek dan borang persetujuan subjek]
Please attach examples of Subject Information Sheet and Subject Consent Form

Bahagian C: Peruntukan
Part C : Research grant

Geran projek: Ada/ Tiada
Project grant : Already obtained/ Not obtained yet

Jika ada, nyatakan yang berikut:
If obtained, please state :

Jumlah peruntukan
Total allocation :

Jangkamasa peruntukan :
Duration of grant :

Yuran perkhidmatan penyelidik / profesional :
Investigator services / professional fees :

5

Borang REC 1 / 2016 Rev 1
Yuran kepada UiTM :
UiTM fees :
Lain-lain emolumen/ kemudahan / sumber disediakan organisasi penaja / syarikat
kepada penyelidik:
Other emoluments/ facilities/resource provided by sponsoring organisation / company to
investigator:
Nama dan alamat penyelidik tempatan / Organisasi Penyelidikan Klinikal (CRO) yang
ditaja:
Name and address of sponsor local contact or researcher / Clinical Research Organisation
(CRO):

6

Borang REC 1 / 2016 Rev 1

Bahagian D: Pengesahan persetujuan menjalankan projek penyelidikan
Part D : Agreement to conduct the research project

Mesti dipenuhi dan ditandatangani oleh semua ahli kumpulan penyelidikan
Must be completed and signed by all members of the research group

1. Ketua Projek Project Leader
Nota kepada pelajar: Ketua projek adalah penyelia projek anda
Note to students: Project leader should be your project supervisor

Nama:
Name
No.Staf
Staff ID

Jawatan/ kepakaran:
Position/ Specialisation

Jabatan
Affiliation

No. Tel (o) Handphone
Email
Tandatangan: Tarikh Date
Signature

2. Penyelidik bersama Co-researcher

Nama:
Name
No.Staf/No.Pelajar
Staff ID/Student ID
Jawatan/ kepakaran:
Position/ Specialisation
Jabatan
Affiliation

No. Tel (o) Handphone
Email
Tandatangan: Tarikh Date
Signature

7

3. Penyelidik bersama Co-researcher Borang REC 1 / 2016 Rev 1

Nama: Handphone
Name Email
No.Staf/No.Pelajar Tarikh Date
Staff ID/Student ID
Jawatan/ kepakaran:
Position/ Specialisation
Jabatan
Affiliation

No. Tel (o)

Tandatangan:
Signature

4. Penyelidik bersama Co-researcher

Nama:
Name
No.Staf/No.Pelajar
Staff ID/Student ID
Jawatan/ kepakaran:
Position/ Specialisation
Jabatan
Affiliation

No. Tel (o) Handphone
Email
Tandatangan: Tarikh Date
Signature

(Tambah sekiranya perlu. Add if necessary)

8

Borang REC 1E / 2016

PART E: ETHICAL ISSUES QUESTIONNAIRE

Principal Researcher : Signature:
Staff ID/Student ID :
Faculty :
Project Title :

Contact No:
Email :

The following questionnaire is to help alert you to the major types of ethical issues in your research. Please
answer ALL questions.

If you tick ‘Yes’ to any of the questions, please include a brief description here and provide full details and all
necessary justifications in your proposal. Please also explain and justify other ethical issues where applicable.

SUBJECTS’ PROFILE No Yes Brief description

1 Please indicate your sample size and age
groups.

2 Are any of these subjects from a
particularly vulnerable group? (e.g. young
children, mentally challenged etc.)

3 Are any of these subjects from a minority/
culturally identifiable/ disadvantaged
group? (e.g. Orang Asli etc.)

4 Are any of these subjects in constant
requirement of / is highly dependent on
medical care?

5 Are any of these subjects unable to give
or are incapable of giving consent?
(i.e. consent will be obtained indirectly
from a legal guardian etc.)

6 Are the subjects given any form of
payment/ incentive to participate?

1

PRIVACY AND CONFIDENTIALITY No Yes Brief description Borang REC 1E / 2016

7 Will you be collecting data that will 2
potentially disadvantage a subject?
(e.g. handicaps etc.)

8 Does any of the data collected have the
potential to cause discomfort,
embarrassment, or psychological harm to
the subjects?
(e.g. sexual orientation etc.)

9 Does your research involve measures
undeclared to the subjects?
(e.g. covert observations etc.)

10 Will the collected data be made available
to other parties not involved in the
research? (e.g. govt agencies)

RISK OF HARM No Yes Brief description

11 Will you be collecting biological samples
e.g. body fluids?
(if ‘No’, go to Question 14)

12 What type of biological samples?
(Please indicate amount and frequency)

13 Is the collection method invasive and has
the potential to cause harm, physical pain
or discomfort etc.?

14 Will the subjects be subjected to
physically invasive examinations or
exercise regimens?

15 Is there any form of novel procedure/
medication involved?

16 If ‘Yes’ to No.15, and an effective
treatment is already available, is a
placebo group included and justified?

17 Is there any kind of risk to the subject if
he/she chose to withdraw?

18 Will the samples obtained be stored for
future research?

19 If ‘Yes’ to No. 18, have you obtained
consent from participants for this
purpose?

If ‘Yes’, please provide evidence.

Borang REC 1E / 2016

OTHER ETHICS ISSUES No Yes Brief description

20 Are there any other ethical issues not
highlighted in this checklist?

3

Borang REC 2/2016 BI

Borang Maklumat untuk Subjek
(Sila tulis tajuk penyelidikan dalam Bahasa Melayu)

Pengenalan Kajian

Tujuan Kajian

Prosedur Kajian

Penyertaan dalam Kajian
Penyertaan anda di dalam kajian ini adalah secara sukarela. Anda berhak menolak
tawaran penyertaan ini atau menarik diri daripada kajian ini pada bila-bila masa tanpa
sebarang penalti.
Manfaat Kajian
Maklumat yang didapati dari kajian ini akan memanfaatkan penyelidik kajian ini,
Kerajaan Malaysia, doktor dan individu dalam kemajuan ilmu dan amalan perubatan pada
masa depan.
Nyatakan juga manfaat kepada responden jika ada.
Sekiranya anda mempunyai sebarang pertanyaan mengenai kajian ini atau hak-hak anda,
sila hubungi penyelidik di talian ( perlu nyatakan no.talian yang mudah dihubungi)
Risiko Kajian
(Nyatakan)

Kerahsiaan
Maklumat perubatan anda akan dirahsiakan oleh penyelidik dan tidak akan didedahkan
melainkan jika ia dikehendaki oleh undang-undang.
Dengan menandatangani borang persetujuan ini, anda membenarkan penelitian rekod,
penganalisaan dan penggunaan data hasil dari kajian ini.

1

Borang REC 2/2016 BI

Borang Izin

Untuk menyertai kajian ini, anda atau penjaga sah anda diperlukan menandatangani
Borang Izin ini.

Saya dengan ini mengesahkan yang saya telah memenuhi syarat umur dan dalam keadaan
yang berkeupayaan untuk bertindak untuk diri sendiri/ *sebagai penjaga yang sah dalam
perkara-perkara yang berikut:

1. Saya memahami ciri-ciri dan skop kajian ini.
2. Saya telah membaca dan memahami semua syarat penyertaan kajian ini.
3. Saya berpuas hati dengan jawapan pada kemusykilan saya tentang kajian ini.
4. Saya secara sukarela bersetuju menyertai kajian ini dan mengikuti segala atur

cara dan memberi maklumat yang diperlukan kepada penyelidik seperti yang
dikehendaki.
5. Saya boleh menarik diri daripada kajian ini pada bila-bila masa tanpa memberi
sebab.
6. Saya telah pun menerima satu salinan Borang Maklumat dan Borang Izin.
7. Kecuali kecederaan yang disebabkan kelalaian dan kecuaian oleh penyelidik, saya
dengan ini melepaskan dan menggugurkan UiTM dan semua penyelidik dari
semua laibiliti berhubung dengan, wujud dari atau berkaitan dengan penyertaan
saya dan bersetuju untuk menjadikan mereka tidak bertanggunggan terhadap apa-
apa kerugian atau kecederaan yang mungkin akan saya tanggung disebabkan
penyertaan saya.

Nama Subjek/Penjaga Sah Tandatangan

No. Kad Pengenalan Tarikh

Nama Saksi Tandatangan

No. Kad Pengenalan Tarikh

Nama Pengambil Izin Tandatangan

No. Kad Pengenalan Tarikh

2

Borang REC 2/2016 BI

Subjects Information Sheet
(Please state research title)

Introduction of Study

Purpose of Study

Study Procedure

Participation in Study

Your participation in this study is entirely voluntary. You may refuse to take part in the
study or you may withdraw yourself from participation in the study at anytime without
penalty.

Benefit of Study

Information obtained from this study will benefit the researchers, Government of
Malaysia, doctors and individuals for the advancement of knowledge and practice of
medicine in future.

Benefit to participant if any.

If you have any question about this study or your rights, please contact the investigator at
telephone number ( please state a number that is contactable)

Study Risk

(Please state)

Confidentiality

Your medical information will be kept confidential by the investigators and will not be
made public unless disclosure is required by law.

By signing this consent form, you will authorize the review of records, analysis and use
of the data arising from this study.

3

Borang REC 2/2016 BI

Consent Form

To become a subject in the research, you or your legal guardian is advised to sign this
Consent Form.

I herewith confirm that I have met the requirement of age and am capable of acting on
behalf of myself /* as a legal guardian as follows:

1. I understand the nature and scope of the research being undertaken.
2. I have read and understood all the terms and conditions of my participation in the

research.
3. All my questions relating to this research and my participation therein have been

answered to my satisfaction.
4. I voluntarily agree to take part in this research, to follow the study procedures and

to provide all necessary information to the investigators as requested.
5. I may at any time choose to withdraw from this research without giving reasons.
6. I have received a copy of the Subjects Information Sheet and Consent Form.
7. Except for damages resulting from negligent or malicious conduct of the

researcher(s), I hereby release and discharge UiTM and all participating
researchers from all liability associated with, arising out of, or related to my
participation and agree to hold them harmless from any harm or loss that may be
incurred by me due to my participation in the research.

Name of Subject/Legal Guardian Signature
I.C No Date
Name of Witness Signature
I.C No Date

Name of Consent Taker Signature
I.C No Date

4

LAMPIRAN 10

RMC-FEEAD2016/1

( Pembayaran Pendahuluan Yuran )

Pusat Pengurusan Penyelidikan (RMC)
Institut Pengurusan Penyelidikan dan Inovasi (IRMI)
Aras 3, Bangunan Wawasan
Universiti Teknologi MARA, 40450 Shah Alam

No. Tel : 03-5543 8586/ 5544 2758
No. Fax : 03-5544 2096

PENYERAHAN DOKUMEN KEWANGAN BAGI BAYARAN YURAN KURSUS / SEMINAR /
KONVENSYEN / SIMPOSIUM / PENERBITAN DAN LAIN-LAIN

Tajuk Projek :

Ketua Projek :

Kod Projek Bendahari : No. Fail RMI : 600-IRMI
Anggaran Yuran (RM) : Vot : 29000
: RM2520.00
Jumlah Yuran (Asal)

Bersama-sama ini dikemukakan dokumen berikut : (Sila tandakan  pada ruang yang berkenaan)
Bil Perkara Penyelidik RMC

1 Surat kelulusan dari RMC (Persidangan Luar Negara Sahaja)

2 Salinan Borang / Brosur Maklumat Kursus / Seminar / Konvensyen /
Simposium/ Penerbitan dan lain-lain dengan kadar yuran yang dikenakan

3 Salinan kertas kerja lengkap yang mengandungi penghargaan kepada
penaja (cth MOHE, MOSTI), UiTM dan no rujukan geran yang digunakan.

4 Bukti persidangan / penerbitan tersebut adalah berindeks (sila rujuk
website SCOPUS/WOS/ERA)

5 Surat setuju terima (acceptance letter) dari pihak penganjur

Kaedah bayaran yang dikehendaki oleh pihak penganjur (Sila tandakan 

pada ruang yang berkenaan)(selewat-lewatnya 14 hari sebelum tarikh

rasmi pembayaran)

6 DERAF Proforma
Bank Invoice
CEK IBG TT LO

7 Maklumat Lengkap dan Jelas Akaun Bank Penganjur (nama penganjur,
no. akaun, nama bank,swift code, no. IBAN)

Disediakan (Penyelidik)

Nama Pembentang :-ROSELAH OSMAN
No. Telefon :-012 3640699

...................................................... No. Pekerja : 133540
Nama
:ROSELAH No. Telefon Bimbit : 012 2640699
OSMAN
(DR) Anggaran Baki Peruntukan (RM) :
Disahkan :
Tarikh : 8
NOV 2016

Untuk Kegunaan Pejabat RMC
Disemak :

(Tandatangan & Cop) (Tandatangan & Cop)

Penyelidik adalah bertanggungjawab memastikan borang dan dokumen adalah lengkap. Sekiranya tidak di

patuhi boleh memungkinkan kelewatan proses bayaran atau pemulangan semula dokumen.

Gunakan 1 borang bagi setiap pemohonan

RMC-FEEAD2016/1

Tarikh dikemaskini : Ogos 2016

RMC-CLAIM2016/1 ( Tuntutan Penerbitan )

Pusat Pengurusan Penyelidikan (RMC)
Institut Pengurusan Penyelidikan dan Inovasi (IRMI)
Aras 3, Bangunan Wawasan
Universiti Teknologi MARA, 40450 Shah Alam

No. Tel : 5543 8586/ 5544 2758
No. Fax : 03-5544 2096

PENYERAHAN DOKUMEN KEWANGAN BAGI TUNTUTAN BAYARAN YURAN KURSUS /
SEMINAR / KONVENSYEN / SIMPOSIUM / PENERBITAN DAN LAIN-LAIN

Tajuk Projek :

Ketua Projek :

Kod Projek Bendahari : No. Fail RMI : 600-IRMI
: Vot : 29000
Jumlah Tuntutan (RM)

Bersama-sama ini dikemukakan dokumen berikut : (Sila tandakan  pada ruang yang berkenaan)

Bil Perkara Penyelidik RMC

1 Surat kelulusan dari RMC (Persidangan Luar Negara Sahaja)

2 Resit-resit perbelanjaan asal yang telah disahkan oleh Ketua Projek / Timbalan
Dekan.

3 Salinan Borang / Brosur Maklumat Kursus / Seminar / Konvensyen / Simposium/
Penerbitan dan lain-lain dengan kadar yuran yang dikenakan

4 Salinan kertas kerja lengkap yang mengandungi penghargaan kepada penaja (cth
MOHE, MOSTI), UiTM dan no rujukan geran yang digunakan.

5 Bukti persidangan / penerbitan tersebut adalah berindeks (sila rujuk website
SCOPUS/WOS/ERA)

6 Surat setuju terima (acceptance letter) dari pihak penganjur

7 Dibayar kepada pelajar SAHAJA.

Nama & No. MyKad/
No Tel Pasport

No Akaun Jumlah
& Bank Pembayaran

Disediakan (Penyelidik)

..................................................... No. Pekerja :
Nama :
Tarikh : No. Telefon Bimbit :

Untuk Kegunaan Pejabat RMC Anggaran Baki Peruntukan (RM) :
Disemak : Disahkan :

(Tandatangan & Cop) (Tandatangan & Cop)

Penyelidik adalah bertanggungjawab memastikan borang dan dokumen adalah lengkap. Sekiranya tidak di

patuhi boleh memungkinkan kelewatan proses bayaran atau pemulangan semula dokumen.

Gunakan 1 borang bagi setiap pemohonan

Tarikh dikemaskini : Ogos 2016

LAMPIRAN 11

BORANG ………. - P1(R) Kod Projek :

PROGRESS REPORT
...........................................................................................

Laporan Prestasi..................................................................
Pindaan 1/2015

A. PROJECT INFORMATION

PHASE:

YEAR:

RESEARCH TITLE:

SUB CLUSTER:

START DATE:
END DATE (EXPECTED):

EXTENSION DATE: RMC LEVEL:
KPM LEVEL:

PROJECT STATUS: (ACTIVE / TERMINATED / COMPLETED)

PROJECT LEADER:
I/C / PASSPORT NUMBER:

PROJECT MEMBERS : 1.

(including GRA) 2.

B. PROJECT ACHIEVEMENT (Prestasi Projek)

ACHIEVEMENT PERCENTAGE

Project progress according to 0 - 25% 26 - 50% 51 - 75% 76 - 100%
milestones achieved up to this
period

Percentage
(please state #%)

Number of articles/ manuscripts/ RESEARCH OUTPUT Non-Indexed Journal
books Indexed Journal National
(Please attach the First Page of
Publication) International

Conference Proceeding

(Please attach the First Page of

Publication)

Intellectual Property
(Please specify)

HUMAN CAPITAL DEVELOPMENT

Human Capital Number Others
(please specify)
Citizen On-going Graduated

No. PHD STUDENT Malaysian Non Malaysian Non
Student Fullname: Malaysian Malaysian
IC / Passport No:
Student ID:

No. MASTER STUDENT
Student Fullname:
IC / Passport No:
Student ID:

No. UNDERGRADUATE STUDENT
Student Fullname:
IC / Passport No:
Student ID:

Total

C. EXPENDITURE (Perbelanjaan) as Borang K1(RMC)

Budget Approved (Peruntukan diluluskan) : RM

Amount Spent (Jumlah Perbelanjaan) : RM

Balance (Baki) : RM
Percentage of Amount Spent :%
(Peratusan Belanja)

D. SUMMARY OF RESEARCH FINDINGS (Ringkasan Penemuan Projek Penyelidikan)

E. PROBLEMS / CONSTRAINTS IF ANY (Masalah/ Kekangan sekiranya ada)

Date : Project Leader’s Signature:
Tarikh Tandatangan Ketua Projek

F. COMMENTS, IF ANY/ ENDORSEMENT BY RESEARCH MANAGEMENT CENTER (RMC)
(Komen dan Pengesahan oleh Pusat Pengurusan Penyelidikan)

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

Name: Signature:
Nama: Tandatangan:

Date:
Tarikh:

Kod Projek :

PROGRESS REPORT RESEARCH GRANT

Laporan Prestasi Skim Geran Penyelidikan
Pindaan 1/2016

A. PROJECT INFORMATION

RESEARCH GRANT:

PHASE:

YEAR:

RESEARCH TITLE:

SUB CLUSTER:

START DATE:
END DATE (EXPECTED):

EXTENSION DATE: RMC LEVEL:
KPM LEVEL:

PROJECT STATUS: (ACTIVE / TERMINATED / COMPLETED)

PROJECT LEADER:
I/C / PASSPORT NUMBER:

NEW PROJECT LEADER (if any) :
I/C / PASSPORT NUMBER:

PROJECT MEMBERS : 1.

(including GRA) 2.

B. PROJECT ACHIEVEMENT (Prestasi Projek)

ACHIEVEMENT PERCENTAGE

Project progress according to 0 - 25% 26 - 50% 51 - 75% 76 - 100%
milestones achieved up to this
period

Percentage
(please state #%)

Number of articles/ manuscripts/ RESEARCH OUTPUT Non-Indexed Journal
books Indexed Journal National
(Please attach the First Page of
Publication) International

Conference Proceeding

(Please attach the First Page of

Publication)

Intellectual Property
(Please specify)

TALENT

Talent Number Others
(please specify)
Citizen On-going Graduated

No. PHD STUDENT Malaysian Non Malaysian Non
Student Fullname: Malaysian Malaysian
IC / Passport No:
Student ID:

No. MASTER STUDENT
Student Fullname:
IC / Passport No:
Student ID:

No. UNDERGRADUATE STUDENT
Student Fullname:
IC / Passport No:
Student ID:

Total

C. EXPENDITURE (Perbelanjaan) as Borang K1(RMC)

Budget Approved (Peruntukan diluluskan) : RM

Amount Spent (Jumlah Perbelanjaan) : RM

Balance (Baki) : RM
Percentage of Amount Spent :%
(Peratusan Belanja)

D. SUMMARY OF RESEARCH FINDINGS (Ringkasan Penemuan Projek Penyelidikan)

E. PROBLEMS / CONSTRAINTS IF ANY (Masalah/ Kekangan sekiranya ada)

Date : Project Leader’s Signature:
Tarikh Tandatangan Ketua Projek

F. COMMENTS, IF ANY/ ENDORSEMENT BY RESEARCH MANAGEMENT CENTER (RMC)
(Komen dan Pengesahan oleh Pusat Pengurusan Penyelidikan)

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

Name: Signature:
Nama: Tandatangan:

Date:
Tarikh:

BORANG ………….... -P2 (RMC)

OVERALL REPORT
............................................................................................

Laporan Keseluruhan Skim Geran Penyelidikan
Pindaan 1/2014

A Name of Institution :

Phase :

Year :

Number of Projects :

Number of Completed/ :
Closed Project

OVERALL ACHIEVEMENT (Prestasi Keseluruhan)

B ACHIEVEMENT PERCENTAGE

Project progress according to 0 - 25% 26 - 50% 51 - 75% 76 - 100%
milestones achieved up to this
period RESEARCH OUTPUT Non Indexed Journal
Number of Projects Indexed Journal National
(please state number)
International
Number of articles/ manuscripts/
books
(Please attach the First Page of
Publication)

Conference Proceeding
(Please attach the First Page of
Publication)

Intellectual Property HUMAN CAPITAL DEVELOPMENT
(Please specify)
Number Others
Human Capital (please specify)
On-going Graduated
Citizen
PhD Student Malaysian Non Malaysian Non
Master Student Malaysian Malaysian
Undergraduate Student

Total

EXPENDITURE (Perbelanjaan)

C Budget Approved (Peruntukan diluluskan) : RM

Amount Spent (Jumlah Perbelanjaan) : RM

Balance (Baki) : RM
Percentage of Amount Spent :%
(Peratusan Belanja)

COMMENTS BY DIRECTOR OF RESEARCH MANAGEMENT CENTER (RMC), if any
(Komen/ Ulasan oleh Pengarah Pusat Pengurusan Penyelidikan, sekiranya ada)

D ___ _
___ _
___ _
___ _
___ _
___ _
___ _
___ _
___ _
___ _

Date: Signature:
Tarikh: Tandatangan:

ENDORSEMENT BY DEPUTY VICE CHANCELLOR (RESEARCH AND INNOVATION)
(Pengesahan oleh Timbalan Naib Canselor (Penyelidikan & Inovasi))

E Name: Signature:
Nama: Tandatangan:

Date:
Tarikh:

LAMPIRAN C

LAPORAN KESELURUHAN PENCAPAIAN PROJEK-PROJEK PENYELIDIKAN SKIM GERAN PENYELIDIKAN ……………………………………………….
NAM A IPT:

PERUNT UKAN HASIL PENYELIDIKAN PENGHASILAN MODAL INSAN

T ARIK H PERL ANJ UT A ST AT US LUL US BEL ANJ A % BIL. ARTIKEL/ BUKU/ BAB BIL. PEMBENTANGAN KERTAS BIL. PENYELIDIK UT AMA BIL. PELAJAR PhD BIL. PELAJAR SARJANA BIL. PELAJAR PRASISWAZAH
T AM AT N TEMPOH PROJEK (RM) DALAM JURNAL BERIMPAK KERJA/ PENEM UAN PENYELIDIKAN
BIL. NO. RUJ. FASA / TAHUN KETUA PROJEK TAJUK PROJEK TARIKH MULA (DD/MM/YYYY) (AKTIF / TAM AT) KLUSTER SUB KLUSTER CAT ATAN
(DD/MM/YYYY) (DD/MM/YYYY) PENCAPAIAN TINGGI/ PENERBITAN
hingga
% PROJEK HART A BUKAN WARGANEGARA BUKAN WARGANEGARA BUKAN WARGANEGARA BUKAN
(DD/MM/YYYY) BEL ANJ A I NT ELEK WARGANEGAR WARGANEGARA WARGANEGARA WARGANEGARA
Indexed Non -Indexed
(RM) Journal Journal International Na tiona l WARGANEGARA A

On Graduate On Graduate On Graduate On Graduate On Graduate On Graduate
Going d Going d Going d Going d Going d Going d

0.00 0.00 0.00 0.00

BORANG …………………..-K1(RMC)

LAPORAN PERBELANJAAN KEWANGAN BAGI PROJEK-PROJEK PENYELIDIKAN SKIM GERAN PENYELIDIKAN ……………………….. FASA ………..

(NAMA IPT)
(sehingga ……….. )

TEMPOH PROJEK PECAHAN VOT ASAL YANG DILULUSKAN (RM) PECAHAN VOT (JIKA ADA PINDAAN) (RM) PECAHAN PERBELANJAAN (RM)

BIL RUJ. FASA NAMA KETUA TAJUK PROJEK PERLANJUT ST AT US JUM. JUMLA JUMLA JUMLA BAKI PERATU
PROJEK AN TEMPOH PROJEK PERUNTUKAN BELUM S
MULA T AM AT (DD/MM/YYY (AKTIF / DILULUSKAN H H H BELANJA
T AM AT ) V11000 V21000 V24000 V27000 V28000 V29000 V35000 BELAN V11000 V21000 V24000 V27000 V28000 V29000 V35000 BELAN V11000 V21000 V24000 V27000 V28000 V29000 V35000 BELAN BELANJ
(DD/MM/YYYY) (DD/MM/YYYY) Y) hingga (RM) (RM) A (%)
(DD/MM/YYY
JA (RM) JA (RM) JA (RM)
Y)

1
2
3
4
5
6
7
8
9
10

JUMLAH KESELURUHAN (RM)

BORANG LRGS-P1(R)-PROGRAM Kod Projek :

PROGRESS REPORT
LONG TERM RESEARCH GRANT SCHEME (LRGS)

Laporan Prestasi Skim Geran Penyelidikan Jangka Panjang

TITLE OF RESEARCH PROGRAM (Tajuk Program Penyelidikan)

A PHASE:
Fasa :

LEADING IPT :
IPT Peneraju :

Niche :
Nic :

Title of Research Program
(Tajuk Program Penyelidikan):

START DATE:
Tarikh Mula :

END DATE:
Tarikh Tamat :

Program Leader :
(Ketua Program)

Title of Research Project Membership Field Institution
(Tajuk Projek) (Keahlian) (Bidang) (Institusi)
Leader (Ketua):
Member (Ahli):
i.
ii.
iii.
iv.
v.

Title of Research Project Leader (Ketua):
(Tajuk Projek) Member (Ahli):
i.
Title of Research Project ii.
(Tajuk Projek) iii.
iv.
Title of Research Project v.
(Tajuk Projek) Leader (Ketua):
Member (Ahli):
Title of Research Project i.
(Tajuk Projek) ii.
iii.
iv.
v.
Leader (Ketua):
Member (Ahli):
i.
ii.
iii.
iv.
v.

Leader (Ketua):
Member (Ahli):
i.
ii.
iii.

PROGRAM ACHIEVEMENT (Prestasi Program)

B ACHIEVEMENT PERCENTAGE

Program progress according 0 - 25% 26 - 50% 51 - 75% 76 - 100%
to milestones achieved up to
this period

Percentage
(please state #%)

RESEARCH OUTPUT

Number of articles/ Indexed Journal Non-Indexed Journal
manuscripts/ books
(Please attach the First Page of
Publication)

Conference Proceeding International National

(Please attach the First Page of

Publication)

Intellectual Property
(Including Patent, Copyright,
Industrial Design,layout
Design of Integrated Circuit &
Trademarks)

TALENT

Talent Number Others
(please specify)
Citizen On-going Graduated
PhD Student
Master Student Malaysian Non Malaysian Non
Undergraduate Student Malaysian Malaysian

Total

EXPENDITURE (Perbelanjaan)

C Budget Approved (Peruntukan diluluskan) : RM
Amount Spent (Jumlah Perbelanjaan) : RM

Balance (Baki) : RM
Percentage of Amount Spent :%
(Peratusan Belanja)

SUMMARY OF RESEARCH FINDINGS (Ringkasan Penemuan Projek Penyelidikan)
D

PROBLEMS / CONSTRAINTS IF ANY (Masalah/ Kekangan sekiranya ada)
E

Date : Program Leader’s Signature:
Tarikh Tandatangan Ketua Program

COMMENTS, IF ANY/ ENDORSEMENT BY RESEARCH MANAGEMENT CENTER (RMC)
(Komen, sekiranya ada/ Pengesahan oleh Pusat Pengurusan Penyelidikan)

F ....................................................................................................................................................................
....................................................................................................................................................................
...................................................................................................................................................................

Name: Signature:
Nama: Tandatangan:

Date:
Tarikh:

BORANG LRGS-P1(R)-PROJEK Kod Projek:

PROGRESS REPORT
LONG TERM RESEARCH GRANT SCHEME (LRGS)

Laporan Prestasi Skim Geran Penyelidikan Jangka Panjang (LRGS) IPT

DETAILS OF RESEARCH PROGRAM AND PROJECT (Maklumat Program dan Projek)

A1 PROGRAM TITLE :
Tajuk Program

PROGRAM LEADER :
Ketua Program

LEADING UNIVERSITY:
Universiti Peneraju

Niche :
Nic :

A2 PROJECT TITLE :
Tajuk Penyelidikan

PROJECT LEADER :
Ketua Projek

IPT :
IPT

START DATE:
Tarikh Mula :

END DATE:
Tarikh Tamat :

PROJECT MEMBERS :
Ahli Projek

PROJECT ACHIEVEMENT (Prestasi Projek)

B ACHIEVEMENT PERCENTAGE

Project progress according to 0 - 25% 26 - 50% 51 - 75% 76 - 100%
milestones achieved up to this
period

Percentage
(please state #%)

RESEARCH OUTPUT

Number of articles/ manuscripts/ Indexed Journal Non-Indexed Journal
books
(Please attach the First Page of
Publication)

Conference Proceeding International National

(Please attach the First Page of Others
(please specify)
Publication)

Intellectual Property
(Including Patent, Copyright,
Industrial Design,layout Design of
Integrated Circuit & Trademarks)

TALENT

Talent Number

Citizen On-going Graduated

No. PhD Student Malaysian Non Malaysian Non
Student Fullname: Malaysian Malaysian
IC / Passport No:
Student ID:

No. Master Student
Student Fullname:
IC / Passport No:
Student ID:

No. Undergraduate Student
Student Fullname:
IC / Passport No:
Student ID:
Total

EXPENDITURE (Perbelanjaan)

C Budget Approved (Peruntukan diluluskan) : RM

Amount Spent (Jumlah Perbelanjaan) : RM

Balance (Baki) : RM
Percentage of Amount Spent :%
(Peratusan Belanja)

SUMMARY OF RESEARCH FINDINGS (Ringkasan Penemuan Projek Penyelidikan)
D

PROBLEMS / CONSTRAINTS IF ANY (Masalah/ Kekangan sekiranya ada)
E

Date : Project Leader’s Signature:
Tarikh Tandatangan Ketua Projek

COMMENTS, IF ANY/ ENDORSEMENT BY RESEARCH MANAGEMENT CENTER (RMC)
(Komen, sekiranya ada/ Pengesahan oleh Pusat Pengurusan Penyelidikan)

F ....................................................................................................................................................................................
....................................................................................................................................................................................
....................................................................................................................................................................................

Name: Signature:
Nama: Tandatangan:

Date:
Tarikh:

BORANG NRGS – A1 (R)

PROGRESS REPORT FORM (Vol.1/2015)

NKEA AGRICULTURE (EPP#1)
NKEA Research Grant Scheme (NRGS)

CLUSTER :

PROJECT NUMBER :

PROJECT DURATION :

START DATE : END DATE:

Report Period : As at end March / Jun / Sept / Dec Report#: 1 I 2 I 3 I 4 I 5 I 6 I 7 I 8 (Please Circle)
A. PROJECT DETAILS

Project title:

Project leader:
Institution :
Office No :
Fax No :
Hp. No :
E-mail :

B. FINANCIAL REPORTS

i. Approved Project
Allocation :

Year 1 ( 20 ) : RM Year 2 ( 20 ) : RM

ii. Total Allocation Received
To date:

iii. Total Expenditure To Date:

iv. Balance of Allocation To
Date (ii – iii) :

v. Actual Project Expenditure (Please report total cumulative expenditure up to the past report period)

Total Budget Spent (RM)

Budget Details Total Allocation Total Expenditure Balance
Receive (A) (B)

V11000 Salary and Wages

V21000 Travelling and
Transportation

V24000 Rental

V27000 Research Materials and
Supplies

V28000 Maintenance and Minor
Repair Services

V29000 Professional Services

V35000 Accessories and Equipment

TOTAL
**** Reminder : Financial statements from the Treasurer must be included

Is this performance in line with plan? Yes No (Please specify on Appendix )

EPP#1 NRGS Progress Report

C. PHYSICAL PROGRESS
i. Milestones Achievement

No. Progressive Milestones as Planned Achieved Revised

per report date Milestones Date (Yes/No) Milestones Date

(month/year) (month/year)

M1

M2

M3

M4

M5

**** Project Achievement : Please provide summary on the project achievements, its status and

prospects with regards to the followings (Please specify on Appendix)

ii. Planned milestones

a) Reasoned for non-achievement :

b) Proposed adjustments/corrective actions:

D. Others Achievement

1. Intellectual Property Rights (Patent, Industrial Design, Trademark, Copyright etc) – Please
describe detail

Issues Specify Please
Tick ( / )

1. Permohonan paten akan difailkan
(Patent application will be filed)

2. Paten diperoleh
(Patent obtained)

Patent 3. Paten menunggu
(Patent pending)

4. Paten difailkan
(Patent filing)

5. Paten digubal
(Patent drafting)

Hak cipta
(Copyright)

Cap dagangan
(Trademark)

Reka bentuk industri
(i-Design)

Lain-lain (Other)

EPP#1 NRGS Progress Report

2. Seminar/Conference/ Workshop (Detail Information: where and when?)

BIL. PROGRAMS & DATES PLACE / LOCATION REASONS

3. Publications, papers or SOP (International, national, books, citations etc) – Please describe
detail

No. Title, Authors’s Names and Publishers Type of Articles Status of Articles
1. Effect of standardized extract ….
Journal ISI Submitted / Published / On
Roza Dianita, Athirah Z., …. Impact factor 2.610 going
Food and Chemistry Toxicology

4. Expertise Development (PhD, Masters, Research Staff with new speciality etc)

5. Prototype / Product (Prototype name, Type eg, Lab scale, Engineering scale, Commercial
scale etc) – Please describe details

Name of Prototype Already has industry interested. Yes / No (if yes, please specify the
Detail Information: company and the status of the collaboration)
Pictures :

Status :

6. Commercialisation (licensing, Royalty, Spin-off, Direct sale etc) – Please describe detail

7. Equipment / Accessories Purchased (V35000)

BIL. ASSET / SPECIFICATION LOCATION CODE NO. PRICE

Project Leader Date:
EPP#1 NRGS Progress Report
Signature:
Official Stamp:

Endorsed by Research Management Centre (RMC) Date:
Signature:
Official Stamp:

APPENDIXES

EPP#1 NRGS Progress Report

INTERIM REPORT DEMAND-DRIVEN INNOVATION PROJECT

PROGRESS REPORT
DEMAND-DRIVEN INNOVATION PROJECT

A PROJECT TITLE :SEMI-AUTOMATED SHEETING AND DOUGH ROUNDING

MACHINE

COMPANY NAME :

RESEARCH INSTITUTION :

PROJECT LEADER :

PROJECT MEMBERS :

PROJECT ACHIEVEMENT

B ACHIEVEMENT PERCENTAGE

Project progress according to 0 - 25% 26 - 50% 51 - 75% 76 - 100%
milestones achieved up to this
period

Percentage (please state # %)

PROJECT OUTPUT

Fully Solved Problem (% completion)

Intellectual Property (if, any)

EXPENDITURE** :
:
C Budget Approved :
Amount Spent :
Balance
Percentage of Amount Spent

SUMMARY OF PROJECT FINDINGS / PROBLEM SOLVED ** ( Researcher may attach seperate additional report, if any)

D

PROBLEMS / CONSTRAINTS IF ANY
E

PLAN OF ACTION (How to solve the problem/constraint)
F

Date : Project Leader’s Signature:

COMMENTS, IF ANY / ENDORSEMENT BY THE DESIGNATED AUTHORITY OF THE INSTITUTION (e.g. RMC/HoD)

G ....................................................................................................................................................................................
....................................................................................................................................................................................
....................................................................................................................................................................................

Name: Signature:

Date:

** Note: Researcher may attach supporting documents and seperate additional report, if any.

BORANG PRGS - P1 (R) Kod Projek :

PROGRESS REPORT
PROTOTYPE DEVELOPMENT RESEARCH GRANT SCHEME (PRGS)

Laporan Prestasi Skim Geran Penyelidikan Pembangunan Prototaip (PRGS)
Pindaan 1/2016

A. PROJECT INFORMATION

PHASE:

YEAR:

RESEARCH TITLE:

SUB CLUSTER:

START DATE:
END DATE (EXPECTED):

EXTENSION DATE: RMC LEVEL:
KPM LEVEL:

PROJECT STATUS: (ACTIVE / TERMINATED / COMPLETED)

PROJECT LEADER:
I/C / PASSPORT NUMBER:

NEW PROJECT LEADER (if any):
I/C / PASSPORT NUMBER:

PROJECT MEMBERS : 1.

(including GRA) 2.

B. PROJECT ACHIEVEMENT (Prestasi Projek)

ACHIEVEMENT PERCENTAGE

Project progress according to 0 - 25% 26 - 50% 51 - 75% 76 - 100%
milestones achieved up to this
period

Percentage
(please specify the percentage #%)

RESEARCH OUTPUT

Fully developed prototype
(Please specify the percentage of completion)

Intellectual Property
(Please specify)

Application for pre-commercialization funds
(Please specify)

Talent TALENT Others
Number (please specify)
No. Research Officer (RO)
Fullname:

IC / Passport No.:
Staff No.:

No. Research Assistant (RA)
Fullname:

IC / Passport No.:
Staff No.:

Total

C. EXPENDITURE (Perbelanjaan) as Borang K1(RMC)

Budget Approved (Peruntukan diluluskan) : RM

Amount Spent (Jumlah Perbelanjaan) : RM

Balance (Baki) : RM
Percentage of Amount Spent :%
(Peratusan Belanja)

D. SUMMARY OF RESEARCH FINDINGS (Ringkasan Penemuan Projek Penyelidikan)

E. PROBLEMS / CONSTRAINTS IF ANY (Masalah/ Kekangan sekiranya ada)

Date : Project Leader’s Signature:
Tarikh Tandatangan Ketua Projek

F. COMMENTS, IF ANY/ ENDORSEMENT BY RESEARCH MANAGEMENT CENTER (RMC)
(Komen dan Pengesahan oleh Pusat Pengurusan Penyelidikan)

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

Name: Signature:
Nama: Tandatangan:

Date:
Tarikh:

Ministry of Science, Technology & Innovation Malaysia

Lampiran II
PROGRESS AND FINANCIAL REPORT

Year :
A. PROJECT DETAILS

Project number:

Project title:

Project leader:

Project Duration : (months) (6 month extension)

Project Start date : (month) (year)

Project End date : (month) (year)

Tel: Fax : E-mail :

B. FINANCIAL PROGRESS

i. Approved Project Allocation : RM

Year 1 ( ) : RM Year 2 ( ) : RM Year 3 ( ) : RM

ii. Total Allocation Received Todate : RM

iii. Total Expenditure Todate: RM or % (Total Expenditure / Total Allocation received X 100 )

iv. Balance of Allocation Todate : RM (Total Allocation received – Total Expenditure)

v. Actual Project Expenditure (Please report total cumulative expenditure up to the past report period)

Report Period : Mac-May Jun-Aug Sept-Nov Dec-Feb

Project Cost Components Total Total Allocation Total
Approved Received (RM)
Budget ( RM) Cumulative
Expenditure (RM)

 Temporary and contract personnel (V11000)

 Travel and transportation (V21000)

 Rentals (V24000)

 Research materials and supplies (V26000)

 Minor modifications and repairs (V28000)

 Special services (V29000)

 Special equipment and accessories (V35000)

Total direct expenses

Total

Is this performance in line with plan? Yes No (Please complete para vi
and vii)

Progress Report Science Fund 1