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research application form universiti kebangsaan malaysia medical ...

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MEDICAL RESEARCH & INDUSTRY SECRETARIAT<br />

SEKRETARIAT PENYELIDIKAN PERUBATAN & INDUSTRI<br />

C. DURATION: (not more than 3 years)<br />

Date of commencement : [ ] [ ] [ ]<br />

Date of completion : [ ] [ ] [ ]<br />

D. TYPE OF RESEARCH PROJECT:<br />

[ ] *Undergraduate/Masters/PhD<br />

[ ] Sabbatical Leave<br />

[ ] Practicum<br />

[ ] Others (Please state)<br />

…………………………………………………………………………………………………………………<br />

E. FIELD:<br />

[ ] Fundamental<br />

[ ] Industry<br />

[ ] Biotechnology<br />

[ ] Technology - manufacturing/innovation/electronic/in<strong>form</strong>ation/others<br />

(Please state): ………………………………………………………………………….<br />

[ ] Health/<strong>medical</strong><br />

[ ] Others (Please state): ……………………………………………………………..<br />

3. Research scope:<br />

[ ] Drug Trial<br />

[ ] Clinical Trial<br />

[ ] Theory<br />

[ ] Field Work<br />

[ ] Lab Work<br />

[ ] Questionnaire<br />

[ ] Others (Please state): ……………………………………………………………………………<br />

*Please strikethrough which are not applicable<br />

2

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