Universiti putra malaysia Institutional Animal Care & Use Committee Final/Annual Report & Application for Continuation Please use this form to report on the progress or completion of the animal study. Applications for continuation or extension need to be reviewed and approved by the IACUC. Forward the completed form to: The Secretariat, Institutional Animal Care and Use Committee, c/o, Unit of Ethics Research, Level 4, Office of the Deputy Vice Chancellor (Research and Innovation), Universiti Putra Malaysia. , Attention to: Ms. Nor Abd Ajis, email: / iacuc@upm.edu.my Phone: 03-8947 1244/1605 Principal AUP No. Investigator Department Phone Address E-mail Project Anticipated end date of research project: Title Check One: Proposal was not funded and/or research will not begin. Funding source: ____ A Please close project files. (Complete and submit this form as a final progress report). Project No: Funding and/or start of research are pending. Please keep Location(s) of animal housing: ____ B project active. (Complete and submit this form). Research will not continue beyond the anniversary date. Location(s) of animal experiments and procedures: ____ C (Complete and submit this form. If research has ended, describe disposition of animals in the box to right). Research will continue beyond the anniversary date. Disposition of animals: ____ D (Complete and submit this form). ANIMAL USAGE Species Number Number used Remarks approved
Universiti putra malaysia Institutional Animal Care & Use Committee Final/Annual Report & Application for Continuation Please use this form to report on the progress or completion of the animal study. Applications for continuation or extension need to be reviewed and approved by the IACUC. Forward the completed form to: The Secretariat, Institutional Animal Care and Use Committee, c/o, Unit of Ethics Research, Level 4, Office of the Deputy Vice Chancellor (Research and Innovation), Universiti Putra Malaysia. Attention to: Ms. Nor Abd Ajis, email: / iacuc@upm.edu.my , Phone: 03-8947 1244/1605 Principal Investigator AUP No. Department Phone Address E-mail Project Title Check One: Anticipated end date of research project: ____ A Proposal was not funded and/or research will not begin. Please close project files. (Complete and submit this form as a final progress report). Funding source: Project No: ____ B Funding and/or start of research are pending. Please keep project active. (Complete and submit this form). Location(s) of animal housing: ____ C Research will not continue beyond the anniversary date. (Complete and submit this form. If research has ended, describe disposition of animals in the box to right). Location(s) of animal experiments and procedures: ____ D Research will continue beyond the anniversary date. (Complete and submit this form). Disposition of animals: ANIMAL USAGE Species Number approved Number used Remarks