Rhematological Immunology / Psychiatry disorder Kidney disease disorder Inflammatory disorder Depression Osteoarthritis SLE Kidney / Organ Psychotic disorder/ Rheumatoid arthritis Transplant Schizophrenia ESRD / Dialysis Chronic kidney disease Others: Others: Others: Oral, Gastrointestinal Urological disorder Respiratory disorder Infectious Disease or Liver disorder Benign Prostatic Acid related / Asthma Dengue Hypertrophy reflux Chronic Obstructive Malaria Erectile dysfunction disorder Airway disorder Hepatitis Diarrhoeal disorder/ Gastroenteritis Others: Others: Others: Neurological disorder Reproductive disorder Skin Disorder Epilepsy Infertility Dermatitis/ Eczema Contraception Psoariasis Childbirth & Complication of newborns Congenital Disorder Others: Others: Others: Is this application linked to a previous approved by the UMMC MREC or another current application to the UMMC MREC? Yes, please state the MREC ID Number of the previous study: _________________________ No Has this or a similar application been previously approved by a research ethics committee in Malaysia or another country? Yes, please state the name of the research ethics committee: _________________________ No Has this or a similar application been previously rejected by a research ethics committee in Malaysia or another country? Yes, please state the name of the research ethics committee: _________________________ No
Psychiatry disorder Rhematological disorder Immunology / Inflammatory disorder Kidney disease Depression Psychotic disorder/ Schizophrenia Osteoarthritis Rheumatoid arthritis SLE Kidney / Organ Transplant ESRD / Dialysis Chronic kidney disease Others: Others: Others: Urological disorder Oral, Gastrointestinal or Liver disorder Respiratory disorder Infectious Disease Benign Prostatic Hypertrophy Erectile dysfunction Acid related / reflux disorder Diarrhoeal disorder/ Gastroenteritis Asthma Chronic Obstructive Airway disorder Dengue Malaria Hepatitis Others: Others: Others: Neurological disorder Reproductive disorder Skin Disorder Epilepsy Infertility Contraception Childbirth & Complication of newborns Congenital Disorder Dermatitis/ Eczema Psoariasis Others: Others: Others: Is this application linked to a previous approved by the UMMC MREC or another current application to the UMMC MREC? Yes, please state the MREC ID Number of the previous study: _________________________ No Has this or a similar application been previously approved by a research ethics committee in Malaysia or another country? Yes, please state the name of the research ethics committee: _________________________ No Has this or a similar application been previously rejected by a research ethics committee in Malaysia or another country? Yes, please state the name of the research ethics committee: _________________________ No
NEW%20STUDY%20APPLICATION%20FORM_24Aug16.docx