JEPUKM Application Forms

JEPKITA strongly recommends all applicants to download the necessary application forms directly from the official UKM Research Ethics Secretariat (JEPUKM) website. This guarantees the use of the most accurate and current documentation. Should you experience technical difficulties accessing the JEPUKM website, the forms are also available for download here. However, please consult with JEPKITA first to confirm these versions are still current.

Forms & Templates

Note: The numbering in the table below refers to the designated item in the UKM-JEP-SS01 UKM Research Ethics Committee Document Submission Checklist.

No.	Form / Template	Remarks
1.	UKM-JEP-SS01 Senarai Semak Dokumen (4 Januari 2024) UKM Research Ethics Committee Document Submission Checklist (4 January 2024)	Compulsory
2.i.	UKM-JEP-BO01 Borang Permohonan Kelulusan Jawatankuasa Etika Penyelidikan UKM (7 Disember 2023) UKM Research Ethics Committee Application Form (7 December 2023)	Compulsory
2.ii.	UKM-JEP-BO02 Borang Saringan Jawatankuasa Etika Penyelidikan UKM (7 Disember 2023) UKM Research Ethics Committee Review Form (7 December 2023)	Compulsory
2.iii.	UKM-JEP-BO03 Borang Kerahsiaan Pelajar Jawatankuasa Etika Penyelidikan UKM (21 September 2023) UKM Research Ethics Committee Student Non-Disclosure Form (21 September 2023)	Compulsory
2.iv.	UKM-JEP-BO08 Borang Konflik Kepentingan Jawatankuasa Etika Penyelidikan UKM (7 Disember 2023) UKM Research Ethics Committee Conflict of Interest Disclosure Form (7 December 2023)	Compulsory
3.	Format Kertas Cadangan: Senarai Semak Item Yang Perlu Ada Dalam Kertas Cadangan Proposal Format: Checklist of Items Required in the Proposal	Compulsory
3.i.	Templat Usulan Kajian Research Proposal Template	Compulsory; 20 pages maximum.
4.1.	Templat Helaian Maklumat Peserta	Compulsory for paperwork prepared in Malay language.
4.1.	Participant Information Sheet Template	Compulsory for paperwork prepared in English language.
4.2.	Templat Helaian Maklumat Ibu Bapa / Penjaga	Only for research that collects data from underage sampel.
5.	Templat Borang Keizinan Peserta	Compulsory for paperwork prepared in Malay language.
5.	Participant Informed Consent Form Template	Compulsory for paperwork prepared in English language.
5.	Templat Borang Keizinan Ibu Bapa / Penjaga	Only for research that collects data from underage sampel & paperwork in Malay language.
5.	Parent / Guardian Informed Consent Form Template	Only for research that collects data from underage sampel & paperwork in English language.
6.	Informed Assent Form Template for Children/Minors	Only for research that collects data from underage sampel.
10.	Templat CV Pelajar Student CV Template	Compulsory

^{Last updated: 22 September 2026}