(WE MOVED TO MOODLE) UTM SCR: ERIA Application Form

a) Research title, abstract & project period

*Although the title of any research project or any of derivative publications from it may change over time, investigators and/or authors should reference the specific ERIA Reference ID (designated by UTM SCR) when declaring to publishers that the research has undergone institutional review. It must be noted, however, that investigators are obliged to inform UTM SCR of any changes made to research protocols and procedures, substantial changes to which MUST undergo a separate review and approval

**Please state the planned project start and end date

c) Short bio of principal investigators and co-investigators

a) Research background, objectives or purpose, research problems/questions or hypotheses

b) Research approach, design, methodology, and timeline

c) Roles and responsibilities performed by principal or other investigators (may conform in general to CRediT taxonomy or be more specific)

*Investigators are designated as Principal Investigator (PI), Co-investigator (CI1), CI2, etc., following the order of names in the contact page.

d) Description of target participants, participant eligibility criteria, and justification for inclusion/exclusion

e) Description of sampling and data collection method to be implemented:

i. Include relevant details regarding the recruitment of participants, and use of special procedures such as masking or covert fieldwork (e.g., ethnography)

ii. Also include an assessment of the necessity and validity of data, data sources, standards (e.g., CONSORT for randomized trials, SRQR for qualitative studies, etc.)

f) Plan for research management, oversight, and monitoring to ensure ethical compliance and the integrity and quality of data collected is maintained

a) Disclose any potential conflicts of interest, if any, and how the researcher intends to manage them appropriately (e.g., the applicant has a position of authority in relation to participants or when inducements are used). Conflict of interest may arise from:

i. Funding provided by or association with any external party (which must be declared)

ii. Personal and professioanl roles (e.g., position of authority, co-membership or previous/existing social assocatiation/relations with research participants or other parties involved)

b) In addition to potential conflict of interest issues, please state any plan to ensure objectivity and integirty in conducting the research (e.g., pre-registration of hypotheses, stating analysis strategy beforehand and handling of missing or problematic data)

c) If no conflict of interest is anticipated or foreseeable, the applicant can simply declare it to be the case (although SCR members may request clarifications and other supporting information or details)

a) Include copy and if necessary, description of consent form which may or may not include information for participants regarding the research purpose, instructions for participants, procedures to be undertaken potential risks, benefits, options, confidentiality, and withdrawal or opt-out rights and procedures, as well as right to lodge a complaint.

b) Steps followed for obtaining the informed consent including allowing participants sufficient time to consider their participation.

*You can upload the consent form (if any) at the end of this application

a) Identification and description of possible ethical issues, concerns, and adverse events that may arise, based on the proposed research methods and procedures, and how these will be mitigated or addressed by the investigators. The description does not have to be comprehensive or detailed but is undertaken to raise awareness and enhance sensitivity of investigators to unanticipated issues that may arise

a) Description of what data and information will be collected from or about the participants, supported by copies of questionnaires, survey forms, question guides, etc. to be used.

*You can upload the questionnaire (if any) at the end of this application

b) Description of how data (e.g., interview) will be recorded

c) Description of how data will be analyzed and findings presented, with reference to aggregating groups, how groups will be identified/described, and how participants' identity will be anonymized

d) Describe plan for data storage, access, and protection aganist unauthorized access. Who will have access to the data and how acecss is monitored?

e) Suggestion for handling and disposition of data after the study is published

f) Statment whether the data and information collection and storage procedures may contravene local data protection and privacy laws or other internationally accepted standards (e.g., GDPR)