Human Ethics Application Form UMT
Human Ethics Application Form UMT
APPLICATION FORM
4. New data to be collected from human participant. Please tick any that apply.
☐ Focus group
☐ Experimental procedures/treatment/intervention
☒ Internet survey
☐ Observation
☒ Personal interviews
☐ Telephone survey
☐ Participant Journals / Diary
☒ Questionnaire
☐ Others (please state):Click here to enter text.
5. Existing records with personal data. (For example, records from organisations that
contain medical status of participants)
☐ Yes
☒ No
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Persoalan yang timbul adakah Model Adaptasi Budaya yang dipelopori oleh
Kim sesuai untuk digunakan oleh pelajar antarabangsa yang belajar di institusi
pendidikan tinggi di Malaysia. Kajian ini bertujuan untuk mengenalpasti
adakah Model Adaptasi Budaya ini sesuai diaplikasikan di Malaysia bagi
membantu pelajar antarabangsa beradaptasi dengan budaya di Malaysia
dengan ini boleh membantu mereka dalam mengelakkan masalah keciciran,
kemurungan dan meningkatkan GOT. Justeru kajian ini akan melihat
kesesuaian model yang sedia ada dalam konteks pendidikan tinggi di Malaysia
dan ianya sangat signifikan kerana jika isu adaptasi budaya ini tidak
ditanganani dengan baik, implikasinya besar terhadap pemilihan destinasi
dalam meneruskan pendidikan ke peringkat tingggi oleh pelajar antarabangsa
dan sudah tentu akan menjejaskan peningkatan kemasukan pelajar
antarabangsa ke institusi pendidikan tinggi di Malaysia.
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Objektif kajian ini adalah untuk membina dan mengesahkan Model Adaptasi Budaya
(Intercultural Adaptation Model) berdasarkan konteks setempat di universiti-universiti awam
yang terpilih di Malaysia
Secara khusus, objektif kajian adalah seperti berikut:
a) mengenalpasti tema-tema adaptasi budaya bagi pelajar antarabangsa yang belajar di
IPT di Malaysia dan kakitangan yang menangani pelajar antrabangsa belajar di IPT di
Malaysia
b) mengesah dan membentuk model adaptasi budaya yang sesuai dengan budaya
setempat bagi pelajar antarabangsa yang belajar di IPT di Malaysia
Responden akan dipilih untuk secara rawak mengikut kriteria yang ditetapkan.
iv. Participant inclusion criteria (e.g., residents aged 18 years and above).
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Pelajar siswazah.
RISK YES NO
Will the study involve intervention, such as treatment of any
type? If YES, please give details:
Click here to enter text. ☐ ☒
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10. Describe how you will preserve participant’s confidentiality as you collect and
analyse the data and when you report the result. (E.g., anonymity of participants or
company / organisation involved).
11. Existing data (if you are using existing records containing personal data).
i. Please state the source of the data.
Tidak
ii. Are the data sensitive? (e.g. sexual preference, health status, criminal activity)
☐ YES
☒ NO
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Nil.
ii. Describe what you will do with the recorded data once it has been analysed.
Data akan disimpan selama satu tahun minimum untuk refleksi kepada
pengkaji dan kajian akan datang.
iii. Specify who apart from yourself will have access to the research data.
Pembantu penyelidik
iv. Details who will own the data and the results of your research.
No.
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14. Has this proposal received Ethical Approval from another body?
If not all sections have been approved by this body, please provide a brief account of
aspects not covered:
PART H: ATTACHMENTS
16. Please tick the boxes - which of the following documents are enclosed.
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PART I: Declaration
“In making this application, I certify that I have read and understand the Guidelines for
Research Ethics University Malaysia Terengganu and I will comply with the ethical
principles of the documents. I will submit, as appropriate, a report for amendment of an
approved project, if there are significant changes to my research or if there is an adverse
incident”.
Date : _3/5/2021_________________________
Name : ___________________________
Date : ___________________________
Stamp :
I hereby endorse that this applicant is appropriately qualified in the research area involved to
conduct the proposed research project and is capable of undertaking this research study in a
safe and ethical manner.
Signature : ____________________________
Name : ___________________________
Date : ____________________________
Stamp :
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