Digital Document Information

  • import_contacts General
    Num Document Name File
    1 Surat Jaminan Mitra Riset Orang Asing
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    2 Pengumuman Penghentian Layanan Klirens Etik
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    3 Ethical Clearance for Foreign Researchers Application Guidelines
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    4 Ethical Clearance Application Guideline (in Bahasa Indonesia)
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    5 Standar Pelayanan Fasilitasi Klirens Etik dan Perizinan Penelitian Asing
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    6 Laporan Survei Kepuasan Masyarakat (SKM) Klirens Etik dan Perizinan Penelitian
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  • bug_report Animal Care and Use
    Num Document Name File
    1 Ethical Clearance Application Form *
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    2 Cover Letter from Institution *
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    3 Research Coordinator's Statement Letter *
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    4 Animal Enclosure Manager's Statement Letter *
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    5 Buku Saku Pedoman Klirens Etik Pemeliharaan dan Penggunaan Hewan Dalam Riset
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  • healing Health
    Num Document Name File
    1 Ethical Clearance Application Form (pre-clinical/test animals)
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    2 Cover Letter from Institution *
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    3 Ethical Clearance Application Form (clinical trials)
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    4 General Application Form *
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    5 Ethical Clearance Amendment Form
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    6 Ethical Clearance Application Form (non-clinical)
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    7 Research Protocol *
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    8 Pedoman dan Standar Etik Penelitian dan Pengembangan Kesehatan Nasional
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    9 The Research Ethics Review Committee of WHO Regional Office for South-East Asia (SEARO-ERC)
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    10 CIOMS Clinical Research RLS 2016
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    11 CIOMS Ethical Guidelines 2016
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    12 WHO tool for benchmarking ethics oversight of health-related research involving human participants
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    13 WMA Declaration of Helsinki - Ethical Principles for Medical Research Involving Human Subjects
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    14 Prosedur Operasional Baku (POB) - Komisi Etik Kesehatan BRIN
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    15 ICH-GCP versi step 4 tahun 2016
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    16 Undang-undang No. 36 tahun 2009 tentang Kesehatan
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    17 Peraturan Menteri Kesehatan No. 75 tahun 2020 tentang Komite Etik Penelitian dan Pengembangan Kesehatan Nasional
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    18 Badan Pengawas Obat dan Makanan Republik Indonesia: Pedoman Cara Uji Klinik yang Baik
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    19 Protocol Amendment Submission Form
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  • group Social Humanities
    Num Document Name File
    1 Social Humanity Research Activity Report
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    2 Letter of Approval for Digital Data Usage
    Download
    3 Ethical Clearance Amendment Form
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    4 Parental/ Guardian Consent
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    5 Statement of Non-Involvement of Foreign Researchers
    Download
    6 Statement Letter from Teacher in Charge
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    7 Ethical Clearance Application Form *
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    8 Informed Consent *
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    9 Social Sciences & Humanities Ethical Clearance Guidelines
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    10 Cover Letter from Institution *
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    11 Conflict of Interest Statement Form *
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  • bubble_chart Nuclear Power
    Num Document Name File
    1 Conflict of Interest Statement Form *
    Download
    2 Cover Letter from Institution *
    Download
    3 Informed Consent
    Download
    4 Ethical Clearance Application Form *
    Download
    5 Nuclear Research Ethical Clearance Guidelines (in Bahasa Indonesia)
    Download
  • opacity Chemical
    Num Document Name File
    1 Research Coordinator's Statement Letter *
    Download
    2 Cover Letter from Institution *
    Download
    3 Organoleptic Test Protocol
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    4 Chemical Research Ethical Clearance Guidelines
    Download
    5 Ethical Clearance Application Form *
    Download
    6 Informed Consent
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    7 Material Transfer Agreement Statement Letter
    Download
  • new_releases Hazardous Biological Materials
    Num Document Name File
    1 Biosafety Risk Assessment *
    Download
    2 Cover Letter from Institution *
    Download
    3 Protocol *
    Download
    4 Buku Saku - Prosedur Klirens Bahan Biologi Berbahaya
    Download
  • assignment Foreign Research Permit
    Num Document Name File
    1 Letter of Application for Free Tariff
    Download
    2 Foreign Research Permit Guideline
    Download
    3 Project Agreement
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    4 Foreign Research Permit Application Form
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    5 Data Management Plan
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    6 Research Collaboration Agreement
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    7 Guarantee Letter
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    8 Material Transfer Agreement Draft
    Download