SRG Financial Report Form

(1)

SULTAN AHMAD SHAH MEDICAL CENTRE @IIUM FINANCIAL PROGRESS REPORT FORM

This form must be submitted to the Clinical Research Centre, Level 4, Sultan Ahmad Shah Medical Centre @IIUM, Kuantan, Pahang A. RESEARCH GRANT INFORMATION

Type of Grant SASMEC Research Grant (RM 20,000)

Awarded Date Expected Completion Date

Project ID Project Title

Project Leader

Name :______________________________ Signature : ________________

Stamp: : Date : ________________

B. PROJECT ACHIEVEMENT

ACHIEVEMENT PERCENTAGE Project progress according to milestones achieved up

to this period 0 - 25% 26 - 50% 51 - 75% 76 - 100%

Percentage (Please state %)

RESEARCH OUTPUT Number of articles

(Please attach the First Page of Publication)

Indexed Journal / MyCite Non-Indexed Journal

C. PROJECT EXPENDITURE

RESEARCH OUTPUT

Description Amount (RM) Remarks

Budget Approved Amount Spent Balance

Percentage of Amount Spent

D. DETAIL EXPENSES

VOTE ITEMS AMOUNT (RM)

Sultan Ahmad Shah Medical Centre @IIUM, Jalan Sultan Ahmad Shah, Bandar Indera Mahkota, 25200 Kuantan, Pahang Darul Makmur.

Tel: 09-591 2500

SASMEC-DEAR-CRC(SG)-F013 VER: 01 REV: 01 EFFECTIVE DATE: 20 SEPTEMBER 2022

(2)

SULTAN AHMAD SHAH MEDICAL CENTRE @IIUM FINANCIAL PROGRESS REPORT FORM

a) Vote 11000 (Salary and wages for

Research Assistant)

b) Vote 21000 (Travelling, Lodging and Transportation)

c) Vote 23000 (Communication and Utilities)

d) Vote 27000 (Research Materials &

Supplies)

Tel: 09-591 2500

(3)

SULTAN AHMAD SHAH MEDICAL CENTRE @IIUM FINANCIAL PROGRESS REPORT FORM

e) Vote 29000 (Professional services,

hospitality & other services including printing)

TOTAL (RM) E. PROJECT PROBLEMS/CONSTRAINT (if any)

Tel: 09-591 2500

(4)

SULTAN AHMAD SHAH MEDICAL CENTRE @IIUM FINANCIAL PROGRESS REPORT FORM

F. DEPARTMENT OF EDUCATION AND RESEARCH

Verified by:

Signature and Stamp:

Date:

Approved by:

Remarks (if any): _______________________________________

_______________________________________

Signature and Stamp:

Date:

REMINDER

Researchers are responsible to submit timely progress reports to Clinical Research Centre, Level 4, Sultan Ahmad Shah Medical Centre @IIUM for every SIX (6) MONTHS.

Tel: 09-591 2500