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IMR INSTITUTIONAL BIOSAFETY & BIOSECURITY COMMITTEE (IMR IBBC)
                                    PRELIMINARY ASSESSMENT FORM

                      INSTITUTE FOR MEDICAL RESEARCH MALAYSIA
                                                 Email:  ibbcsecretariat@moh.gov.my

                      6.  Brief summary of the project
                         (including objectives and
                         expected outcome):
                         (300 – 500 words)



















                      7.  Name(s) of infectious or
                         potentially infectious
                         agent/material or biological toxin
                         to be used in the study:
                         (eg: SARS-CoV-2, dengue,
                         diphtheria)

                      7a.  Risk group of agent/ material or
                         toxin (refer to *Act 342- seventh  1  2  3    4     Unknown
                         Schedule, WHO, OIE)
                      7b.  Risk group of agent/material or
                         toxin (refer to Plant Quarantine
                         Act 1976) – if relevant
                      7c.  Risk assesment Evaluation  Yes            No
                      7d.  Involve modern biotechnology  Yes         No
                         techniques in LMO / GMO  agent
                                                 If yes :

                                                 State the recipient (s) :

                                                 State the donor (s) :

                     Note:
                     Please email the complete document to ibbcsecretariat@moh.gov.my within 14 working days from
                     notifiaction date.
                     IMR/IBBC/01
                     Version :  1.0
                     Date  :  20.05.2021                                     Page 2 of 3







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