prosedur ec

Post on 19-Aug-2015

219 Views

Category:

Documents

1 Downloads

Preview:

Click to see full reader

DESCRIPTION

asdf

TRANSCRIPT

KEMENTERIAN PENDIDIKAN NASIONALUNIVERSITAS PATTIMURAFAKULTAS KEDOKTERANJln. Dr.Tamaela, Kampus PGSD Ambon. Telp/Fax : (0911) !!9"#$ %&ma'l: fkunpatti@yahoo.comLEMBARAN INFORMASI KEPADA RESPONDEN(INFORMED OF CONSENT) ()*+*,GA, D%-AJAT P%,D%,GA-A, D%,GA, )AS./ +%/AJA-S.S0A K%/AS 1 D. SD ,%G%-. 1 DA, # GA/A/A TA)*, #012Sa3a 3an4 ber5an6a 5an4an 6'ba7a8 'n' :,ama: Jo8annes /esba55a ,.9: #009&"&01:S5a5us:9a8as's7a Fa;ul5as Ke6o;5eran *n'ara' un5u; men4e5a8u' 6a5a sos'al 6an 6emo4ra?' respon6en.Kemu6'anrespon6ena;an6'm'n5amen4';u5' pemer';saan?un4s' pen6en4aranun5u; men4e5a8u' 6era=a5 pen6en4aran 6en4an men44una;an au6'ome5er.Kera8as'aan 6a5a 6ar' 5'ap respon6en 'n' a;an sa3a =a4a. Ambon, A4us5us#01Penel'5'Jo8annes )en6r'; /esba55a,.9. #009 @ 0" @ 01" LEMBARAN PERSETUJUAN RESPONDEN(INFORMED CONSENT)Ju6ul Penel'5'an : )ubun4an Dera=a5 Pen6en4aran Den4an )as'l +ela=ar S's7aKelas 1 6' SD ,e4er' 1 6an # Galala Ta8un #01Penel'5' :,ama: Jo8annes /esba55a ,.9: #009&"&01:S5a5us:9a8as's7a Fa;ul5as Ke6o;5eran *n'ara su;arela men4'='n;an ana; / ana; 7al' sa3a un5u;men=a6' respon6en 6en4an member';an '='n a5as 6asar 8as'l pemer';saan 6era=a5pen6en4aran Ana;/ ana; 7al' sa3a un5u; 6'4una;an 6alam penel'5'an 'n'.Ambon, A4us5us #01Tan6a Tan4an -espon6en (BBBBBBBBB..BB.)Tan6a Tan4an Penel'5'Jo8annes )en6r'; /esba55a

top related