Official UTAR Clinical Research Initiative · Ethics ID: UTAR/UREC/2026/PROT2.0

DTAM-MY Study Enrollment & Volunteer Registration

Please complete the brief form below. Our clinical research coordinators will verify your eligibility and contact you within 2 business days.

💬 Prefer WhatsApp? Quick Register via WhatsApp

1 Step 1: Select Your Cohort

I am enrolling as:*

2 2. Contact & Demographic Information (De-Identified)

🔒 Ethical Anonymity: To protect your privacy under ethical clearance (UTAR/UREC/2026/PROT2.0), personal names are not collected. All study records use your unique Reference ID.

Mobile Number:* Malaysian mobile format (e.g. 012-3456789)

Email Address:*

Age Group:*

State of Residence:*

Preferred Language for Telerehab:*

Hospital / Clinic / Referral Code (Optional):

How did you hear about DTAM-MY?

3 Step 3: Statutory Ethics & PDPA 2010 Consent

I have read, understood, and agree to the research consent terms above.*

🔒 End-to-end encrypted · Malaysian Sovereign Data Residency

Download Participant Information Sheet & Consent Form (PIS/ICF)

Read the complete approved clinical trial information in your preferred language before joining.

📄 English PIS (PDF) 📄 Bahasa Melayu PIS (PDF) 📄 简体中文 PIS (PDF) 📄 தமிழ் PIS (PDF)

Registration Reference ID:	DTAM-2026-XXXXX
Selected Cohort:	Elderly Post-Stroke
Registration Date:	2026-08-20
Status:	✓ Received (Under Clinical Verification)
Research Coordinator Hotline:	WhatsApp: +6012-XXXXXXX (yzchong@yz-chong.com)

Registration Received Successfully!

UNIVERSITI TUNKU ABDUL RAHMAN (UTAR)

DTAM-MY Clinical Research Programme

DTAM-MY Study Enrollment & Volunteer Registration

Download Participant Information Sheet & Consent Form (PIS/ICF)

DTAM-MY Study Assistant