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Application Form NASI-Scopus Young Scientist Awards 2019 1.1. Award Category Award Category ☐ Women in Science ☐ Agriculture, Plant Sciences and Rural Development ☐ Environmentally Sound Sustainable Development ☐ Biomedical Research and Healthcare ☐ Innovation in Engineering and Physical Sciences 1.2. Contact Information Name Designation Current Affiliation Official Address Mobile Phone Email Date of Birth 1.3. Education Qualification (From the Highest) Degree Specialization Institution/ University Year of Completion

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Page 1:   · Web viewI hereby certify that the information in my application is complete, true and accurate to the best of my knowledge and belief.

Application Form

NASI-Scopus Young Scientist Awards 2019

1.1. Award Category

Award Category ☐ Women in Science☐ Agriculture, Plant Sciences and Rural Development ☐ Environmentally Sound Sustainable Development☐ Biomedical Research and Healthcare ☐ Innovation in Engineering and Physical Sciences   

1.2. Contact Information

Name

Designation

Current Affiliation

Official Address

Mobile

Phone

Email

Date of Birth

1.3. Education Qualification (From the Highest)

Degree Specialization Institution/ University Year of Completion

1.4. Research Experience

Total no. of papers published

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Papers in Indian Journals

Papers in International Journals

Total no. of patents filed with details

Previous affiliations

1.5. Please share how your research has had an impact outside its field of study & academia generally, including any positive change (social/economic/technological etc.) brought about by, or any interventions induced by, your research.

1.6. Your motivation for applying under the chosen category (max. 500 words)

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DeclarationI hereby certify that the information in my application is complete, true and accurate to the best of my knowledge and belief.

Full name of the applicant:

Signature of the applicant:

Place:Date:

Document ChecklistPlease print and sign this form and send it along with the following documents (in hard copy through post/courier):

One page crisp summary of your key research achievements (preferably in bullet points). Kindly highlight work that is closely aligned with any of the national missions.

Age proof (Only Pan Card, Passport copy, Driving License or Aadhar Card copy would be accepted)

Please attach the list of papers in a tabular format - include only original papers published in Peer reviewed Indian/International journals. Please note the publication must be indexed in Scopus. (**There is no need to send printouts of full length papers.)

Document Title Authors Year Journal Citations         

List of patents (if applicable)

Nomination form (A nominator can be your research guide/supervisor or an eminent scientist)

Note: Please put a tick (✔) against the document attached

Address for sending the documents: Aparajita VermaMarketing Manager - South Asia

Elsevier Research Solutions

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14th Floor, Building No: 10B

DLF Cyber City, Phase II, Gurgaon 122002, India

Note: You will be receiving an acknowledgement email from us within 15 working days of receipt of your

application.

ContactIf you have any questions related to the awards, please contact Aparajita Verma at :Tel : +91 124 477 4632 | [email protected]

mailto:[email protected]

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