SR-F002 PUBLICATIONS AND AWARDS INCENTIVES APPLICATION

This form is to be submitted along with a hard copy and a soft copy.

Applicant name:	Click here to enter text.
School:	Click here to enter text.	Department:	Click here to enter text.
Title of publication:	Click here to enter text.
Authors in order	Name(s)	Position	GJU affiliation	Official use only	Award (JDs)
Click here to enter text.	Position
Click here to enter text.	Position
Click here to enter text.	Position
Click here to enter text.	Position
Click here to enter text.	Position
Journal title:	Click here to enter text.	ISSN:	ISSN
Index:	Index	Research area:	Click here to enter text.	Quartile rank:	Q rank
Date of publication:	Date.	Volume/issue/pages or doi:	Click here to enter text.
Journal title:	Click here to enter text.	ISSN:	ISSN
Date of publication:	Date.	Volume/issue/pages or doi:	Click here to enter text.
Book title:	Click here to enter text.	ISBN:	ISBN
Date of publication:	Date.	Publisher:	Click here to enter text.
Patent title:	Click here to enter text.
Date of publication:	Date.	Patent number:	Number	Country:	Country
Award title:	Click here to enter text.	Award date:	Date.
Award type:
Declaration: I acknowledge that the presented work is authentic, was published during my service at GJU, and is not derived from my Master’s thesis nor my Ph.D. dissertation.
Signature:	Date:
recommendation of the SCHOOL council
☐	Approve granting awards as indicated above.	☐	Reject.
Dean of School name:
Signature:	Date:
recommendation of the scientific research council
☐	Approve granting awards as indicated above.	☐	Reject.
Dean of Graduate Studies and Scientific Research:
Signature:	Date: