School:	كلية:
Ref:	الرقم:
Date:	الموافق:	التاريخ:
SR-F002 publications and awards application for incentives

To be submitted along with a hard copy and a soft copy of publication/patent/award.

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.
Has this publication been derived from student’s thesis or graduation project. if yes, please attach student’s thesis or graduation	☐ Yes ☒ No
Authors in order	Position	GJU affiliation	Official use only	Award in 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	☐
Click here to enter text.	Position	☐

☐ publication in science or nature

Journal title	Click here to enter text.	ISSN	ISSN
Date of publication	Date	Volume/Issue/Pages or doi	Click here to enter text.

☒ journal publication

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.

☐ book / book chapter

Book title	Click here to enter text.	ISBN	ISBN
Date of publication	Date	Publisher	Click here to enter text.

☐ patent

Patent title	Click here to enter text.
Date of publication	Date	Patent No.	Click here to enter text.	Country	Country

☐ first place award

Award title	Click here to enter text.
Award type	☐ International ☐ Arabian	Date	Date
Declaration: I acknowledge that the information above is accurate to the best of my knowledge and that the presented work is authentic, was published during my service at GJU, and is not derived from my Master’s thesis or Ph.D. dissertation.
Applicant	Click here to enter text.	Signature:
Date	Click here to enter text.

recommendation of the school council

☐ Approve	Decision No.	Comments: Click here to enter text.
☐ Decline	Click here to enter text.
Dean of School	Click here to enter text.	Signature: Click here to enter text.
Date	Click here to enter text.

recommendation of the dean of scientific research

☐ Approve	Comments: Click here to enter text.
☐ Decline
Dean of SR	Click here to enter text.	Signature:
Date