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
School	Department
Title of publication
Has this publication been derived from student’s thesis or graduation project if yes , Name supervisor: Or Co Supervisor: if available Article publication fees	☐ 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	ISSN	ISSN
Date of publication	Date	Volume/Issue/Pages or doi

☒ journal publication

Journal title	ISSN	ISSN
Index	Index	Research area	Quartile rank	Q rank
Date of publication	Date	Volume/Issue/Pages or doi

☐ book / book chapter

Book title	ISBN	ISBN
Date of publication	Date	Publisher

☐ patent

Patent title
Date of publication	Date	Patent No.	Country	Country

☐ first place award

Award title
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	Signature:
Date	Date

recommendation of the school council

☐ Approve	Decision No.	Comments:
☐ Decline
Dean of School	Signature:
Date	Date

recommendation of the dean of scientific research

☐ Approve	Comments:
☐ Decline
Dean of SR	Signature:
Date	Date