National Academy of Agricultural Sciences

NASC, DPSMarg, New Delhi 110 012

Nomination Form for Academy’sRecognition Awards 2017-2018

Name of the Award for which nominated:
1.Name in full (in block letters):(Surname followed by given name)
2.Date & Place (State, Country)
of Birth:
3.Nationality:
4.Field of specialization:
5.Present Position/Designation:
(last post held, if retired)
6.Address:
Tel. Off.: / Res.
Mobile:
Fax:
Email:

(Give STD code forTelephone & Fax No.)

Note:Nominations may be submitted to the Academy by Fellows of NAAS; Former NAAS Awardees; DG/DDGs/ADGs of ICAR; Secretaries of Scientific Departments of Government of India; Presidents of Science Academies; Directors/Joint Directors of ICAR Research Institutes/NRCs/Project Directorates; Heads of Institutions of CSIR, ICMR; Vice Chancellors/ Directors/Deans of SAUs/CAUs; Chairman UGC, ASRB, BARC; Principal Scientific Advisors, GOI; Presidents of all Professional Societies in the field of Agriculture; Heads of CGIARCentres;

SELF NOMINATION WILL NOT BE ACCEPTED

7.Academic career and professional attainments

(a)Degree / University/Institution / Year / Distinction, if any
(b) Position held / Institution / Period of appointment
8.Special attainments of the nominee (maximum 200 words)
9.List 20 most important research publicationsin chronological order. For each publication, give name(s) of the author(s),indicate the corresponding author£ by ‘*’ after his/her name, year of publication, full title of the paper, name of the journal, volume No. and page Nos.
Sl.No. / Details of Publications in the format given above / NAAS Journal ID
and (Score) / Number of Citations

£Provide proof if not indicated in the article

10.List up to 10 most important Products/Technologies/Software developed by the nominee

Sl. No / Details of Product/Technology/Software
(Also write in one bullet point its impact in terms of adoption, commercialization and revenue generated) / Patent No./Country of patent Release/ notification details
Commercialization / Whether Nominee is a Developer, Co-developer or Associate

11.Patents/Copyright for which products have not been developed

Sl. No. / Authors / Title / Year / Patent No./ Country
1.
2.
3.
4.
5.

12.Books (Maximum five)

Sl. No. / Authors / Title / Year of publication / Original/ Edited / Publisher
13.Awards & honors
National/International Awards of high repute such as Rafi Ahmad Kidwai Award, ShantiSwarupBhatnagar Award and Norman E. Borlaug Award
Fellowship of National Science Academies (INSA, NASI, IAS, INAE)
Other Awards by ICAR, CSIR, DST, DBT, NRDC, National Science Academies, etc.
Awards/Recognition by the National and International Level Professional Societiesand Academies (not covered above) (Fellowship; Lifetime Achievement Award; Positions of President,Chief Editor (or equivalent position), and Secretary)

14. Publications

(1)Total number of Publications in refereed journals. (Attach complete list in chronological order. For each publication give name(s) of the author(s), indicate the corresponding author by asterisk ‘*’ after his/her name, year of publication, full title, name of the journal, volume No. and page Nos) :

(2)Books (For each book give name(s) of the author(s), year of publication, full title, name of the publisher, ISBN No. and total page Nos):

  1. Authored:
  2. Edited:

I certify that the information given in the form is correct.

Date: Signature of Nominee

Particulars of Nominator / Remarks about the suitability of the nominee
Signature of the Nominator:
Name:
Address:
Date:

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