Application Form for the Scientific Production Prize

Declaration and Acknowledgment

I, the undersigned Click here to enter text., hereby acknowledge the authenticity of the scientific works submitted. I undertake full responsibility, and accept the consequences, in the event of breaching any of the obligations set forth in this declaration.

1-Primary Information
1) / Category: / Choose an item. Major: Click here to enter text.
2) / Name of applicant: / Click here to enter text.
3) / Year PhD was obtained: / Click here to enter text.
4) / Date and place of birth: / Click here to enter text.
5) / Home Address: / Click here to enter text.
6) / BusinessAddress: / Click here to enter text.
7) / Telephone number: / Work:Click here to enter text. Home: Click here to enter text.
Mobile: Click here to enter text.
8) /
E-mail: / Click here to enter text.
9)Previous awards, honors and grants (please cite the title, grant body and year)
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  1. Educational Background:

No. /
Degree
/ Year / Univeristy /
Major
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/ Click here to enter text. / Click here to enter text. /
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  1. Scientific and practical experience: please list in order starting from your most recent position (academic – administrative – other):

No. /
Post
/ Employer / From /
To
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  1. Nominated scientific work: Arrange attached nominated work by the following sequence:
First: Papers published in referred journals (each published paper should be attached with the publication acceptance letter).
Please number the papers, along with citingthe title, author(s), journal(Q factor)and year of publication. Please ensure they matchthe order of papers in the attachments.

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Second: Papers published as scientific conference proceedings (please attach papers with a copy of scientific conference proceedings).
Please number the papers, along with citing the title, author(s), location and date of the conference.
Please ensure they match the order of papers in the attachments.

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Third: Papers presented as lectures or posters in scientific conferences (ensure papers are attached with the conference agenda)
Please number the papers,include the organsation at which the paper was presented.
Please ensure they match the order of papers in the attachments.
Title of the paper and the organization to which the paper was presented.

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Fourth: Books: including authored, translated, and edited books, as well as one or more authored chapters in a book
Please number books listed. Include name(s) of the author(s), translator(s)
or editor(s), the publishing house and the year of publication.
Please ensure they match the order of books in the attachments.

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Fifth: Patents:
Please number thetitle of invention. Include the author(s), global patent office in which the patent was registered, and the date of invention.
Please ensure they match the order of patents in the attachments.

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Sixth: Articles, Studies, and Scientific Reports:

Please number the articles, studies and scientific reports.

Please ensure they match the order in the attachments.

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