The National Academy of Sciences, India (NASI)
Nomination for the Fellowship/Foreign Fellowship
Proforma Template
Surname
First Name
Middle Name
Designation
Name of the Institution & Address
Date of Birth
Member of the NASI ?
YES
NO
Year of initial Nomination
Subject Area
Select
Agricultural Sciences (SUBAREA : Agriculture, Animal Husbandry, Fisheries, Forestry, Agricultural Toxicology, Soil Sciences, Plant Protection, Post Harvest Technology, Agricultural Engineering)
Animal Sciences (SUBAREA : Structural, Developmental, Functional, Genetical, Ecological, Behavioural, Taxonomical and Evolutionary Aspects)
Biochemistry, Biophysics, Biotechnology (SUBAREA : Molecular and Cell Biology, Structural and Functional Studies, Microbiology, Immunology)
Chemical Sciences (SUBAREA : Analytical, Inorganic, Organic, Physical, Theoretical Chemistry, Applied Chemistry)
Earth Sciences (SUBAREA : Atmospheric Sciences, Geo-Sciences, Oceanography, Geography – Scientific aspects)
Engineering Sciences and Engineering Technology (SUBAREA : Engineering and Engineering Science, Chemical and Material Technology, Electronics & Telecommunication, Information Technology, Instrumentation)
Mathematical Sciences (SUBAREA : Pure Mathematics, Applied Mathematics, Statistics, Computer / Information Science)
Medical & Forensic Sciences (SUBAREA : Basic and Clinical Medical Sciences, Pharmacology, Anthropology, Psychology and Forensic Sciences, Human genetics, Reproduction Biology, Neurosciences, Molecular Medicine)
Physical Sciences (SUBAREA : Astronomy, Astrophysics, Experimental and Theoretical Physics, Applied Physics)
Plant Sciences (SUBAREA : Structural, Developmental, Functional, Genetical, Ecological, Taxonomical and Evolutionary Aspects)
Science & Society (SUBAREA : Philosophy of Science, History of Science, Ethics, Science Policy, Science & Technology based entrepreneurship, S & T Management, Popularization of Science)
Proposer
E-mail Id
Seconder
E-mail Id
Statement by the Proposer highlighting major Scientific Contributions of the nominee (Restrict upto 250 words *)
* If it exceeds 250 words, only the first 250 words will be printed in the ‘Booklet of Nominations’
*Length of Statement by the Proposer should be restricted to 250 words
List of 10 best research publications.The Impact Factor of Journals and Citation Index of each of these 10 publications is also to be given.
Note:
Please arrange the list in chronological order; while citing the research publication give author’s name first, followed by the year of publication, title of the paper, name of the journal, volume/issue and page number. If more than one author, please mention their names or cite total number of co-authors.
The Impact factor of Journals and Citation Index of each of these 10 publications is also to be given.
Publications
Impact factor of journal
Citation Index
Technology Transferred/Patents, if any. State whether patents were commercialized.
Fellowship(s)/Award(s)/Other Distinction(s); if any.