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8/10/2019 Young Scientist Format
1/3
Application Format
1. Broad Subject area -Choose any one (Life Sciences, hysical Sciences, ChemicalSciences, !arth " Atmospheric Sciences, #athematical Sciences, !n$ineerin$Sciences%&
(a% Sub Area of the proposed project&
'. Speciali ation of the )n*esti$ator&+. itle of the proposed roject&
. ame and address of the )n*esti$ator& (includin$ el. o., Fa/, !mail, #obile no,etc%0. etails of the proposed project to be underta2en&
3ri$in of proposal4esearch 5or2 en$a$ed in at present3bjecti*es of the proposed project4e*ie5 of 4 " in the proposed area ( ational " )nternational Status,)mportance, atents etc.%6or2 plan (includin$ detailed methodolo$y and time schedule%Future plans
etails of the research fundin$ recei*ed in the past and on$in$ projects(mention 4ef. no., itle, uration, Cost, Fundin$ a$ency, and brief achie*ements%.
7. ame and address of the institution 5here the proposal 5ill be8li2ely to bee/ecuted&
9. Facilities pro*ided8to be made a*ailable at the host institute&:. ame(s% and address(es% of )ndian e/pert(s% in the proposed area&;. etails of financial re 4s. +0,???8- p.m.@'. #anpo5er@@+. Consumables
. ra*el (5ithin )ndia%0. Contin$ency7. Analytical char$es8Biolo$ical char$es8Specific data
procurement8 any other cost9. !
8/10/2019 Young Scientist Format
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Annexure-I
Detailed Biodata
1. ersonal etails
ame&..................................................................................................................................
ationality&
ate of Birth& ............................................................. ender (#8F%& ..................................
esi$nation&.........................................................................................................................
epartment&.........................................................................................................................
)nstitute8Dni*ersity8Colle$e83r$ani ation&............................................................................
Address&............................................................................................................ .
City . . ) &............................. State
elephone& Landline.......................... #obile o .
Fa/&........ ..... !-mail&............................ ............
4esidential Address
'. 6hether belon$s to SC8S 83BC8 =&(!nclose documentary proof%
+. !ducational Eualifications (Startin$ from raduation on5ards%&S. o. e$ree Dni*ersity ear Subjects ercenta$e
. h. thesis title, uide ame, )nstitute83r$ani ation8Dni*ersity, ate of 4e$istration,ear of A5ard, List of ublications from h. 5or2.
0. A. etails of professional trainin$ and research e/perience, specifyin$ period.
B. etails of employment (past " present%.
C. List of publications durin$ last fi*e years (5ith complete details such asGournal name, all the authorHs name as appeared in the journal, *olume number,pa$e number, year of publication and the impact factor%.
. )ntellectual property, technolo$ical inno*ations, ne5 products etc.7. rofessional reco$nition, a5ards, fello5ships recei*ed&
9. Any other rele*ant information.
Place & date: Name & Signature of the investigator
8/10/2019 Young Scientist Format
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Annexure-II
Certificate from Investigator
)t is certified that
1. he research 5or2 proposed in the scheme8project does not in any 5ay duplicate the5or2 already done or bein$ carried out else5here on the subject.
'. he same project proposal has not been submitted else5here for financial support.+. ) a$ree to submit a certificate from )nstitutional Biosafety Committee,if the project
in*ol*es the utilisation of $enetically en$ineered or$anisms. ) also declare that 5hileconductin$ e/periments, the Biosafety uidelines of epartment of Biotechnolo$y,
3) 5ould be follo5ed in toto.. ) a$ree to submit ethical clearance certificate from the concerned ethical committee, if
the project in*ol*es field trails8e/periments8e/chan$e of specimens, human " animalmaterials etc.
0. ) a$ree to abide by the terms and conditions of S!4B $rant.
lace " ate ame " Si$nature of )n*esti$ator