ANDHRA PRADESH AKADEMI OF SCIENCES_1_

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					ANDHRA PRADESH AKADEMI OF SCIENCES
(Established in the Year 1963) Osmania University Campus, Hyderabad – 500 007. Telefax: 27098029; E.mail: apas1963@yahoo.co.in.

NOMINATION FOR ELECTION TO THE FELLOWSHIP OF THE AKADEMI

Instructions to the Proposer
Please note that the Fellows of the Akademi who are in good standing are eligible to nominate the name/s for the Fellowship of the Akademi

1.

A minimum of Five Signatures including those of the proposer and seconder are required

2.

The following enclosures are required along with the original nomination form.

(a)

Five Copies of nomination form which also contain a statement setting out the discovery, invention or other contributions to knowledge made by the nominee (See overleaf of nomination form)

(b)

Five Copies of two-pages summary of the scientific contributions.

(c )

Five Copies of the nominee’s Bio-data and list of publications.

3.

The proposer should identify five of the most important papers published by the nominee. Five sets of reprints of these five papers should also be sent. These will be sent to members of the Sectional Committees.

4. The last date for receiving the nominations at the Akademi Office is ---------------------*

Last Date For Receiving Nominations For the year 2007, Please Contact on : E.mail:
apas1963@yahoo.co.in

Nomination Form for Election as Fellows Including Foreign Fellows

ANDHRA PRADESH AKADEMI OF SCIENCES
(Established in the Year 1963) Osmania University Campus, Hyderabad – 500 007. Telefax: 040-27098029; E.mail: apas1963@yahoo.co.in.

We, the Fellows of the A.P. Akademi of Sciences, would like to propose. Name Date of Birth Position Address : : : : __________________ __________________ __________________________ __________________________

__________________ ___________________________ __________________ ___________________________ __________________ ___________________________ __________________ __________________________

________________ ______________________
Phone: _______________ Fax:__________________ Email ______________________________________ for election to the Fellowship of the Akademi. We append overleaf a statement of his/her claims for election and certify that in our opinion he/she is fully qualified for that distinction. We also certify that he/she has been informed of the obligations attached to the Fellowship of the Akademi and is agreeable, if elected, to abide by them.

Proposer
Name : Signature: Date : ____________________ ____________________ ____________________ ____________________ Name : Signature: Date: Section:

Seconder
_____________________ ____________________ ____________________ ____________________

Section:

Signature of Supporters __________________Name in Block Letters: _____________________
_____________________ Name in Block Letters: _____________________ _____________________ Name in Block Letters: _____________________ (See overleaf)

BIOGRAPHICAL INFORMATION
Name (in full) Date of Birth Present Position Address : : : : __________________ _________________ __________________ _________________ __________________ ___________________ __________________________ __________________________ __________________________ __________________________ _________________________ _________________________

___________________ __________________________ Phone: Off. : _______________ Res. ________________________

Fax :___________________ Email: ______________________

Academic Qualifications
Degree ________________ ________________ ________________ ________________ Year ______________ ______________ ______________ ______________ (in chronological order) Year ______________ ______________ ______________ ______________ Position held _________________________________ _________________________________ _________________________________ _________________________________ University/Institution _________________________________ _________________________________ _________________________________ _________________________________

Positions held

University/Institution ________________ ________________ ________________ ________________

Honours and Awards:
1. 2.

Please indicate under which Category/Categories the Nominee has distinguished himself/herself. (a) (b) (c) Excellence in Academic / Research Work Excellence in Teaching Excellence in Administration

Statement by the Proposer setting out the discovery, invention or other contributions to knowledge made by the nominee (not exceed 100 words)
_________________________________________ ____________________________ _________________________________________ ____________________________ _________________________________________ ____________________________ _________________________________________ ____________________________ _________________________________________ ____________________________ _________________________________________ ____________________________ _________________________________________ ____________________________ _________________________________________ ____________________________ _________________________________________ ____________________________ _________________________________________ ____________________________ _________________________________________ ____________________________ _________________________________________ ____________________________ _________________________________________ ____________________________ _________________________________________ ____________________________ _________________________________________ ____________________________

Areas of specialization: _____________________________________ _____________________

Nomination to be considered under Sectional Committee for: ___________________ ___________


				
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