Proforma - Books

Document Sample
Proforma - Books Powered By Docstoc
					                           Higher Education and Research Publication Data Collection 2010
                                               Proforma - Books
Name of Person Completing this Form:
Surname:                         First Name:                                         Contact No.:

Category Selection - Please indicate category by ticking the box. Note only one category can be indicated -
if in doubt please refer to the Research Communications Officer, Research Office on 8946 6407

        Books - (DEST recognised and Audited Category)
        Authored Books Other
        Edited books
        Books Revision/new edition

Books Evidence required (minimum required by DEST for category Books)
In addition to completion of this form, please ensure a copy of the following is attached:
 Photocopies of contents, preface and introduction pages showing bibliographic information
    (ISBN, title, author(s), publisher, all dates referring to copyright, publication, printing,
    distribution). Further evidence may be required if the above extracts do not demonstrate classification.
 Copy of by-line or footnote or statement in publication indicating research undertaken in author's
    capacity as a staff member or student of CDU. If not, complete Authorship Declaration Proforma
    available from web at: http://www.cdu.edu.au/research/office/administration_management/publicationscollection.html

Name/s of Author/s (the same order as they appear on the publication)
                                                  Note Dept. (Res. Centre etc) and circle as applicable
                                                                       Add more authors if necessary

Surname                                  First Name                           Staff/Student/External
                                                                              Dept:
Surname                                  First Name                           Staff/Student/External
                                                                              Dept:
Surname                                  First Name                           Staff/Student/External
                                                                              Dept:
Surname                                  First Name                           Staff/Student/External
                                                                              Dept:
Surname                                  First Name                           Staff/Student/External
                                                                              Dept:

Year of Publication:                                        Book Title:

Place of Publication (city, state, country):                Publisher:

ISBN:                                                       Page Numbers (to and from incl)
Edition (if applicable):

Declaration
I declare that the information on this proforma is correct and complete to the best of my knowledge.

Signed: ___________________________________ Date: _____________________

Forward Form to Faculty/Institute Collection Officer for Checking 
(The Officer will forward to Dean)

Faculty/Institute Management:
I declare that the information on this form, and the accompanying evidence to support the publication, has
been checked for accuracy and completeness in accordance with the specifications supplied. This
publication is recognised by the Faculty/Institute as a research output attributable to the author under the
auspices of the Charles Darwin University.

__________________________________________                                      Date: ____________________
Signature of Dean or Delegate


  Once the proforma is complete and all the verification information/evidence is attached as per the
     specifications in the CDU Guidelines for Research Publication Collection, then forward the
   publication report with supporting documentation to your Faculty/Institute Contact Collection
                                               Officer.
                          Higher Education and Research Publication Data Collection 2010




                                      Eligibility For DEST Category Books
                  For clarification on the following points, see 'DEST Higher Education Research
                    Data Collection Preliminary Specifications for the Collection of 2009 Data':
http://www.dest.gov.au/sectors/research_sector/online_forms_services/higher_education_research_data_collection.htm

Meets definition of research

Published in 2009 as defined in 9.2 of the DEST Specifications

Author(s) staff or student when research undertaken

Major work of scholarship

Bound or packaged and offered for sale

Has ISBN

Mainly previously unpublished material, making a substantial contribution to knowledge

Commercial publisher (as defined in 1.3.4)

Points claimed apportioned for reporting unit* if jointly authored

* University or area within university as appropriate. If reporting for a department do not claim for authors based in other departments.




 Once the proforma is complete and all the verification information/evidence is attached as per the
    specifications in the CDU Guidelines for Research Publication Collection, then forward the
  publication report with supporting documentation to your Faculty/Institute Contact Collection
                                              Officer.
                       Higher Education and Research Publication Data Collection 2010

                                        Proforma – Book Chapter
                (For each Book Chapter reported, please complete a separate form.)
Name of Person Completing this Form

Surname:                                First Name:                            Contact No.:


B - Evidence required (minimum required by DEST for category Book Chapters)
In addition to completion of this form, please ensure a copy of the following is attached:
 Copy of Chapter.
 Photocopies of contents, preface and introduction pages showing bibliographic information. (ISBN, title,
    editor, authors, publisher, all dates referring to copyright, publication, printing, distribution). If
    new chapter in revised edition, include also contents of previous edition if preface does not indicate that
    chapter is new.
   Copy of by-line or footnote or statement in publication indicating research undertaken in author's
    capacity as a staff member or student of CDU. If not, complete Authorship Declaration Proforma
    available from web athttp://www.cdu.edu.au/research/office/publications/authorship_dec.rtf or for
    Menzies staff/students see: http://www.cdu.edu.au/research/office/attachments/MSHR_authorship_dec.rtf

Name/s of Chapter Author/s (the same order as they appear on the publication)
                                                 Note Dept. (Res. Centre etc) and circle as applicable
                                                                       Add more authors if necessary
Surname                           First Name                       Staff/Student/External
                                                                   Dept:
Surname                           First Name                       Staff/Student/External
                                                                   Dept:
Surname                           First Name                       Staff/Student/External
                                                                   Dept:
Surname                           First Name                       Staff/Student/External
                                                                   Dept:
Surname                           First Name                       Staff/Student/External
                                                                   Dept:

Book Title:

Chapter Title:

Editor/s of Book: (Surname and First Name/initials)

Year of Publication:                                    Publisher:
Place of Publication (city, state, country):            ISBN:
Number of Chapters in the Book:                         Chapter Page Numbers (first and last incl)

Declaration
I declare that the information on this proforma is correct and complete to the best of my knowledge.

Signed: ___________________________________ Date: _____________________

Forward Form to Faculty/Institute Collection Officer for checking 
(The Officer will forward to Dean)

Faculty/Institute Management:
I declare that the information on this form, and the accompanying evidence to support the publication, has
been checked for accuracy and completeness in accordance with the specifications supplied. This
publication is recognised by the Faculty/Institute as a research output attributable to the author under the
auspices of the Charles Darwin University.

__________________________________________                                 Date: ____________________
Signature of Dean or Delegate

 Once the proforma is complete and all the verification information/evidence is attached as per the
    specifications in the CDU Guidelines for Research Publication Collection, then forward the
  publication report with supporting documentation to your Faculty/Institute Contact Collection
                                              Officer.
                        Higher Education and Research Publication Data Collection 2010

                            Eligibility For DEST Category Book Chapters
                For clarification on the following points, see 'DEST Higher Education Research
                  Data Collection Preliminary Specifications for the Collection of 2009 Data':
http://www.dest.gov.au/sectors/research_sector/online_forms_services/higher_education_research_data_collection.htm

The book must be:

Meet the definition of research at section 1.3.9

Meet the eligibility criteria at section 9.3.1

Be published in 2009 as defined in section 1.3.14

Be published by a Commercial publisher (as at section 1.3.4 )

The chapter:

Meets the definition of research 1.3.9

Meets the eligibility criteria as at section 9.3.2

Author(s) staff or student when research undertaken

Points claimed from all chapters contributed by author to book apportioned as per calculation spreadsheet
(Faculty/Institute Collection Officers or Research Office will complete this).




  Once the proforma is complete and all the verification information/evidence is attached as per the
     specifications in the CDU Guidelines for Research Publication Collection, then forward the
   publication report with supporting documentation to your Faculty/Institute Contact Collection
                                               Officer.
                           Higher Education and Research Publication Data Collection 2010
                                               Proforma - Journal Articles
Name of Person Completing this Form
Surname:                            First Name:                                           Contact No.:

Category Selection - Please indicate category by ticking the box. Note only one category can be indicated - if in doubt
please refer to the Research Communications Officer, Research Office on 8946 6407

         Journal Articles - Refereed articles in a scholarly journal (DEST recognised and Audited Category)
         Other Contributions to refereed journals
         Non refereed article
         Letter or Note
Note: Letter to the Editor if refereed should be included in 'Other Contribution to refereed journal' if not refereed then
‘Letter or note’

Evidence Required (minimum required by DEST for category Journal Articles)
In addition to completion of this form, please ensure a copy of the following is attached:
    Copy or offprint of article/contribution
    Photocopies of pages showing all bibliographic information (journal title, dates where not provided in copy or
     offprint)
    Copy of by-line or footnote or statement in publication indicating research undertaken in author's capacity as a staff
     member or student of the university. If not, complete Authorship Declaration Proforma available from web at
     http://www.cdu.edu.au/research/office/publications/authorship_dec.rtf or for Menzies see:
     http://www.cdu.edu.au/research/office/attachments/MSHR_authorship_dec.rtf
    Proof of refereeing: either extract from ISI listing or extract from Urlich's listing indicating refereed journal
     or extract from DEST's Register of Journals or statement in the journal - contributions refereed or
     statement from editor - contributions refereed or copy of referee's assessment relating to the article. Refer
     to the web site at http://www.cdu.edu.au/research/office/administration_management/publicationscollection.htmlto
     access the listings or contact the Research Communications Officer on 8946 6407 for assistance.
    Proof of invited status (if applicable)
Name/s of Author/s (the same order as they appear on the publication)
                                                                    Note Dept. (Res. Centre etc) and circle as applicable
                                                                                           Add more authors if necessary
Surname                                      First Name                            Staff/Student/External
                                                                                   Dept:
Surname                                      First Name                            Staff/Student/External
                                                                                   Dept:
Surname                                      First Name                            Staff/Student/External
                                                                                   Dept:
Surname                                      First Name                            Staff/Student/External
                                                                                   Dept:
Surname                                      First Name                            Staff/Student/External
                                                                                   Dept:

Journal Name:

Article Title:
Year of Publication:                                            Publisher:

Place of Publication (city, state, country):                    Volume:

Issue/ Number:                                                  Article Page Numbers (first and last incl)
ISSN No.
Declaration
I declare that the information on this proforma is correct and complete to the best of my knowledge.

Signed: ___________________________________ Date: ____________________

Forward Form to Faculty/Institute Collection Officer for Checking 
(The Officer will forward to Dean)

Faculty/Institute Management:
I declare that the information on this form, and the accompanying evidence to support the publication, has been checked
for accuracy and completeness in accordance with the specifications supplied. This publication is recognised by the
Faculty/Institute as a research output attributable to the author under the auspices of the Charles Darwin University.

__________________________________________                                           Date: ____________________
Signature of Dean or Delegate
  Once the proforma is complete and all the verification information/evidence is attached as per the
     specifications in the CDU Guidelines for Research Publication Collection, then forward the
   publication report with supporting documentation to your Faculty/Institute Contact Collection
                                               Officer.
                        Higher Education and Research Publication Data Collection 2010
                           Eligibility For DEST Category Journal Articles
                For clarification on the following points, see 'DEST Higher Education Research
                  Data Collection Preliminary Specifications for the Collection of 2009 Data':
http://www.dest.gov.au/sectors/research_sector/online_forms_services/higher_education_research_data_collection.htm

Meet the definition of research at section 1.3.9

Meet the eligibility criteria at section 9.3.3

Published in 2009 as defined in section 1.3.14

Peer reviewed as at section 9.6

Author(s) staff or student when research undertaken

Points claimed apportioned for reporting university if jointly authored (Faculty/Institute Collection Officers or
Research Office will complete this).




  Once the proforma is complete and all the verification information/evidence is attached as per the
     specifications in the CDU Guidelines for Research Publication Collection, then forward the
   publication report with supporting documentation to your Faculty/Institute Contact Collection
                                               Officer.
                         Higher Education and Research Publication Data Collection 2010
                                     Proforma - Conference Publications
Name of Person Completing this Form
Surname:                            First Name:                                         Contact No.:

Category Selection - Please indicate category by ticking the box. Note only one category can be indicated - if in doubt
please refer to the Research Communications Officer, Research Office on 8946 6407

        Full Written Papers - Refereed Proceedings and national/international significance
         (DEST recognised and Audited Category)
        Full Written Paper - Non Refereed Proceedings
        Extract of Paper
        Edited Volume of Conference Proceedings
        Refereed without national or international significance

Evidence Required (minimum required by DEST for category Conference Proceedings)
In addition to completion of this form, please ensure a copy of the following is attached:
    Copy or offprint of paper
    Photocopies of contents, preface and introduction and pages showing all relevant bibliographic information (ISBN,
     title, editor, authors, publisher, dates)
    Proof of national or international significance if not clearly shown in documents above
    Copy of by-line or footnote or statement in publication indicating research undertaken in author's capacity as a staff
     member or student of the university. If not, complete Authorship Declaration Proforma available from web at
      http://www.cdu.edu.au/research/office/administration_management/publicationscollection.html
   Proof of refereeing: a statement in proceedings - full papers refereed or a statement from conference
    organiser/editor - full papers refereed or a copy of assessment showing assessment made on full paper.
   Proof of keynote status (if applicable)
Name/s of Author/s (the same order as they appear on the publication)
                                                              Note Dept. (Res. Centre etc) and circle as applicable
                                                                                    Add more authors if necessary
Surname                                   First Name                       Staff/Student/External
                                                                           Dept:
Surname                                   First Name                       Staff/Student/External
                                                                           Dept:
Surname                                   First Name                       Staff/Student/External
                                                                           Dept:
Surname                                   First Name                       Staff/Student/External
                                                                           Dept:
Surname                                   First Name                       Staff/Student/External
                                                                           Dept:

Conference Paper Title:
Conference Publication Title:

Name of Conference:
Location of Conference:                                          Date of Conference: (dd/mm/yy)
Year of Publication:                                             Publisher:

Place of Publication (city, state, country):                     Volume:

Publication Editor/s: (include surname and first name/initial)

Issue/ Number:                                                  Paper Page Numbers (first and last incl)
Declaration
I declare that the information on this proforma is correct and complete to the best of my knowledge.

Signed: ___________________________________ Date: ____________________

Forward Form to Faculty/Institute Collection Officer for Checking 
(The Officer will forward to Dean)

Faculty/Institute Management:
I declare that the information on this form, and the accompanying evidence to support the publication, has been checked
for accuracy and completeness in accordance with the specifications supplied. This publication is recognised by the
Faculty/Institute as a research output attributable to the author under the auspices of the Charles Darwin University.

__________________________________________                        Date: ____________________
Signature of Dean or Delegate
    Once the proforma is complete and all the verification information/evidence is attached as per the
       specifications in the CDU Guidelines for Research Publication Collection, then forward the
     publication report with supporting documentation to your Faculty/Institute Contact Collection
                                                 Officer.
                        Higher Education and Research Publication Data Collection 2010

                     Eligibility For DEST Category Conference Publications
                For clarification on the following points, see 'DEST Higher Education Research
                  Data Collection Preliminary Specifications for the Collection of 2009 Data':
http://www.dest.gov.au/sectors/research_sector/online_forms_services/higher_education_research_data_collection.htm

Meet the definition of research at section 1.3.9

Meet the eligibility criteria at section 9.3.4

Be published in 2009 as defined at section 1.3.14

Be peer reviewed as at section 9.6

Author(s) staff or student when research undertaken

Points claimed apportioned for reporting unit if jointly authored. (Faculty/Institute Collection Officers or
Research Office will complete this).




  Once the proforma is complete and all the verification information/evidence is attached as per the
     specifications in the CDU Guidelines for Research Publication Collection, then forward the
   publication report with supporting documentation to your Faculty/Institute Contact Collection
                                               Officer.
                      Higher Education and Research Publication Data Collection 2010
                               Proforma - Audio - Visual Recordings
                                      Not a DEST recognized category

Name of Person Completing this Form

Surname:                               First Name:                             Contact No.:


Name/s of Author/s (the same order as they appear on the publication)

                                                      Note Dept. (Res. Centre etc) and circle as applicable
                                                                           Add more authors if necessary

Surname                               First Name                         Staff/Student/External
                                                                         Dept:
Surname                               First Name                         Staff/Student/External
                                                                         Dept:
Surname                               First Name                         Staff/Student/External
                                                                         Dept:
Surname                               First Name                         Staff/Student/External
                                                                         Dept:
Surname                               First Name                         Staff/Student/External
                                                                         Dept:

Recording Title

Title of Publication in which Review is published:

Year:                                                   Place of Publication (city, state, country):

Publisher:                                              Type of Work:
Duration of Recording:

Declaration
I declare that the information on this proforma is correct and complete to the best of my knowledge.


Signed: ___________________________________ Date: ____________________

Forward Form to Faculty/Institute Collection Officer for Checking 
(The Officer will forward to Dean)

Faculty/Institute Management:
I declare that the information on this form, and the accompanying evidence to support the publication, has
been checked for accuracy and completeness in accordance with the specifications supplied. This
publication is recognised by the Faculty/Institute as a research output attributable to the author under the
auspices of the Charles Darwin University.
__________________________________________                         Date: ____________________
Signature of Dean or Delegate




 Once the proforma is complete and all the verification information/evidence is attached as per the
    specifications in the CDU Guidelines for Research Publication Collection, then forward the
  publication report with supporting documentation to your Faculty/Institute Contact Collection
                                              Officer.
                       Higher Education and Research Publication Data Collection 2010
                                   Proforma - Computer Software
                                      Not a DEST recognized category

Name of Person Completing this Form

Surname:                              First Name:                              Contact No.:


Name/s of Author/s (the same order as they appear on the publication)

                                                      Note Dept. (Res. Centre etc) and circle as applicable
                                                                           Add more authors if necessary

Surname                              First Name                          Staff/Student/External
                                                                         Dept:
Surname                              First Name                          Staff/Student/External
                                                                         Dept:
Surname                              First Name                          Staff/Student/External
                                                                         Dept:
Surname                              First Name                          Staff/Student/External
                                                                         Dept:
Surname                              First Name                          Staff/Student/External
                                                                         Dept:

Software Title:

Year of Publication:                                    Place of Publication (city, state, country):

Publisher:                                              Computer Language/Version:


Declaration
I declare that the information on this proforma is correct and complete to the best of my knowledge.


Signed: ___________________________________ Date: ____________________

Forward Form to Faculty/Institute Collection Officer for Checking 
(The Officer will forward to Dean)

Faculty/Institute Management:
I declare that the information on this form, and the accompanying evidence to support the publication, has
been checked for accuracy and completeness in accordance with the specifications supplied. This
publication is recognised by the Faculty/Institute as a research output attributable to the author under the
auspices of the Charles Darwin University.

__________________________________________                                 Date: ____________________
Signature of Dean or Delegate




 Once the proforma is complete and all the verification information/evidence is attached as per the
    specifications in the CDU Guidelines for Research Publication Collection, then forward the
  publication report with supporting documentation to your Faculty/Institute Contact Collection
                                              Officer.
                      Higher Education and Research Publication Data Collection 2010

                                            Refereed Design
                                 (non-DEST recognised and Audited Category)

Name of Person Completing this Form
Surname:                         First Name:                                   Contact No.:




Name/s of Author/s or Designer/s (the same order as they appear on the publication)

                                                      Note Dept. (Res. Centre etc) and circle as applicable
                                                                           Add more authors if necessary

Surname                                First Name                        Staff/Student/External
                                                                         Dept:
Surname                                First Name                        Staff/Student/External
                                                                         Dept:
Surname                                First Name                        Staff/Student/External
                                                                         Dept:
Surname                                First Name                        Staff/Student/External
                                                                         Dept:
Surname                                First Name                        Staff/Student/External
                                                                         Dept:
For Design Awards
Title of Work:

Name of Award:

Date of presentation of Award:                          Organisation conferring Award:


For Exhibitions
Title of Work:

Date of Exhibition:                                     Place of Exhibition:

Date of advertisement of Exhibition:                    Place of advertisement of Exhibition:


Declaration
I declare that the information on this proforma is correct and complete to the best of my knowledge.

Signed: ___________________________________ Date: ____________________

Forward Form to Faculty/Institute Collection Officer for Checking 
(The Officer will forward to Dean)

Faculty/Institute Management:
I declare that the information on this form, and the accompanying evidence to support the publication, has
been checked for accuracy and completeness in accordance with the specifications supplied. This
publication is recognised by the Faculty/Institute as a research output attributable to the author under the
auspices of the Charles Darwin University.

__________________________________________                                 Date: ____________________
Signature of Dean or Delegate



 Once the proforma is complete and all the verification information/evidence is attached as per the
    specifications in the CDU Guidelines for Research Publication Collection, then forward the
  publication report with supporting documentation to your Faculty/Institute Contact Collection
                                              Officer.
                Higher Education and Research Publication Data Collection 2009 reference year




                                           Proforma - Patent
                                 (non-DEST recognised and Audited Category)

Name of Person Completing this Form

Surname:                              First Name:                              Contact No.:



Name/s of Inventor/s (the same order as they appear on the publication)

                                                      Note Dept. (Res. Centre etc) and circle as applicable
                                                                           Add more authors if necessary

Surname                               First Name                         Staff/Student/External
                                                                         Dept:
Surname                               First Name                         Staff/Student/External
                                                                         Dept:
Surname                               First Name                         Staff/Student/External
                                                                         Dept:
Surname                               First Name                         Staff/Student/External
                                                                         Dept:
Surname                               First Name                         Staff/Student/External
                                                                         Dept:

Patent owned by:

Title of Patent:

Country(s) in which patented:

Year granted:                                           Patent Number:



Declaration
I declare that the information on this proforma is correct and complete to the best of my knowledge.


Signed: ___________________________________ Date: ____________________

Forward Form to Faculty/Institute Collection Officer for Checking 
(The Officer will forward to Dean)

Faculty/Institute Management:
I declare that the information on this form, and the accompanying evidence to support the publication, has
been checked for accuracy and completeness in accordance with the specifications supplied. This
publication is recognised by the Faculty/Institute as a research output attributable to the author under the
auspices of the Charles Darwin University.

__________________________________________                                Date: ____________________
Signature of Dean or Delegate




Once the proforma is complete and all the verification information/evidence is attached as per the
specifications in the CDU Guidelines for Research Publication Collection, then forward the
publication report with supporting documentation to your Faculty/Institute Contact Collection
Officer.
                 Higher Education and Research Publication Data Collection 2009 reference year


Proforma - Other Creative Works
Name of Person Completing this Form
Surname:                         First Name:                                      Contact No.:

Category Selection - Please indicate category by ticking the box. Note only one category can be indicated -
if in doubt please refer to the Research Communications Officer, Research Office on 8946 6407

       Major written or recorded work (non-DEST recognised and Audited Category)
       Minor written or recorded work
       Individual exhibition of original art
       Representation of original art



Name/s of Author/s (the same order as they appear on the publication)

Name/s of Author/s (the same order as they appear on the publication)
                                                  Note Dept. (Res. Centre etc) and circle as applicable
Surname                           First Name                        Staff/Student/External
                                                                    Dept:
Surname                           First Name                        Staff/Student/External
                                                                    Dept:
Surname                           First Name                        Staff/Student/External
                                                                    Dept:
Surname                           First Name                        Staff/Student/External
                                                                    Dept:
Surname                           First Name                        Staff/Student/External
                                                                    Dept:
                                                                         Add more authors if necessary
For Published Works
Title of Work:

Year of Publication:                                       Publisher:

Edition:                                                   ISBN (if applic.):
Page Numbers (to and from incl) if applic:                 Type of Work:


For Recorded Works
Title of Work:

Date of recording:                                         Date work first performed:

Distribution medium:                                       Name of commercial distributor:




For Exhibitions
Title of Work:

Date of Exhibition:                                        Place of Exhibition:

Date of advertisement of Exhibition:                       Place of advertisement of Exhibition:



Once the proforma is complete and all the verification information/evidence is attached as per the
specifications in the CDU Guidelines for Research Publication Collection, then forward the
publication report with supporting documentation to your Faculty/Institute Contact Collection
Officer.
              Higher Education and Research Publication Data Collection 2009 reference year




Declaration
I declare that the information on this proforma is correct and complete to the best of my knowledge.


Signed: ___________________________________ Date: _____________________

Forward Form to Faculty/Institute Collection Officer for Checking 
(The Officer will forward to Dean)


Faculty/Institute Management:
I declare that the information on this form, and the accompanying evidence to support the publication, has
been checked for accuracy and completeness in accordance with the specifications supplied. This
publication is recognised by the Faculty/Institute as a research output attributable to the author under the
auspices of the Charles Darwin University.

__________________________________________                                 Date: ____________________
Signature of Dean or Delegate




Once the proforma is complete and all the verification information/evidence is attached as per the
specifications in the CDU Guidelines for Research Publication Collection, then forward the
publication report with supporting documentation to your Faculty/Institute Contact Collection
Officer.
               Higher Education and Research Publication Data Collection 2009 reference year

                                               Proforma – Reports

Name of Person Completing this Form:
Surname:                         First Name:                                           Contact No.:



Evidence required
In addition to completion of this form, please attach the following:
 Photocopies of the report, publisher, all dates referring to copyright, publication, printing, distribution.
 Copy of by-line or footnote or statement in publication indicating research undertaken in author's
    capacity as a staff member or student of CDU. If not, complete Authorship Declaration Proforma
    available from web at: http://www.cdu.edu.au/research/office/administration_management/publicationscollection.html


Name/s of Author/s (the same order as they appear on the publication)
Surname                           First Name                        Staff/Student/External
                                                                    Dept:
Surname                           First Name                        Staff/Student/External
                                                                    Dept:
Surname                           First Name                        Staff/Student/External
                                                                    Dept:
Surname                           First Name                        Staff/Student/External
                                                                    Dept:
Surname                           First Name                        Staff/Student/External
                                                                    Dept:

Year of Publication:                                          Report Title:

Place of Publication (city, state, country):                  Publisher:



Declaration
I declare that the information on this proforma is correct and complete to the best of my knowledge.

Signed: ___________________________________ Date: _____________________

Forward Form to Faculty/Institute Collection Officer for Checking 
(The Officer will forward to Dean)

Faculty/Institute Management:
I declare that the information on this form, and the accompanying evidence to support the publication, has
been checked for accuracy and completeness in accordance with the specifications supplied. This
publication is recognised by the Faculty/Institute as a research output attributable to the author under the
auspices of the Charles Darwin University.

__________________________________________                                        Date: ____________________
Signature of Dean or Delegate




Once the proforma is complete and all the verification information/evidence is attached as per the
specifications in the CDU Guidelines for Research Publication Collection, then forward the
publication report with supporting documentation to your Faculty/Institute Contact Collection
Officer.