Information on Papers Accepted for Publication
Fill out this form before publishing journal papers, review articles, book chapters, and books accepted for publication with NIMBB-UPD as an affiliation.
Information on paper for publication
Name
*
First Name
Middle Name
Last Name
Type of work accepted for publication:
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Primary research paper/article
Review paper
Book chapter
Book
Other
What is your role in this work in terms of authorship?
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Primary/ First author
Middle author
Lead/ Senior author
Other
Title of work for publication:
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Title of Journal/Book that will publish the work
*
Publisher of the Journal/Book
*
Date of acceptance:
*
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Date of publication:
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
What is your contribution to this work accepted for publication? Check all that apply.
*
Conception and design of work
Acquisition of date/ performing experiments
Analysis and interpretation of data
Management, coordination, and execution of research plans
Provision of study materials and resources
Writing- original manuscript draft preparation
Writing- revision and review of manuscript
Acquisition of funding support
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Information on co-authors
Name(s) of co-author(s) affiliated with a LOCAL institution
Rows
Name
Affiliated Institution
NIMBB student? (YES or NO)
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Name(s) of co-author(s) affiliated with an INTERNATIONAL institution
Rows
Name
Affiliated Institution
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Clearance and Permits
Does the work involve or use any of the following? Check all that apply.
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Human tissue sample
Animals
Insects
Primary cell lines
Samples collected from protected/ conservation areas
Pathogenic/infectious agents and vectors (bacteria, fungus, viruses, insects)
Potential biohazardous constructs
None of the above
If you checked any one of the above, please upload the appropriate clearance (i.e ethics review board clearance, IACUC clearance, Biosafety Committee clearance) and/or permits (i.e gratuitous permit for sample collection)
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Information on funding support received for this work
Rows
Funding agency
Grant number
Name of Awardee
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