APPLICATION FORM FOR FINANCIAL ASSISTANCE FOR

PUBLICATION/PRINTING OF SCIENTIFIC
JOURNALS/PERIODICALS/BULLETIN ETC. TO PROFESSIONAL
BODIES/SOCIETIES/SCIENCE ACADEMIES

1. TITLE OF JOURNAL :

2. BROAD SUBJECT AREAS COVERED:

3. COVERAGE (REGIONAL, NATIONAL, INTERNATIONAL):

4. TYPE (TECHNICAL/SEMI-TECHNICAL/POPULAR NEWS

ITEMS/ABSTRACTING PERIODICALS ETC.):

5. PERIODICITY & MONTH OF ISSUE (ANNUAL, BIANNUAL, QUARTERLY,

BIMONTHLY, MONTHLY, FORTHNIGHTLY):

6. WHETHER THE LAST ISSUE HAS BEEN PUBLISHED IN TIME? IF NOT, GIVE
REASON FOR BACKLOG OR SKIPPING THE ISSUE:

7. IS IT REFEREED JOURNAL? PLEASE INDICATE IMPACT FACTOR AS PER

SCIENCE CITATION INDEX (SCI)/JOURNAL CITATION REPORTS (JCR) FOR
LATEST YEAR AVAILABLE (SPECIFY YEAR):

8. COST OF JOURNAL:

9. TOTAL CIRCULATION OF PREVIOUS ISSUE IN PREVIOUS YEAR:

(A)INLAND
(B)COMPLEMENTARY
(C)SUBSCRIPTION
(D)FOREIGN
10. TOTAL EXPENDITURE OF PREVIOUS ISSUE:

11. TOTAL SUBSCRIPTION OF PREVIOUS ISSUE:

12. PRESENT STATUS OF THE MANUSCRIPT ( INDICATE WHETHER IT IS

BACK VOLUME):

13. NO. OF COPIES TO BE PRINTED (WITH NO. OF PAGES):

14. NO OF COPIES TO BE GIVEN AS COMPLEMENTARY COPIES:

15. CONCESSIONAL PRICE TO STUDENT/UNIVERSITIES:

16. TOTAL ESTIMATE OF THE COST OF PRINTING (IN Rs.):

(A) ANTICIPATED INCOME FROM SALE OF PUBLICATION:

(a) INLAND:
(b) FOREIGN:

(B) MEMBERSHIP FEE/CONTRIBUTION BY SOCIETY:

(C) OTHER SOURCES FOR GRANT-IN-AID:

NAME OF THE ORGANISATION

AMOUNT RECEIVING

17. ASSISTANCE REQUIRED FROM DST (IN Rs.)

18. DETAILS OF PREVIOUS GRANT RECEIVED FROM DST:

DST Sanction Order No. With date

Type of activity (Seminar/Printing of journal, etc.)

Have you attached copies of Utilization Certificate furnished to DST Yes No

19. ROYALTY TO AUTHORS IF ANY:

20. TIME REQUIRED FOR PRINTING AND PUBLISHING:

21. NAME OF PROFESSIONAL BODY/SOCIETY/SCIENCE ACADEMY WITH

ADDRESS

22. LIST OF EDITORIAL BOARD:

23. NAME & ADDRESS OF PRESIDENT/SECRETARY WITH ADDRESS:

24.DESIDNATION OF PERSON EMPOWERED/AUTHORISED TO RECEIVE

FINANCIAL GRANTS FROM DST:

I/We.......................................on behalf of behalf of (Society/Academy Name) do

solemnly affirm that: The DST grant will be used to meet the deficit between the
estimated cost of printing and the estimated sale from the proposed publication. At least
one copy each of publication will be sent to SERC Division, DST and another to the
Librarian of DST.

Name/Signature of President/Secretary of the Society/Academy with seal

Place:

Date: