APPLICATION PROFORMA

(Financial Assistance for Publication of Scientific Journals to Professional Bodies)

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. DATE OF FIRST PUBLICATION, 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:

(D) NAME OF THE ORGANISATION AMOUNT RECEIVING:

17. ASSISTANCE REQUIRED FROM SERB (IN Rs.):

18. DETAILS OF PREVIOUS GRANT RECEIVED FROM SERB/DST:

(A) SERB/DST Sanction Order No. With date:

(B) Type of activity (Seminar/Printing of journal, etc.):
(C) Have you attached copies of Utilization Certificate furnished to SERB/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. DESIGNATION OF OFFICIAL IN WHOSE FAVOUR DEMAND DRAFT/CHEQUE

TO BE ISSUED (GRANTS WILL BE RELEASED ONLY IN FAVOUR OF HEAD
OF INSTITUTION OR SOCIETY):

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

that: SERB Grant will be used to meet the deficit between the estimated cost of printing and
the estimated sale from the proposed publication and the publication is three years. Two copies
each of publication will be sent to SERB.

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

Place:

Date: