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Academic Incentive Application Form

PERSONAL INFORMATION

Name

 

Surname

 

Faculty

 

Department

 

E-mail address

 

 

A-JOURNAL PAPER

SCI/SSCI/AHCI                 International  Refereed Journal                        National Refereed Journal

                                                                         Other index    

                                                                   No index                                                                                                                           

Title of article

 

Journal Name  

 

Volume                                 

 

Pages                              

 

Year

 

Number of Author

 

 

B - BOOK

Name of Book

 

ISBN

 

Page Number

 

Publication year

 

Number of Author

 

 

C- PRESENTATION

                                                                                       

          Abroad                                               Within Country      International            

 

                                                                                                                        National                                  

Country:                                             City:

Name of Conference

 

Date of Conference

 

Title of presentation

 

 

 

I declare the information provided is full and correct.

 

Signature :                                                                                           Date:      /      /

 

Note 1:  A separate form must be filled for each application.

Note 2: One copy of publication must be added to application. Please indicate all information about publication ( SCI, SSCI, AHCI Journals or other relevant information etc.)

Note 3: Acceptance letter of presantation should be added to application.

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