| Name |
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| Date of birth |
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| Nationality |
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| Sex |
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| Present Position |
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| Office Address |
Private Address |
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| Position (s) held |
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| Academic & professional qualifications |
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| Honours/Awards received |
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| Memebership(s) of Societies/Associations being held |
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| Details of your published books/monographs |
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| A profile about you good self in about 120 words. |
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| Name of the proposed Mss |
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| Other Two/three suggested titles |
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| Format of the Mss. |
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| Type of work |
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| If thesis |
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| Status of the Mss. |
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| Length of the Mss. |
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| Comprising |
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| Subject(s) covered |
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| Area of Study |
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| Have you used any copyright material (including International boundary map) in your work? If so, have you obtained permission for the same from the appropriate authoritiess? |
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| Name and position of the person who has contributed a foreword/preamble/introduction to the Mss., If any |
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| If there is any possibility of getting publication assistance/subsidy from any International/National Institution/Body? If so, please give detail |
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| Has the work or its part been already published in any shape? If so, provide details. |
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| When will be the Mss. ready for submission in all respects (including abbreviations, transliteration chart, figures, illustrations, plates, maps, bibliography, glossary, etc.)? |
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| Synopsis of the work in 250 words and table of contents. please also mention what new ideas your book propounds. Does it fill up any gap? (Please provide on a separate sheet) |
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| Any other information you may wish to provide |
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| Date |
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| Place |
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