NOMINATION PAPER FOR FELLOWSHIP (FIAN)

Membership
Click here for Guidelines

The undersigned Fellows of the Indian Academy of Neurology respectively propose and second the here in-named candidate for election as Fellow of the Academy

Name of Candidate:*

Life Membership No: (Enter numbers only, Eg. LM-123 enter 123 only.) *

Year of joining IAN:

Designation:*

Address:*

City:*

Pin:*

Email id:*

Specialty:*

Name of Proposer 1:*

Life Membership number of Proposer 1: (Enter numbers only, Eg. LM-123 enter 123 only.) *

Address:*

Name of Proposer 2:*

Life Membership number of Proposer 2: (Enter numbers only, Eg. LM-123 enter 123 only.) *

Address:*

List of educational qualifications and year: *

Number of publications, Book chapters and Title of Books edited (File must be pdf & less than 2MB. Merge multiple files into one file)*

Copies of five of your best papers with citations (File must be pdf & less than 2MB. Merge multiple files into one file)*

Citations, h-index. i-10 indexof your publications (enclose evidence in support)*

Research projects funded by various funding authorities (File must be pdf & less than 2MB. Merge multiple files into one file)*

Awards, Fellowships & Orations (File must be pdf & less than 2MB. Merge multiple files into one file)*

Contribution to IAN in not more than 300 words *
(Total words: 0 / 300)

Extracurricular activities health camps, TV or radio Talks, talks on health issues to lay public in 1000 characters (Total words: 0 / 300) *

Biodata: (File must be pdf & less than 2MB.)*
(Your CV should have Sr.no. 1 to 8 essential items. Given in "FIAN Rules & Regulation" Please click here to access)

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NOMINATION PAPER FOR FELLOWSHIP (FIAN)

The last date to submit the application is 25th January 2025.

Download IAN App

NOMINATION PAPER FOR FELLOWSHIP (FIAN)

The last date to submit the application is 25th January 2025.

Download
IAN App