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Office Address Private Address Address Position (s) held Academic & professional qualifications Honours/Awards received Memebership(s) of Societies/Associations being held Details of your published books/monographs A profile about you good self in about 120 words. Name of the proposed Mss Other Two/three suggested titles
Format of the Mss. Handwritten Typed Floppy Diskette/CD Camera-ready
Type of work Thesis Research General Reference
If thesis Year awardedUniversity granted
Status of the Mss. Original Reprint Translation Edited Complied
Length of the Mss.
Typing Single line space Double line space
Subject(s) covered Area of Study 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? Name and position of the person who has contributed a foreword/preamble/introduction to the Mss., If any If there is any possibility of getting publication assistance/subsidy from any International/National Institution/Body? If so, please give detail Has the work or its part been already published in any shape? If so, provide details. When will be the Mss. ready for submission in all respects (including abbreviations, transliteration chart, figures, illustrations, plates, maps, bibliography, glossary, etc.)? 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) Any other information you may wish to provide Date Place