The Biotech Research Society

Proposer Seconder
Signature: …………………………….. Signature: ………………………………..
Name: ……………………………………… Name ………………………………………

Address: …………………………………… Address: ……….……………………………

……………………………………… ………………………………………
Date:………….…………………………….. Date: …………..………………………..…..
Station:……………………………………... Station: ……………………………….……..
Notes: 1. The proposer should preferably belong to the same field of specialization as the nominee and he/she shall certify that he/she is personally acquainted with the scientific work of the candidate.

2. Proposer must sign on the nomination paper. The seconder may either sign on the nomination paper or write letter to the proposer, which should be sent to BRSI Office by the proposer along with the nomination form.

3. Deadline to receive the soft copy of the nomination as a single PDF file + score sheet as a separate file by email at [e-mail] is 25^th July 2016, and one printed copy + the soft copy on a CD by post to Dr P Binod, COE, BRSI, Biotechnology Division, CSIR-NIIST, Industrial Estate PO, Trivandrum-695 019 is 31^st July 2016.

Statement by the proposer mentioning the significant contribution, invention or other contributions made by the nominee in Biotechnology (NOT TO EXCEED 100 WORDS)

Areas of specialization (mention maximum three)

1. 
   
   
2. 
   
   
3. 
   
   

Nomination to be considered for: Area-

Topic-
(Please select one area from the list below)

1. 
   Microbial Technology 7. Medical Biotechnology
   
2. 
   Enzyme Technology 8. Environmental Biotechnology
   
3. 
   Bioprocess Technology 9. Molecular Biology
   
4. 
   Food Biotechnology 10. Genetic Engineering
   
5. 
   Agricultural Biotechnology 11. Bioinformatics
   
6. 
   Plant Biotechnology 12. Bioenergy/Others