YOUNG SCIENTIST AWARDS (YSA)

NOMINATION FORM

A Joint National Project of

Agency for Science, Technology & Research (A*STAR) and

Singapore National Academy of Science (SNAS)

CATEGORIES:

☐BIOLOGICAL & BIOMEDICAL SCIENCES

☐PHYSICAL, INFORMATION & ENGINEERING SCIENCES

(Please select one box only)

Instructions:

Before you fill the form, please read the eligibility and judging criteria available on the website. Complete the online nomination form.

All parts should be completed and “N.A.” should be stated where it is not applicable.

If you have attachments, combine all your files into one pdf file and name it as “Full name_(BBS or PIES)_application”. E.g. Lim Tan Chua_BBS_application.

Email your pdf document to snas_417e@sendtodropbox.com with the subject heading “YSA 2018 BBS” or “YSA 2018 PIES” based on the category of your application, not later than first Friday of April in the year of application:

Download the referee form, fill in Part A of the form and rename the file accordingly before sending the file to two independent referees: “Your Full Name_Referee’s full name”. E.g. Lim Tan Chua_Prof John Doe. Please request your referee to email the file directly to snas_417e@sendtodropbox.com with the subject heading “YSA 2018 BBS” or “YSA 2018 PIES” based on the category of your application. It is the responsibility of the candidate to ensure that the referees submit their evaluation by first Friday of April in the year of application.

Abstract/Summary (about 250 words) (The Review Committee & Board of Judges will evaluate the potential and track record of each candidate, vision, dynamism, and inspiration shown, as well as the scientific value and impact of each piece of work. Please give a summary of your research, highlighting the scientific and intellectual qualities and including the potential applications and future development).
Click here to enter text for abstract.

BIOGRAPHICAL DATA

Title:	Title	Full Name:	Full name.	Sex:
Date of Birth:	DD/MM/YYYY or pick date.	Place of Birth:	Click here to enter text.
Nationality:	Years in Singapore (foreigner only):	Click here to enter text.
Designation:	Click here to enter text.	Organization:	Click here to enter text.
Work Address:	Click here to enter text.
Office Tel. No:	Click here to enter text.	Mobile Tel. No:	Click here to enter text.
Email:	Click here to enter text.
Academic (Tertiary)/Professional Qualifications (state year received) Year conferred Qualification Institution
Appointment Record
Name of Organization Department & Position Held From To

List major Awards & Honours, Chairmanship of Conferences/Symposia, Editorship of Journals/Books, and Invitations to give Talks

List of research grants secured over the past three years

List of three (3) key Publications/Patents that best reflect your expertise, creativity and achievements. Include a paragraph (in the space below) of about 50 words to explain why these papers/patents are considered your best work. If the work is not done in Singapore, add a brief statement to explain the relationship of this work to your current activities and future plans.

Number of papers in Journals	Number of Conference Papers/Books/Chapters/Monographs
International:	Conference Papers:
Regional:	Books:
Local:	Chapters/Monographs:
Citations
Number of citations (self-citations excluded) in the last three (3) years (Specify source of citations – for example, Web of Science, Google Scholar, etc) : Number of citations: Source:
List your three most cited papers, with the number of citations for each as well as impact factors of the journals:
No. No. of citations Impact Factors Details of published paper
Details of technology transfers / spin-off companies, if any, arising from research

II – PROFESSIONAL/SCIENTIFIC INFORMATION

Field of Work (Describe in about 30 words)

Scientific Activities (Research & others) currently pursuing (Describe in about 60 words):
Patents arising from your Research Filed: Awarded: Licensed / Commercialized : (Please provide, on a separate page, detailed information of all patents filed and awarded. Information required includes titles of inventions, names of inventors, citizenship of inventors, dates of applications/awards and registration numbers of applications / awards)