Nomination Form (Blackbuck Outstanding Medical Journal Award)

1. Basic Information

Mobile no^* : +91

Mail ID^* :

2. Journal Information

Journal Name^* :

Publisher/Institution^* :

Year of Establishment^* :

ISSN Number^* :

Editor-in-Chief^* :

Frequency of Publication^* :

3. Research Impact and Metrics

Impact Factor (if applicable)^* :

H-Index (of the journal)^* :

Scopus/SCI Indexing Status^* :

Average Citations Per Article (Last 3 Years)^* :

Mention any indexing in PubMed, Medline, DOAJ, or other databases^* :

4. Quality and Rigor

Peer-Review Process^* :

Average time in days for peer review (submission to decision)^* :

Percentage of Accepted Papers (Last Year)^* :

Rejection Rate^* :

5. Editorial Standards and Transparency

Editorial Board Details^* :

Ethics Policies^* :

Publication of Retractions, Errata, or Corrections^* :

6. Contribution to Medical Research

Key Themes or Disciplines Covered^* :

Significant Breakthroughs Published in the Last 3 Years^* : (name any three)

How does your journal support early-career researchers and emerging voices in medical research?^* : (upto 200 words)

What role does your journal play in bridging the gap between research and clinical practice?^* : (upto 200 words)

7. Innovation and Accessibility

Open Access Status^* :

Adoption of Technological Innovations^* : (100 words)

Readership and Geographic Reach:

Approximate annual readership numbers^* :

% of international authorship^* :

8. Social Value and Inclusivity

Please highlight Efforts to Publish Research from Underrepresented Regions^*: (max 100 words)

Please tell us about the Diversity and Gender Representation on the Editorial Board ^* : (100 words)

9. Supporting Documents

Link to the Journal Website:

Notes:-

1) Applicant is advised to fill the form in word document with all details including answers to the questions and paste them in the form in one go (as right now form is not having option for save and resume)
2) Application money of ₹25,000 plus taxes is to be paid after submission of this form.
3) Fields marked * are mandatory. Rest of the fields are optional, however information provided by you will help us in better evaluation of your nomination.

Declaration:-

The information provided herein is true and complete to the best of my/our knowledge. Some of the information provided in the document could be sensitive and shall remain confidential unless I/we agree to release it. I/We understand that the information provided in this document will be used by the organizers and the jury in deciding the awards and I/We consent to the use of this information for such a purpose. I/We further agree that this information may be used for further research, education, or any other purpose as long as the company details or not divulged to any person other than the organizers. If I am shortlisted/selected for receiving the award, I hereby authorize the use, in connection with the “Second edition of the Blackbuck Medical Research Awards” program, of my name, my company’s (or organization’s) name, non-financial information, photographs, video or audio recordings of me from whatever source. I agree that no compensation shall be due to me or my company for such usage.

I hereby declare that I have read the Declaration for nomination and understood it clearly.