<p> Government of Pakistan Ministry of Science and Technology 1-Constitution Avenue, Sector G-5/2, Islamabad. *****</p><p>PRESIDENT’S MEDAL FOR TECHNOLOGY-2016</p><p>The Ministry of Science and Technology, Government of Pakistan invites nominations for the President’s Medal for Technology for the year 2016. The medal is technology specific and conferrable upon Pakistani scientists and technologists involved in applied research/R&D activities, technological inventions and innovations in disciplines relating to natural sciences, technology and engineering at national R&D institutions. The number of medals to be awarded is five (05) in a year. Each medal winner will also be entitled to a certificate signed by the President of Pakistan and a cash grant of one hundred thousand rupees (Rs.100,000/-).</p><p>Interested scientists/technologists may send their nominations through their respective employer(s) to this Ministry by 15th April, 2016 on the prescribed Form, which can be downloaded from the website of this Ministry www.most.gov.pk. Applications received after the above mentioned deadline would not be accepted/considered for the award.</p><p>( Dr. S. Zaheer Hussain ) Assistant Scientific Adviser (P&C) Tel: 9215730 E-mail: [email protected] Government of Pakistan Ministry of Science & Technology Islamabad. President’s Medal for Technology</p><p>YEAR : NOMINATION FORM</p><p>(Read the Information before completing the form. This form should be typed or printed. Use a separate form for each nomination. Photocopy of this form is allowed. ALL NOMINATION FORMS AND ENCLOSURES SHOULD BE SUBMITTED IN TRIPLICATE.</p><p>Particulars of Nominating Institution :</p><p>Name of Institution :</p><p>Name of Authorized : Representative (Title/ Present Position) </p><p>Address :</p><p>Telephone : Fax :</p><p>Email (if any) :</p><p>I hereby nominate ______as candidate for the President’s Medal for Technology.</p><p>Date Authorized Signature</p><p>& office stamp Particulars of Nominee/Candidate :</p><p>Full Name : PHOTO</p><p>(compulsory)</p><p>Date of Birth : Age :</p><p>Place of Birth :</p><p>Identity Card No :</p><p>Nationality : Sex : Male Female</p><p>Academic/Professional Qualification (full details) :</p><p>Present Position/ : Occupation</p><p>Official/ : Correspondence Address</p><p>Tel : Fax :</p><p>Home Address :</p><p>Tel : Fax :</p><p>Email (if any) :</p><p>Signature of Nominee/Candidate Date Field(s) of Specialization :</p><p>Basis of Nomination (Statement of Achievements – not more than 300 words)</p><p>Please state previous awards won by you, if any :</p><p>Title of Award : Year : Awarding Body : Amount : Rs.</p><p>Title of Award : Year : Awarding Body : Amount : Rs. Description of achievements and contributions in science, engineering and/or technology including impact on society if any: Publications (excluding conferences, seminars, workshops) : (In the following order: Author, Year, Title of Publication, Title of Journal, Volume Number and Page Number. ISI Impact Factor.) COPIES NOT REQUIRED. </p><p>Resume/CV of Nominee/Candidate : (State all outstanding professional honours and scientific awards, excluding scholarships, research grants, and travel fellowships. Please use additional A4 paper if space is insufficient. Maximum of 4 additional pages only). </p>