Contribution in Academic Work (ม.ม.003/1)
(For an evaluation of academic position at Mahidol University)
Type of academic work
 Research publications
 Review article
 Textbook
 Book
 Scholarly paper
 Other academic work ( Invention
 Creative Work
 Literary
translation  Other…….)
No. …….……
Title of academic work……………………
Name of applicant……………………………….
Academic position applied……………………………….
Subject area……………………………….
Distribution……. (Use the Vancouver referencing style for Science and
Technology, and the
American Psychological Association for other
subjects)………………………………………………………………..
Number of members…….………Each person has an amount of
contribution as followed
Name…………………..Percentage of contribution ……………..
responsibility ……………….
Name…………………..Percentage of contribution ……………..
responsibility ……………….
Name…………………..Percentage of contribution ……………..
responsibility ……………….
Name…………………..Percentage of contribution ……………..
responsibility ……………….
Name…………………..Percentage of contribution ……………..
responsibility ……………….
Name…………………..Percentage of contribution ……………..
responsibility ……………….
Name…………………..Percentage of contribution ……………..
responsibility ……………….
Name…………………..Percentage of contribution ……………..
responsibility ……………….
Remark
………………………………………………………………………………………
……………………………………………………………….
I certify that the above is true
1. Signature……………………..………….
5.
Signature……………………..………….
(………………..……………….)
(………………..……………….)
Date………Month………..Year……..
Date………Month………..Year……..
2. Signature……………………..………….
6.
Signature……………………..………….
(………………..……………….)
(………………..……………….)
Date………Month………..Year……..
Date………Month………..Year……..
3. Signature……………………..………….
Signature……………………..………….
(………………..……………….)
(………………..……………….)
Date………Month………..Year……..
Date………Month………..Year……..
7.
4. Signature……………………..………….
Signature……………………..………….
(………………..……………….)
(………………..……………….)
Date………Month………..Year……..
Date………Month………..Year……..
8.