Office of the Vice Chancellor for Research and Innovation APPLICATION FOR HONORARIUM DLSU Science Foundation Incentive Program Term____ AY The University is giving an incentive for each publication in a Web of Science (WoS), SCOPUS, ASEAN Citation Index (ACI) and CHED indexed journal to be divided among all the co-authors (except students). DLSU full-time and part-time teaching faculty members and ASF shall get their share of the incentive. To qualify, the faculty member must satisfy the following criteria: He/She is a faculty member of DLSU. He/She is an author of a paper published in a WoS, SCOPUS, ACI or CHED indexed journal from August 16, 2016 to the present. He/She has listed in the journal article his/her address or affiliation as De La Salle University, (more precisely, De La Salle University, 2401 Taft Avenue, 0922 Manila, Philippines and/ or DLSU STC Laguna Boulevard, LTI Spine Road Barangays Biñan and Malamig, Biñan City, Laguna) He/She has updated his/her DLSU Faculty Web page (please attach printout of updated faculty webpage) Submit a print out of the journal as it appears in the database or website of WoS, Scopus, ACI and/or Scimago. ______________________________________________________________________________________ APPLICATION FORM FOR HONORARIUM Name of Faculty Member: _________________________________________________________________ Department: __________________________________ Faculty Rank: ______________________________ Title of publication (Pls. attach a photocopy of the published journal article): __________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ Journal Title: ___________________________________________________________________________ Journal References: Year: _______ Date of Publication: _____________________ ISSN: ________________ Volume & Page Numbers: ___________________ or DOI: _____________________ Incentive Category (please go to this link for reference http://bit.do/incentive-categories): __________________________ Co-author/s (if any: ______________________________________________________________________ Student(s) co-author/s____________________________________________________________________ Amount of Publication Incentive: _Php___________________ _____________________________________________ ______________________________________ Applicant’s Signature Date Approved by: ______________________________________________ Prof. RAYMOND R. TAN, Ph.D. Vice Chancellor for Research and Innovation ____________________________________________ BR. ARMIN A. LUISTRO President, DLSU-Science Foundation