Please complete all the options according to your accurate information and tick the acceptance box. Sign and upload this form to your account with your CV and recent passport size photo.
Current Details
| Applicant Name (Dr. Mr./Mrs.) | M/F | ||||
| Designation (Prof./Dr) | |||||
| Organization / Affiliation (Institution name) | |||||
| Correspondence address |
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| State | Pincode | ||||
| Phone number(s) | Country | ||||
| Email IDs | |||||
| Highest Degree and Qualification | Year | ||||
| Major Specialization Subject | |||||
| Number of publications published so far | Date of Birth | DD/MM/YYYY | |||
Editorial Board Member Details
He/she should close working may be required with Editors, Director, CEO & eMediWrite Private Ltd team.
| I am interested in Editorial Board Member (Journal Name(s)) | 1.
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| 2.
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| Past article publication experiences/review/final check | Years | Month | ||
| Number of articles I can check/review/finalization in a month | One Two Three | |||
| Check/review/finalization timeline/article | 0-10 days 11-20 days 21-30 days | |||
| Duration (Years) desired as Editorial Board Member | Two Year Three Years Five Years | |||
| Any Feedback / Suggestions |
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I declare that all the above mentioned facts I have given are truthful and accurate to the best of my knowledge.
I am submitting this Editorial Board Member Application Form after reading the relevant Board Guidelines as per the Journal(s) specified.
If I am selected as an Editorial Board Member (National/International), I pledge to carry out my duties and complete the assigned work to which I have committed within the time frame I have declared.
Date: / / Signature