APPLICATION FOR JOURNAL PAGE CHARGE



PART A: APPLICANT’S AND JOURNAL PARTICULARS

|Name | | Staff ID. | |

|Faculty | |Department | |

|Title of Journal Article |  |

|Name of journal (in full) |  |

|Author(main) | |

|Author(co-author) |  |

|Year | |Volume : Page No | |

|Publisher | | ISSN No. | |

|Journal Impact Factor | | Tier/Rank (Q) | |

| |: |( ) Yes ( ) No |Click here to check!| |

|Is the journal listed in Clarivate | | | | |

|Analytics  - InCites Journal Citation | | | | |

|Reports(JCR)? | | | | |

PART B : PAGE CHARGE DETAILS (Please attach supporting documents refer checklist)

|Types of page charge (Please tick) |No of pages |Cost per page |Total amount |Total amount |

| | | |(foreign currency) |(RM) |

|Mandatory page charge / Article publication fee | | | | | |

|Page charge arises from the publication of paper exceeding| | | | | |

|the prescribed page limit | | | | | |

|Q1 journal only and, | | | | | |

|2 extra pages max. and, | | | | | |

|Top10% - JIF Percentile of >90%, | | | | | |

|OR | | | | | |

|UTAR RPS - must be a Q1 journal category with JIF | | | | | |

|Percentile of >75%, | | | | | |

|≤RM 2,000 for overlength page charge only, | | | | | |

|OR | | | | | |

|≤RM 6,000 for total page charges. | | | | | |

|GRAND TOTAL | |

(1) Is the above publication related to any research project with funding? ( ) Yes ( ) No

If yes, specify the following.

|PRINCIPAL INVESTIGATOR | |RESEARCH FUND | |

|PROJECT NUMBER (if any) | |UTAR ACCOUNT NO. | |

|TITLE | |

(2) Can this journal publication be covered by any research grant or UTAR RPS? ( ) Yes ( ) No

If yes, specify the following.

|PRINCIPAL INVESTIGATOR | |RESEARCH FUND | |

|PROJECT NUMBER (if any) | |UTAR ACCOUNT NO. | |

|TITLE | |

PART C : APPLICANT’S DECLARATION

I have duly completed this application form and attached the required supporting documents:

Checklist: Mandatory

Please tick (√)

| |Evidence of journal listed in Clarivate Analytics - InCites Journal Citation Reports (JCR). |

| |*Journal not listed in JCR will not be processed |

| |Hard copy of the accepted journal manuscript (final revision) |

| |Copy of acceptance letter or email from publisher |

| |Invoice for payment /Page charge details |

| |Others (if any) |

I hereby declare that all information provided in this form is true and correct. If any of the information I have furnished either intentionally or unintentionally is found to be untrue, I understand that Universiti Tunku Abdul Rahman reserves the right to terminate the approval for financial support for journal paper publication by staff or take any other action as it deems appropriate.

______________________________ ___________________ Applicant’s Signature Date:

Name

PART D : TO BE COMPLETED BY DEAN OF FACULTY

|Recommended  Not Recommended  |

|Signature | |Name | |

| | |Date | |

PART E : TO BE COMPLETED BY INSTITUTE OF POSTGRADUATE STUDIES & RESEARCH

|Approval |( ) Yes ( ) No |

|Amount approved |  |

|(Budget Allocation from Vote 6209/000) | |

|Signature | |Name |  |

| | |Date |  |

Application

The application form must be filled and submitted to IPSR together with all required supporting document. In situation where the publication is related to a funded project the possibility of utilising the project fund to support the publication should be explored first.

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