ISVIR 2027 - YOUNG ACHIEVER'S AWARD

Basic Detail *

ISVIR Membership No. (Format: ISVIR-XXXX, C-XX or S-XX) *

Salutation *

Gender *

First Name *

Middle Name

Last Name *

Date of Birth *

Email *

Phone Number *

City *

State *

Address *

Country *

Zip Code *

Designation *

Proof of age *

Accepted: PDF, DOC, DOCX. Maximum 10 MB.

Hospital/Institute Address *

Achievement proof (certificate of publications, book chapter, any national or international awards) *

Upload at least one proof document. You may add multiple files; maximum 10 MB per file.

Signed declaration *

Upload the signed declaration. Maximum 10 MB.

Application Form *

Upload the completed Young Achiever's Award application form. Accepted: PDF, DOC, DOCX. Maximum 10 MB.

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Scoring *

Please download the file to view the marks allocated to each item.

Enter the marks claimed and upload one supporting document per domain. Score maxima and domain headings are reproduced from the supplied rubric.

Domain / Item	Basis	Max	Marks claimed	Supporting proof for domain
Domain 1 — Service to ISVIR (max 50)
Years of membership	A1	10		Supporting proof for Domain 1 — Service to ISVIR Optional; one combined proof file per domain.
National office-bearer and EC posts	A1	10
Committees, subcommittees, ISVIR guidelines	A1	10
Junior Wing posts	A1	15
Organisation of ISVIR national conferences and meetings	A1	8
State Chapter posts and events	A2	12
Domain 2 — Scientific contribution (max 80)
Journal articles (JCIR premium applies)	A3	45		Supporting proof for Domain 2 — Scientific contribution Optional; one combined proof file per domain.
Textbooks, atlases and chapters	A3	15
Patents and documented innovations	A3	15
Clinical trials, competitive grants and national guideline bodies	A3	15
Domain 3 — Scientific presentations (max 40)
Presentations as presenting author	A4	30		Supporting proof for Domain 3 — Scientific presentations Optional; one combined proof file per domain.
Best paper or poster awards	A6	15
Domain 4 — Teaching (max 30)
Faculty years and thesis guidance	A5	14		Supporting proof for Domain 4 — Teaching Optional; one combined proof file per domain.
Invited lectures, workshops, chairing, course direction	A5	20
Domain 5 — Orations and distinctions (max 20)
Orations, awards, fellowships, board certification, quiz, travel grants	A6	20		Supporting proof for Domain 5 — Orations and distinctions Optional; one combined proof file per domain.
Domain 6 — Editorial roles (max 15)
JCIR and other journals	A7	15		Supporting proof for Domain 6 — Editorial roles Optional; one combined proof file per domain.
Domain 7 — Service, quality and outreach (max 20)
Public service and outreach	A9	12		Supporting proof for Domain 7 — Service, quality and outreach Optional; one combined proof file per domain.
Clinical protocol or SOP adopted at institutional or national level (4 each)	Award item	8
ISVIR-approved digital or public education contribution (2 each)	Award item	6
Total marks claimed			0	Maximum score: 255

Note: The supplied scoring sheet lists a maximum score of 255, but some individual item maxima add up to more than their stated domain maximum. The item maxima are preserved as printed; confirm domain caps with the award committee before final evaluation.

I confirm that the information and supporting documents provided are true and complete. *