RDUO Form 3b

SCIENCE DILIMAN
Research Dissemination and Utilization Office
UP Office of the Vice Chancellor for Research and Development

MANUSCRIPT SUBMISSION FORM

Title: _______________________________________________________________________________
Author/s: ___________________________________________________________________________
Corresponding Author: ______________________________________________________________
Address: _________________________________________________________________________
Telephone: __________________ Fax: _________________ E-mail: ________________________
Please list down the names of at least three individuals who may be appropriate reviewers of your
manuscript. These suggestions will be used at the Editorial Boards discretion.
Name

Affiliation

Tel.No./Fax No./E-mail

____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
As an aid to the indexer, please list down a maximum of six keywords that describe the content of your
manuscript:
____________________________________________________________________________________
____________________________________________________________________________________
--------------------------------------------------------------------------Author Certifications:
I certify that this manuscript contains new content not previously published or submitted elsewhere for
simultaneous consideration. I warrant that the article will not be submitted to another publication/publisher
while under consideration for publication in Science Diliman. I further certify that all the other authors, if
any, have agreed to the submission of this manuscript to the journal.

____________________________________________________
Printed Name and Signature

Return this form to:

_________________
Date

UP RDUO-OVCRD
ATTN: SCIENCE DILIMAN
LG/F Phivolcs Bldg., C. P. Garcia Ave., UP Diliman 1101, Quezon City, Philippines
Tel. Nos. (632) 981-85-00 loc. 4048; (632) 436-8720
Fax: (632) 927-2568 E-mail: rduo.ovcrd@up.edu.ph; rduo.ovcrd2012@gmail.com