Country Country where bulletin is prepared
Applicant Name of bulletin (if the name is not in English, please provide a translation)
Contact person
Position of the contact person in the editorial board
Reference Organization Name of the organization responsible for publication (legal and administrative responsibility)
Institutional status of this organization: (e.g. not-for-profit company, for-profit company, foundation, individual etc) not-for-profit organization foundation governmental organization - public authority other please specify
Origin of reference organization's financial resources Describe links between Reference organization and Bulletin organization
Bulletin funds Annual budget of the bulletin?
Origin of the financial resources Approximate budget allocation between staff, printing and distribution costs Conflict of interest Does the Bulletin organization have a written policy on conflicts of interest? If yes, attach a copy or give details
Are there financial links with industry?
Chief yes no
Managers yes no
Staff members yes no
Collaborators / authors yes no If yes, please specify with which company(ies) and type of link (e.g. adviser, research funds, company shares) for the last five years
Do the persons outside the bulletin declare any potential conflict of interest when invited to write or review an article?
Do you publish an annual financial report?
Publication Are claims and recommendations adequately supported by the referenced literature?
Are the listed references clearly identified within the text?
Do you print a content for each issues?
Do you produce an annual cumulative index?
ISDB policy being to promote international exchange of good-quality information concerning drugs and therapeutics we would like to know if there is a group/organization that produces independent drug information in your area
Do you produce other publications? Please specify.
Have you established guidelines for the editorial process of your bulletin? Please give a copy if you have a written document.
Please provide a summary of the staff responsible for the bulletin, including number of staff members, a brief outline of duties, professional qualifications, and languages skills (attach a separate sheet if necessary).
Please provide a brief description of how the information in your publication is prepared, describing how you choose the topics, literature searching, who writes your articles, what external review and checking processes you use, who is responsible for the final version of the article.
Examples of such descriptions can be seen at http://www.tg.com.au Who is the target audience for the publication (e.g. doctors, pharmacists, nurses, consumers, midwives)?
Give a brief description of usual content (e.g. appraisal of new drugs, adverse drug reactions, drug therapy for disease management, drug interactions, regulatory news, drug policy).
Do you publish letters to the editor from readers in your bulletin?
Are the articles accompanied by an abstract?
What is/are the language(s) used in the publication?
Is the publication, or any part of it, translated into (an)other language(s)? If so please specify.
Is there any advertising in the publication?
In what format is the publication? print electronic both What was the date of the initial publication?
How many issues have been published (over the last 5 years)?
How many pages has an issues of the bulletin?
What is the frequency of publication?
What is the circulation?Printed copies
Distributed copies
In which countries is it distributed?
Contact details Street address
Post address (if different)
Telephone number
Facsimile number
E-mail address
Mobile phone Article 10: An application for admission must comprise
two copies of each of the last five consecutive issues of the bulletin preceding the date of application. If the issues do not specify the contents in English then a list of these contents, including keywords, shall be sent with the issues;
If appropriate, an English translation of two articles of your bulletin;
a completed application form;
the admission fee (which will be refunded if the application is not accepted).The Committee may request further information to assist it in making its decision.