FY2018 JSPS International Fellowshipsfor Research in Japan

APPLICATION FORM FOR JSPS POSTDOCTORAL FELLOWSHIP FOR RESEARCH IN JAPAN(STANDARD)

APPLICATIONTHROUGH OVERSEAS NOMINATING AUTHORITIES

1.Full Name (Your name must be written in the alphabet used to write the English language and match the name in your passport.)
FAMILY (ex. GAKUSHIN) / First (ex. Taro) / Middle (ex. Edward)
2.Nationality / 3. Permanent Residency / 4. Date of Birth / 5. Sex (Check the box below.)
Day / Month / Year / □ / Male / □ / Female
6.Current Appointment (If you do not have current appointment, type N/A)
Institution
Department
Current Position or Status
Country/Region
7.Academic Degree (Check the box below and fill in the blanks.)
Type (PhD, or an equivalent.) / □ / PhD / □ / Other / （ ）
Date Obtained / □ / Obtained / □ / Expected / Day / Month / Year
Field
Institution
Country/Region
8. JSPS Fellowship(s) you were granted in the past (Check the box below and fill in the blanks.)
□ / N/A
□ / Postdoctoral Fellowship(Short-term) / Fiscal Year / ID Numberthat starts with PE
□ / Postdoctoral Fellowship(Strategic) / Fiscal Year / ID Numberthat starts with GR
□ / Postdoctoral Fellowship(Summer Program) / Fiscal Year / ID Numberthat starts with SP
9. Names of Other Fellowship(s)for which you are applying(Check the box below and fill in the blank.)
□ / N/A
□ / JSPS Postdoctoral Fellowship for Research in Japan (Short-term)
□ / JSPS Postdoctoral Fellowship for Research in Japan (Standard)
□ / JSPS Postdoctoral Fellowship for Research in Japan (Short-term) application through overseas nominating authorities
□ / Other Fellowship(s) / ( )
10. Contact Information (Fill in the blanks and indicateyour preference by checking the box below to receive the award package from JSPSin case you wereselected.)
Office/Institute / □ / Home / □
Mailing Address / Mailing Address
Phone(Main andPersonal)Give the phone number that begins withcountry code. / +
E-mailAddress(Main and Personal)
11. Proposed Tenure of JSPS Fellowship (ex.From 1 April 2017to31 March 2019Total 24months)
You must start your fellowship during the period of 1 April 2018 to 30 November 2018. The tenure must be 12-24 months (full months).
From / Day / Month / Year / to / Day / Month / Year / Total / month(s)
12. Proposed Research Title (Within 100 letters including spaces and symbols.)
13. Proposed Host Researcher/Host Institution
Full Name
Title
Division
Institution
14.Higher Education(Start from the latest one. Includeyour current status if you are a doctoral student now.)
Name of University / Location / Degree / Field / Completion Date (Month, Year)
15.Previous Employment(Start from the latest one. Includeyour current appointment.)
Name of Institution / Location / Position / From – To
(Month, Year)
16.Awards
Title, Organization, Year
17. Language Ability (5: excellent ………1: poor)
Reading / Writing / Understanding / Speaking
Japanese / 5 4 3 2 1 / 5 4 3 2 1 / 5 4 3 2 1 / 5 4 3 2 1
English / 5 4 3 2 1 / 5 4 3 2 1 / 5 4 3 2 1 / 5 4 3 2 1
5 4 3 2 1 / 5 4 3 2 1 / 5 4 3 2 1 / 5 4 3 2 1
5 4 3 2 1 / 5 4 3 2 1 / 5 4 3 2 1 / 5 4 3 2 1
5 4 3 2 1 / 5 4 3 2 1 / 5 4 3 2 1 / 5 4 3 2 1
18. Past/Present Stay(s) in Japanover 3 months
City / From – To
(Month, Year) / Purpose of the stay
19. Research Achievements and Results
20. List ofMajor Publications
Authors (all), title, Journal, Vol. , No , pp. - , Month, Year
(The list includes the peer-reviewed studies that have been accepted for publication and in pre-publication stage.)
21. Research Plan in Japan
a.Background of proposed research plan
b.Purpose of proposed research
c.Proposed plan
d.Expected results and impacts
21. Research Plan in Japan (Continued)
22. Your AcademicGoals and Career Prospects after the Fellowship
23.Required Conditions for the Applicants ofthis Fellowship
Please read the following conditions carefully.You are not eligible to applyifyou do not meet all the conditions.
☑I do not have Japanese nationality/permanent residency. (If you are applying for or planning to obtain Japanese nationality/permanent residency, please note that the Fellowship will terminate on the day you acquire either of them.)
☑I have not been receivedthe Fellowship(s) of the following program(s) in the past. If you were awarded one or more of the followingFellowship(s) but did not accept it/them, you are eligible to apply.
a) JSPS Postdoctoral Fellowship for Research in Japan (Standard)
b) JSPS Postdoctoral Fellowship for Research in Japan (Pathway)
☑My research is not related to military affairs.

I have read the above conditionsand I meet all of them. I certify that the information provided on this application is true and correct.

Date:

Full Name(Print) :

Signature:

Full Name of the Candidate:

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