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Enter Application Information
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FY20XX PD Research Fellowships Application Form
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Academic degrees (Bachelor’s/Master’s) |
*
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Doctoral degree program details |
Date of enrollment |
(Western calendar) Year
Month
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Total enrollment period at time of transfer or re-enrollment |
year(s)
month(s)
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Name of university |
*
[99999]:
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Name of graduate school |
*
[9999]:
Click [List all] after entering the [Name of university] code.
If the [Name of university] code is [99999], please enter [9999] for the [Name of graduate school] code.
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Major field of studies |
*
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Type of doctoral course |
*
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Completion/withdrawal |
(Western calendar) Year
Month
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Academic degree |
*
(Western calendar) Year
Month
Day
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Period of leave from doctoral course studies |
(Total)
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year(s)
month(s)
Enter if you took leave while enrolled in your doctoral course.
Do not enter leave taken during your master’s course or the first half of your doctoral course (comprising a master’s course).
Leave from studies are to be counted in months; even a one-day leave will be deemed one month.
However, if your affiliated institution has specific rules on grounds of academic semesters, etc., you may count the period of leave based on those rules.However, if your affiliated institution has specific rules on grounds of academic semesters, etc., you may count the period of leave based on those rules.
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Total length of enrollment in doctoral course as of April 1, XXXX (Western calendar) |
XX year(s) XX month(s)
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Research, job experience, etc. |
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Former JSPS research fellowships
Enter your application number as a 9-digit number for fellowships since FY2018, and a 5-digit number there prior.
DC (Western calendar)
Year
Month〜(Western calendar)
Year
Month
Application number:
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PD (Western calendar)
Year
Month〜(Western calendar)
Year
Month
Application number:
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RPD (Western calendar)
Year
Month〜(Western calendar)
Year
Month
Application number:
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Need additional page for Academic degrees, Doctoral degree program details, and Research, job experience, etc. (Y/N)? |
*
Yes
No
Select [Yes] if your Academic degrees, Doctoral degree program details, and Research, job experience, etc. do not fit in the fields above, or if there are noteworthy matters (including cases where due consideration should be given as child bearing and nursing and other life events have resulted in a temporary decrease in research results), fill in the complete details on a separately prepared “Additional page for Academic degrees, Doctoral degree program details, and Research, job experience, etc.” (Word or PDF) and upload it with a blank page for a total of 2 pages.
Download the prescribed format from the following URL.
https://www.jsps.go.jp/j-pd/pd_sin.html
File uploaded
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Scopus Author ID |
Register your Author ID of Scopus, an abstract and citation database for peer-reviewed academic papers, if you have one as an author of papers. JSPS will use this information for reference in performing its duties, but not for the review of Research Fellows. The item is not mandatory; therefore, if you do not have an ID or you are unsure about it, leave the column blank. If you have more than one ID, register one of them.
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Relationship between your affiliated institution during graduate studies and your host research institution |
*
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Special notes on doctoral course studies |
If applicable, please enter the details of your situation in the field below. (Up to 40 characters per line; total of up to 120)
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Graduate school academic supervisor
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Name |
(Furigana)*
(Family Name)
(First Name)
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(Kanji, etc.)*
(Family Name)
(First Name)
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Job title |
*
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e-Rad Researcher no. |
*
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Affiliated institution code |
*
[99999]:
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Department code |
[9999]:
Click [List all] after entering the [Affiliated institution code].
If the [Affiliated institution code] is [99999], please enter [9999] for the [Department code].
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Current host researcher |
Name |
(Furigana) (Family Name)
(First Name)
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(Kanji, etc.) (Family Name)
(First Name)
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Job title |
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e-Rad Researcher no. |
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Affiliated institution code |
[99999]:
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Department code |
[9999]:
Click [List all] after entering the [Affiliated institution code].
If the [Affiliated institution code] is [99999], please enter [9999] for the [Department code].
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Host researcher after awarded fellowship |
Name |
(Furigana)*(Family Name)
(First Name)
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(Kanji, etc.)*(Family Name)
(First Name)
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Job title |
*
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e-Rad Researcher no. |
*
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Affiliated institution code |
99999 XXXX大学
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Department code |
[9999]:
If the [Affiliated institution code] is [99999], please enter [9999] for the [Department code].
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E-mail address |
*Email:
Enter the e-mail address that will be used to prepare the evaluation report. Be sure to enter the e-mail address of your host researcher. Please note that JSPS staff may contact your host researcher to confirm that this is their actual e-mail address.
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Official name of host department |
*
[9999]:
Ex: Graduate School of Engineering, Faculty of Medicine, Faculty of Letters, Arts and Sciences, etc.
If you enter [99999] for "Host researcher after awarded fellowship - Affiliated institution code", please enter [9999] for the "Official name of host department" code.
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Evaluator 1 |
Name |
(Furigana) (Family Name)研究
(First Name)一郎
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(Kanji, etc.) (Family Name)ケンキュウ
(First Name)イチロウ
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Job title |
教授 |
Affiliated institution code |
01111 XXXX大学 |
Department code |
0653 アート・リサーチセンター |
E-mail address |
Email: xxxxxxxxxx@xxxx.jp |
Evaluator 2
Copy details of
*Evaluator 2 can be any researcher as long as they have a good understanding of your research, even if you they are not in the drop-down menu.
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Name |
(Furigana)*
(Family Name)
(First Name)
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(Kanji, etc.)*
(Family Name)
(First Name)
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Job title |
*
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Affiliated institution code |
*
[99999]:
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Department code |
[9999]:
Click [List all] after entering the [Affiliated institution code].
If the [Affiliated institution code] is [99999], please enter [9999] for the [Department code].
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E-mail address |
*Email:
Enter the e-mail address that will be used to prepare the evaluation report. Be sure to enter the e-mail address of your evaluator. Please note that JSPS staff may contact your evaluator to confirm that this is their actual e-mail address.
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Current address |
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(Address 1)*(Including house/building number)
Ex: 東京都千代田区麹町5丁目3番地の1 (5-3-1 Kojimachi, Chiyoda-ku, Tokyo)
*You may hyphenate the house/building number as in “5-3-1.”
(Address 2)
Ex: 学振マンション601号室 (Room No. 601 Gakushin Mansion)
(Address 3)
Ex: 学振 太郎様方 (c/o Mr. Taro GAKUSHIN)
Phone number: Ex:03-3263-xxxx
Cell phone number: Ex:080-1234-xxxx
Email:
Ex:tokken@jsps.go.jp
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Affiliated institution (Location, name of institution, department, etc.) |
You may keep these fields blank if you do not have an affiliated institution, including the case if you are holding an adjunct position.
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(Address) (Including house/building number)
Ex: 東京都千代田区麹町5丁目3番地の1 (5-3-1 Kojimachi, Chiyoda-ku, Tokyo)>
*You may hyphenate the house/building number as in “5-3-1.”
(Name of institution, department, laboratory, etc. 1)
Ex:学振大学 研究者養成棟601号室 (Room No. 601 Research Fellowship Bldg., Gakushin University)
(Name of institution, department, laboratory, etc. 2)
Ex: 特別研究員学研究室 (Tokubetsukenkyuin Laboratory)
Phone number: Ex:03-3263-xxxx
(Extension): Ex:1234
Email:
Ex:tokken@jsps.ac.jp
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Preferred contact (In Japan) |
*
1.Current address
2.Affiliated institution
3.Other
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Be sure to enter contact details where you will be reachable during the application and screening process this fiscal year as needed.
〒* This field is only required if you are currently residing in Japan(Ex:123-4567)
(Address 1)*(Including house/building number)
Ex: 東京都千代田区麹町5丁目3番地の1 (5-3-1 Kojimachi, Chiyoda-ku, Tokyo)
*You may hyphenate the house/building number as in “5-3-1.”
(Address 2)
Ex: 学振マンション601号室 (Room No. 601 Gakushin Mansion)
(Address 3)
Ex: 学振 太郎様方 (c/o Mr. Taro GAKUSHIN)
Phone number: * Ex:03-3263-xxxx
Cell phone number/extension: Ex:080-1234-xxxx
Email: *
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Special Request Form |
You must fill out a special request if you selected [Same university] under [Relationship between your affiliated institution during graduate studies and your host research institution] due to extenuating circumstances (up to 2,000 characters and 10 line breaks allowed).
Click here for the guidelines on and status of eligibility screenings.
Please clarify the circumstances behind your Special Request Form (your research institute during graduate studies is the same as your host research institute, etc.) and explain the reason why you cannot change research environments as it relates to the laboratory you have selected.
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