FY20XX RPD Research Fellowships Application Form

　

Eligibility	RPD
Basic section code	25010
Basic section name	Social systems engineering-related
Document review section	社会システム工学関連分野(Social systems engineering and related fields)
Panel review section	工学系科学(Engineering sciences)
Major field of studies	情報科学

Doctoral degree program details Date of enrollment (Western calendar) yyyy.MM 編・転・再入学(Transfer/re-enrollment) Total enrollment period at time of transfer or re-enrollment 2year(s) 10month(s) Name of university (Code)XXXXX (Japanese)XX大学 Type of doctoral course 博士課程(医・歯・獣医学系4年制)(4-year doctoral course for medical, dental, pharmaceutical, or veterinary degrees) Completion/withdrawal (Western calendar) yyyy.MM 修了(Completed course) 見込(Expected) Academic degree (Western calendar) yyyy.MM.dd 博士取得(Doctoral degree) 見込(Expected) Total length of leave from studies (Total) X year(s) X month(s) Total length of enrollment in doctoral course as of April 1 4Years 2Months Career history (Academic degrees, research and job experience, suspension of research, childbirths, etc.) 1.　　　　年　　月　　　　　　　　　　　　　大学　　　　学部　　　学科卒 2.　　　　年　　月　　　　　　　　　　　　　　　　　　　大学大学院修士課程入学 　　　　　　　　　　（　　　　　研究科　　　　　専攻） 3.　　　　年　　月　　　　　　　　　大学大学院博士課程入学 　　　　　　　　　　（　　　　　研究科　　　　　専攻） 4.　　　　年　　月　　　　　博士(　　　)の学位取得（見込） 5.　　　　年　　月 　　　　　　　　　　博士課程の所定の単位を修得の上退学（見込） 6. 7. 8. 9. Need additional page for Doctoral degree program details and Career history (Y/N)? Yes   Scopus Author ID XXXXXXXXX Former JSPS research fellowships DC  (Western calendar) yyyy.MM - (Western calendar) yyyy.MM  DCとして申請・採用(Applied for and accepted DC fellowship)       (Application number: XXXXX) PD  (Western calendar) yyyy.MM - (Western calendar) yyyy.MM  DC1内定（採用）後、PDに変更(Selected for (accepted) DC1 fellowship, changed to PD)       (Application number:XXXXXXXXX) PD  (Western calendar) yyyy.MM - (Western calendar) yyyy.MM  PDとして申請・採用(Applied for and accepted PD fellowship)       (Application number:XXXXXXXXX) RPD  (Western calendar) yyyy.MM - (Western calendar) yyyy.MM  Selected for RPDとして申請・採用(Applied for and accepted RPD fellowship)       (Application number:XXXXXXXXX) Reason for applying �A Those who suspended their research activities for six weeks or longer during the period from April 1, 2013 to March 31, 2024 for childbirth or nursing child(ren) with illnesses or disabilities. Child date of birth: (Western calendar) yyyy.MM.DD  Age as of April 1 (year of application): XX years old Desired fellowship tenure XXXX年4月1日〜XXXX年3月31日(April 1, XXXX〜March 31, XXXX)

Period of suspended research due to childbirth/childcare	(Western calendar) yyyy.MM.DD - (Western calendar) yyyy.MM.DD
Total period of suspended research	XXweek(s)
Situation at the time of suspending research	Job or position held prior: Affiliated institution code:99999  Affiliated institutionXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX Job title:XXXXXXXXX Employment type:その他(Other)  ＸＸＸＸＸＸＸＸＸＸＸＸＸＸＸＸＸＸＸＸＸ Maternity leave (pre/postnatal) or childcare leave system at job above:有(�@)利用した(Offered (i) and used)
Return to work post-suspension	Not returned
	Job or position held since: Affiliated institution code:99999  Affiliated institutionXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX Job title:XXXXXXXXX Employment type:任期なし常勤職(Full-time, no fixed term) Employment period:(Western calendar) yyyy.MM.DD - (Western calendar) yyyy.MM.DD
	Job or position held since: Affiliated institution code:99999  Affiliated institutionXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX Job title:教授 Employment type:その他(Other)  XXXXXXXXXXXXXXXXXXXX Employment period:(Western calendar) yyyy.MM.DD - (Western calendar) yyyy.MM.DD
Current position	Current job or position: Affiliated institution code:99999  Affiliated institutionXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX Job title:XXXXXXXXX Employment type:任期なし常勤職(Full-time, no fixed term) Employment period:(Western calendar) yyyy.MM.DD - (Western calendar) yyyy.MM.DD

Special notes on doctoral course studies I expect to complete or withdraw from my doctoral course, and my graduate school academic supervisor is not the same as my current host researcher (Special notes on doctoral course studies) ○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○ ○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○ ○○○○○○○○○○○○○○○○○ Graduate school academic supervisor Name (Furigana) (Family Name)シンセイ                 (First Name)イチロウ (Kanji, etc.) (Family Name)申請                   (First Name)一郎 Job title (Japanese)教授 e-Rad Researcher no. XXXXXXXX Affiliated institution code (Code)XXXXX (Japanese)XX大学 Department code (Code)XXXX (Japanese)XX部 Host researcher prior to suspending research Name (Furigana) (Family Name)シンセイ                 (First Name)イチロウ (Kanji, etc.) (Family Name)申請                   (First Name)一郎 Job title (Japanese)教授 e-Rad Researcher no. XXXXXXXX Affiliated institution code (Code)XXXXX (Japanese)XX大学 Department code (Code)XXXX (Japanese)XX部 Current host researcher Name (Furigana) (Family Name)シンセイ                 (First Name)イチロウ (Kanji, etc.) (Family Name)申請                   (First Name)一郎 Job title (Japanese)教授 e-Rad Researcher no. XXXXXXXX Affiliated institution code (Code)XXXXX (Japanese)XX大学 Department code (Code)XXXX (Japanese)XX部 Host researcher after awarded fellowship Name (Furigana) (Family Name)シンセイ                 (First Name)イチロウ (Kanji, etc.) (Family Name)申請                   (First Name)一郎 Job title (Japanese)教授 e-Rad Researcher no. XXXXXXXX Affiliated institution code (Code)XXXXX (Japanese)XX大学 Department code (Code)XXXX (Japanese)XX部 E-mail address Email:xxxxxxxxxx@xxxx.jp Official name of host department (Code)XXXX (Japanese)XXXXXXXXX部 Evaluator 1 Name (Furigana) (Family Name)シンセイ                 (First Name)イチロウ (Kanji, etc.) (Family Name)申請                   (First Name)一郎 Job title (Japanese)教授 Affiliated institution code (Code)XXXXX (Japanese)XX大学 Department code (Code)XXXX (Japanese)XX部 E-mail address Email:xxxxxxxxxx@xxxx.jp Evaluator 2 Name (Furigana) (Family Name)シンセイ                 (First Name)イチロウ (Kanji, etc.) (Family Name)申請                   (First Name)一郎 Job title (Japanese)教授 Affiliated institution code (Code)XXXXX (Japanese)XX大学 Department code (Code)XXXX (Japanese)XX部 E-mail address Email:xxxxxxxxxx@xxxx.jp