Download Application Form for FY 2016 SAKU Program

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Application Form for FY 2016 SAKU-咲く-Program
Supporting Advanced activities of Key yoUng researchers : promoting activities to
world best universities/research institutes
1. General Information
Last Name
First Name
Affiliation
URL
Position
Assistant Professors □
Senior Assistant Professor □ Associate Professor □
Permanent Employee □
Age
Special Contract (Fixed-Term) Employee
Years old
Sex
Male □ Female □
2. Session: please tick one or both of the options
□ A) Material sciences in a broad sense including
-
Synthesis
-
Characterizations of structural and physical properties
-
Modelling
-
Applications (NB: interface, bio, materials are covered.)
□ B) Energy
-
Production
-
Storage
-
Distribution
-
Applications
□
3. Recent Achievements including Main papers (3 max) in English
4. Description of Research related to the visits (1 page max.)
5. Tour Plan
※Please write a plan within 2 pages.
Institution 1
Location
URL
Contact person
(Name)
(Title)
(Name)
(Title)
Motivation of visit
Expected Research
Outcomes
Institution 2
Location
URL
Contact person
Motivation of visit
Expected Research
Outcomes
Institution 3
Location
URL
Contact person
(Name)
(Title)
Motivation of visit
Expected Research
Outcomes
period of your tour (plan)
Approx.
days