Order/Contract Request Form
Date of
Request
MM
DD
YYYY
Budget Type to be Implemented
* Order/Contract procedures must be taken when the price for one item or lot is 100,000 yen or more.
* Attach catalog, specifications and similar documents (copies are acceptable). Attach an estimate if one has been obtained.
* Please select the desired budget type you wish to implement, fill in the areas encircled with the thick solid line and submit it to the relevant Research
Office.
Strategic Research Foundation
Research Environment
Delegated Research
Project Name
Grant-aided Project for Private
Enhancement Funds
(
)
(
)
Universities
Ritsumeikan University Research
Extramural Joint Research
Grants-in-Aid for
Promotion Program
(
) Scientific Research
Grant for
Grant for General
Program to Support General
Contributions for Encouraging
New
Challenging
Research Activities
Research Activities (KibanResearch
Academic
Exploratory
(Kiban-kenkyu)
kenkyu)
(
)
Areas
Research
(
)
Grant for Research
Management of Carried-Over
Program for Promotion of
Grant for JSPS
Start of Research
of Young Scientists
Research Funds
International Research
Fellows
Activities
(Wakate-kenkyu)
(
)
(
)
[Share of the
Other (
)
Other Internal Programs
Other External Funds
Grant-in-Aid]
(
)
(
)
Affiliation of Representative:
Item:
* Write in the name of the research representative below if the budget type is one of the following: Grant-in-Aid for Scientific Research, Strategic Research
Foundation Grant-aided Project for Private Universities, G-COE, and Joint Research such as the System for Promotion of Research Institutes.
Name of the Research Representative
Notes to Office
Applicant
Affiliation:
Job Title:
Name of Item/Lot
Amount
Budget
Place of
Installation
Name:
Seal
Specifications/Model
yen
Manufacturer
Desired Delivery
Date
Name of Campus:
Floor:
Name of Bldg.
Room:
MM
DD
YYYY
Note (Intended use)
[The Following is for Office Use Only]
Budget Unit
Operation
Specifics
Code
Code
Code
Accounting Item
 Equipment
Code
6301070
Reason for Purchase
Selection
Attached/
Not attached
 Consumable
Supplies
5301010
Printing
Expenses
5309010
Outsourcing
Expenses
5319000
ID Number
Book Material
Expenses
Deposit of
Grant-in-Aid
for Scientific
Research
(
)
)
5301030
* Sole-source procurement is generally not possible.
If goods satisfying specifications can be delivered only by a specified company, write down the
corresponding reasons under selection reason of the Reason for Selection (Research Division Form 16), and, together with the evidence materials, attach these to this form.
Budget balance
Other
(
Received by
yen
Research Division Form 1-1, April 2015 Version