Application Form 3-db1 Researcher's Database Profile Registration Request

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Application Form 3-db1 Researcher's Database Profile Registration Request Form
Researcher's Database Profile Registration Request
0:Notice
<Registration required>
Professor, Associate Professor, Assistant Professor, Fixed-term Teaching Staff (Ninkisei Kyoin),
Eminent Research Professor, Research Professor, Senior Researcher, Researcher
<Registration by Request>
Tokubetsu Ninyo Teaching Staff, Tokumei Teaching Staff, Tokubetsu Keiyaku Kyoin, Tokubetsu Shohei
Kyoin, Assistant, Visiting Research Professor, Affiliate Research Professor,
Visiting Teaching Staff, Extended Tenure Professor, Visiting Senior Researcher
※※If you are not included in the above positions(ex. Shokutaku Lecturer), please register to researchmap .
http://researchmap.jp/?lang=english
■For new set up,"Researcher's Database Profile Registration Request"(this Word file) and "Researcher's
Database Profile Registration Request 2"(Excel file) must be submitted by e-mail.
■A few times a year, data from Ritsumeikan University Researcher's Database registered information is
provided to researchmap. The secretariat can load your data from researchmap into Researcher's Database
only when you assume your post. If you would like to load into Researcher's Database of data that are
registered in researchmap, please offer the following contact personnel to.
■Contact/submission
Please submit by E-mail to the following offices
Kinugasa/Suzaku
Biwako-Kusatsu
Osaka Ibaraki
Research Office at Kinugasa
Research Office at BKC
Research Office at OIC
Imai / Kitaba
Inoue / Yasukawa
Kawamura/Okamoto
E-mail: db-krsc@st.ritsumei.ac.jp
E-mail: db-coor@st.ritsumei.ac.jp
E-mail: oicro-s@st.ritsumei.ac.jp
TEL:075-465-8224(Ext. 511-2398)
TEL:077-561-2802(Ext. 515-6538)
TEL:072-665-2570(Ext. 513-3506)
■Deadlilne: May 9 (Mon), 2016 17:00
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Application Form 3-db1 Researcher's Database Profile Registration Request Form
※Please complete Japanese sections as necessary.
※If the field for Japanese is left blank, the data in the English field will appear on the
Japanese public page and vice versa.
Ⅰ:Basic information
① Name/Contact information
Faculty ID No.
ResearcherNo.(Kakenhi/e-Rad)
Family Name
First Name
Middle Name
English
Japanese
Name
Kanji
Japanese
Kana
Sex
Male
・
Female
・
No selection
TEL(External number)
E-Mail address(1)
E-Mail address(2)
* If you have not acquired a Ritsumeikan University e-mail address, please write your private e-mail address.
Link title(Japanese)
URL1
Link title(English)
Link URL
Link title(Japanese)
URL2
Link title(English)
Link URL
Link title(Japanese)
URL3
Link title(English)
Link URL
* Please enter the URLs of personal websites, related projects, etc. to post the link in Researcher's Database.
However, please unsure consent has been provided by the copywriter owner of any WEB articles, etc., that you wish to
submit prior to submission.
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Application Form 3-db1 Researcher's Database Profile Registration Request Form
Privacy Settings (Circle One)
Sex
Public / Private
Phone No.(External)
Public / Private
E-mail address
Public / Private
URLs
Public / Private
* Please mark your privacy preferences above. Privacy settings for other items can be changed after logging into
Researcher’s DB.
②Affiliation/Position
College/
Main
Department:
Graduate School:
Position:
department
Major・Program, etc:
Institution:
College/
Addl.
Department:
Graduate School:
department
Major・Program, etc:
Institution:
College/
Addl.
Department:
Graduate School:
department
Major・Program, etc:
Institution:
Ⅱ:History
①Graduate School(Multiple entries allowed.)
Japanese
University name
English
Doctoral course / Doctoral course first term(Master’s) /
Degree Program
Doctoral course second term(Doctoral) / Mater’s course / Other(
)
Date of completion(Year/Month)
Completed / Withdrawal from program with completion of credit
Completion category
requirements / Withdrawal due to exceeding enrollment limit
/ Withdrawal / Removal from register / Other(
Japanese
Graduate School name
English
Japanese
Major
English
3
)
Application Form 3-db1 Researcher's Database Profile Registration Request Form
Japanese
University name
English
Degree Program
Doctoral course /
Doctoral course first term(Master’s) /
Doctoral course second term(Doctoral) / Mater’s course / Other(
)
Date of completion(Year/Month)
Completed / Withdrawal from program with completion of credit
Completion category
requirements / Withdrawal due to exceeding enrollment limit
/ Withdrawal / Removal from register / Other(
)
Japanese
Graduate School name
English
Japanese
Major
English
②University/Other(Multiple entries allowed.)
Japanese
School name
English
School Type
University /
Junior college
Graduated
Withdraw
/
Technical college
/
High school
/
Other
Date of completion(Year/Month)
Completion category
/
Japanese
Department
English
Japanese
Faculty
English
4
/
Removal from register /
Skipped a grade
/ Other
Application Form 3-db1 Researcher's Database Profile Registration Request Form
Japanese
School name
English
School Type
University /
Junior college
Graduated
Withdraw
/
Technical college
/
High school
/
Other
Date of completion(Year/Month)
Completion category
/
/
Removal from register /
Skipped a grade
Japanese
Department
English
Japanese
Faculty
English
③Academic degrees
Japanese
Academic degrees name
English
Japanese
Granted institution name
English
Date degree was acquired(Year/Month)
How degree was acquired
Coursework /
degrees
/
Thesis
/
National Institution for Academic
/
National Institution for Academic
Other
Japanese
Academic degrees name
English
Japanese
Granted institution name
English
Date degree was acquired(Year/Month)
How degree was acquired
Coursework /
degrees
/
5
Thesis
Other
/ Other
Application Form 3-db1 Researcher's Database Profile Registration Request Form
④Career history
(Multiple entries allowed.)
*Please enter your employment history including current employment
Japanese
Affiliation/Position
English
Start date(Year/Month/Day)
Employment period
End date(Year/Month/Day)
Japanese
Affiliation/Position
English
Start date(Year/Month/Day)
Employment period
End date(Year/Month/Day)
Japanese
Affiliation/Position
English
Start date(Year/Month/Day)
Employment period
End date(Year/Month/Day)
Japanese
Affiliation/Position
English
Start date(Year/Month/Day)
Employment period
End date(Year/Month/Day)
Japanese
Affiliation/Position
English
Start date(Year/Month/Day)
Employment period
End date(Year/Month/Day)
6
Application Form 3-db1 Researcher's Database Profile Registration Request Form
⑤Commitee history(Multiple entries allowed)
Japanese
Association name
English
Japanese
Committee name
English
Type
Academic society /
Government
/
Local government
/
Other
Government
/
Local government
/
Other
Government
/
Local government
/
Other
Start date(Year/Month)
Activity period
End date(Year/Month)
Japanese
Association name
English
Japanese
Committee name
English
Type
Academic society /
Start date(Year/Month)
Activity period
End date(Year/Month)
Japanese
Association name
English
Japanese
Committee name
English
Type
Academic society /
Start date(Year/Month)
Activity period
End date(Year/Month)
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Application Form 3-db1 Researcher's Database Profile Registration Request Form
⑥Academic society memberships(Multiple entries allowed)
Academic
Japanese
society name
English
Location
Domestic(Japan)
/
Overseas
/
Overseas
/
Overseas
Japanese
Academic
society name
English
Location
Academic
Domestic(Japan)
Japanese
society name
Location
English
Domestic(Japan)
⑦Licenses/qualificationsffiliation/Position
Category
License
Acquisition year
A.D
Title of
Japanese
license/qualification
English
Category
License
Acquisition year
A.D
Title of
Japanese
license/qualification
English
Category
License
Acquisition year
A.D
Title of
Japanese
license/qualification
English
/
Qualification
/
Qualification
/
Qualification
8
(Multiple entries allowed)
Application Form 3-db1 Researcher's Database Profile Registration Request Form
Ⅲ:Research information
①Research keywords
* Please enter keywords that may be used in searches. (Please enter within 250 full-width(zenkaku) characters in
Japanese, enter within 500 half-width(hankaku) characters.)
Japanese
Keyword
English
②Research field (researchmap)
(Up to 9 fields can be registered.)
* Please fill out the corresponding sections in Application Form 3-db2.xls and submit with this Request Form.
If “9999(other)” was chosen please enter your research field (up to 200 words in English or 100 characters in
Japanese). If “9999(other)”was chosen it will not be submitted to the researchmap.
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Application Form 3-db1 Researcher's Database Profile Registration Request Form
③Subjest of research
(Please enter within 150 full-width(zenkaku) characters in Japanese, enter
within 300 half-width(hankaku) characters.)
Japanese
Subject of research
English
Japanese
Subject of research
English
Japanese
Subject of research
English
10
Application Form 3-db1 Researcher's Database Profile Registration Request Form
④ Research summary
* Please provide a general outline of your research. (If you have several research themes, include them as well)
(Please enter within 200 full-width(zenkaku) characters in Japanese , enter within
400half-width(hankaku) characters.)
Japanese
Title
English
(Please enter within 1300 full-width(zenkaku) characters in Japanese , enter within 4000
half-width(hankaku) characters.)
Research
summary
Japanese
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Application Form 3-db1 Researcher's Database Profile Registration Request Form
English
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Application Form 3-db1 Researcher's Database Profile Registration Request Form
⑤Message from researcher
( Please enter within 200 full-width(zenkaku) characters in Japanese, enter within 400
half-width(hankaku) characters.)
Japanese
Title
English
( Please enter within 1300 full-width(zenkaku) characters in Japanese, enter within 4000
half-width(hankaku) characters.)
Message
Japanese
13
Application Form 3-db1 Researcher's Database Profile Registration Request Form
English
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Application Form 3-db1 Researcher's Database Profile Registration Request Form
⑥Grants-in-Aid for Scientific Research –KAKENHISubject Number
Japanese
Subject of research
English
Start(selected) date
(Year/Month)
A.D.
End(Scheduled)date
(Year/Month)
Representative or
Categories
Assignment
A.D.
・Main representative
・Joint researcher
Amounts (YEN)
Please list total amount from
start to end
*Includes overhead costs
Subject Number
Japanese
Subject of research
English
Start(selected) date
(Year/Month)
A.D.
End(Scheduled)date
(Year/Month)
Representative or
Categories
Assignment
A.D.
・Main representative
・Joint researcher
Amounts (YEN)
Please list total amount from
start to end
*Includes overhead costs
Subject Number
Japanese
Subject of research
English
Start(selected) date
(Year/Month)
A.D.
End(Scheduled)date
(Year/Month)
Representative or
Categories
Assignment
Amounts (YEN)
Please list total amount from
start to end
*Includes overhead costs
15
A.D.
・Main representative
・Joint researcher
Application Form 3-db1 Researcher's Database Profile Registration Request Form
Subject Number
Japanese
Subject of research
English
Start(selected) date
(Year/Month)
End(Scheduled)date
A.D.
(Year/Month)
Representative or
Categories
Assignment
A.D.
・Main representative
・Joint researcher
Amounts (YEN)
Please list total amount from
start to end
*Includes overhead costs
⑦Competitive grants, etc. (exc.KAKENHI)
Japanese
Subject of research
English
Japanese
Name of fund
English
Start(selected) date
(Year/Month)
Representative or
Assignment
End(Scheduled)date
A.D.
Main representative
(Year/Month)
/
A.D.
Joint researcher
Amounts (YEN)
Please list total amount from
start to end
*Includes overhead costs
Japanese
Subject of research
English
Japanese
Name of fund
English
Start(selected) date
(Year/Month)
Representative or
Assignment
End(Scheduled)date
A.D.
Main representative
(Year/Month)
/
Joint researcher
Amounts (YEN)
Please list total amount from
start to end
*Includes overhead costs
16
A.D.
Application Form 3-db1 Researcher's Database Profile Registration Request Form
Japanese
Subject of research
English
Japanese
Name of fund
English
Start(selected) date
(Year/Month)
Representative or
Assignment
End(Scheduled)date
A.D.
Main representative
(Year/Month)
/
Joint researcher
Amounts (YEN)
Please list total amount from
start to end
*Includes overhead costs
Amounts (YEN)
Please list total amount from start to end
*Includes overhead costs
17
A.D.
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