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 1 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. 2 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) 7 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. 9 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 11 Application Form 3-db1 Researcher's Database Profile Registration Request Form English 12 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 14 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.