Application form for the Research Grant by Policy Science Association of Ritsumeikan University Date: Research leader Name( Student ID No.( ) (Month)/ (Day)/ 20 Seal/Signature ) Master/Doctoral Program of the Graduate School of Policy Science 1st/2nd/3rd/4th year of the College of Policy Science Name and organization of co-researcher(s) if applicable Research theme Proposed research approach (Please fill in as specific as possible.) Research presentation result plan and schedule Please fill in the back side as well. Requested amount to be JPY provided Plan for how to (Please indicate the destination, purpose, transportation to get to the destination, unit use the grant given price of the transportation for, and frequency of the research trip. If you plan to present at (Please (an) academic conference(s), please specify the name, date and venue of that (them).) indicate specific amount for each case.) Contact to leader Address: Zip Code Cell phone #: E-mail address: Bank Bank/Credit Union Branch Account No (Kana) Account holder Branch Ordinary account No.