Application format of a bounty provided on a basisof research publication in international academic conferenceduring 2017
Dear the Dean of the Graduate School of Natural Science and Technology
yyyy/mm/dd
Applicant’s Name
Affiliation
Grade
Student ID
Chief Supervisor
Affiliation
Position
Nameseal
I, herewith, apply for the bounty provided by the Graduate School of Natural Science and Technology in Kanazawa University on a basis of research publication in international academic conference during 2017 as below.
Note
1. Information about an international conference where I publish my research result
A. Name of the international conference
B. Name of the Host
C. Place (country, region, and venue)
D. Period
E. The number of attendances(If not indefinite, please inform the one in last time.)
F. Publication Form (Please circle your answer.)
a) Oral b) Poster the number of pages your thesis includes:
G. Theme of the published research and its summary
(Theme of the published research)
(Summery of the published research; around 150 words)
2. The extent of applicant’s contribution to results of the published research (%)
3. Eligible for this Bounty（Please circle your answer）
A. Research Fellowships for Young Scientists of Japan Society for the Promotion of Science
a) Yes b) No
B. Dispatch of overseas society that received the furtherance by the Higher Education Department of Institute for Frontier Science Initiative in Kanazawa University
a) Yes b) No
C. The foreign tour that received the furtherance by the Global Standard Leading Program, Graduate School of Natural Science and Technology in Kanazawa University
a) Yes b) No
D. The foreign tour by student instruction expenses or donations
a) Yes b) No
E. The foreign tour that received the aid by thefoundations
a) Yes b) Under application c) No
4. Expenses and current applicant’s state regarding application for the foundation
A. The amount of expenses; thousand(s) yen
(transportation； thousands yen / accommodation; thousands yen )
※Resource of expenses (Please circle expense(s) out of three listed below)
(student instruction expense, donation, bounty provided by any foundation upon this publication)
Note: research expenses (including expenses of infrastructure research, emphasis strategy, consignment research, collaborative research, and scientific research) are not available.
B. Current applicant’s state regarding application for the foundation and results
a) Already applied
・Accepted
Name of the bounty foundation：
The amount of bounty thousand(s) yen
・Under deliberation (report a result immediately)
Name of the bounty foundation：
The amount of bounty thousand(s) yen
・Disapproved
Name of the bounty foundation：
b)No application
5. History of going abroad
A. Have
・The name of country：
・Purpose（Please circle your answer）：
Publication on academic conference with expense of (private / public / bounty
from any foundation / other)
Sightseeing
Other ( )
B. Not have
6. View of the chief supervisor (around 70words)