Form 4
「国立研究開発法人科学技術振興機構外国人研究者宿舎」家具確認書
Interior Equipment and Fixtures List of JST Ninomiya House
＊Living room
/ SGL / DBL /＊Kitchen
/ SGL / DBL /＊Bedroom
/ SGL / DBLDining table / - / 1 / Kettle / 1 / 1 / Single bed / 1 / 2
Dining chair / - / 4 / Frying pan / 1 / 1 / Mattress / 1 / 2
Sofa bed / 1 / 1 / Pot (L) Stock-pot / 1 / 1 / Mattress pad / 1 / 2
Coffee table / 1 / 1 / Pot (S) Sauce-pan / 1 / 1 / Sheet / 1 / 2
Side table / 1 / 1 / Strainer / 1 / 1 / Blanket / 1 / 2
Lamp / 1 / 1 / Ladle / 1 / 1 / Quilt / 1 / 2
Desk & Chair / 1 / 1 / Mixing bowl / 1 / 1 / Pillow / 1 / 2
TV / 1 / 1 / Cutting board / 1 / 1 / Bath towel / 1 / 2
VCR / - / 1 / Plate (L) / 2 / 4 / Towel (L) / 1 / 2
DVD Player / 1 / 1 / Plate (S) / 2 / 4 / Towel (S) / 1 / 2
Telephone / Fax / 1 / 1 / Soup plate / 2 / 4 / Hanger / 2 / 3
Cordless phone / 1 / 1 / Cup / 2 / 4 / Hanger with pinches / 2 / 3
Internet Modem / 1 / 1 / Glass / 2 / 4 / Bedside table / 1 / 1
Internet LAN cable / 1 / 1 / Fork / 2 / 4 / Lamp / 1 / 1
Digital clock / 1 / 1 / Knife / 2 / 4
Vacuum cleaner / 1 / 1 / Wine opener / 1 / 1
Iron / 1 / 1 / Spoon (L) / 2 / 4
Ironing board / 1 / 1 / Spoon (S) / 2 / 4
Emergency torch / 1 / 1 / Kitchen knife (L) / 1 / 1
Wastebasket / 1 / 1 / Kitchen knife (S) / 1 / 1
Clothes-rod (Balcony) / 2 / 2 / Kitchen Scissors / 1 / 1 /
＊Bathroom
/ SGL / DBLWagon / - / 1 / Washing machine / 1 / 1
Refrigerator / 1 / 1 / Bath mat / 1 / 2
Microwave oven / 1 / 1
Disposer / 1 / 1
Foldaway table / 1 / -
If any of these does not work properly, please report to the office within 7 days after receiving the room key. The resident is liable for any cost of repairs or replacement. JST House is not responsible for any damage after 7 calendar days from the commencement of tenancy.
I hereby confirm that all items provided in my room are accurate, and I agree to abide by the Terms and Conditions for Residents of JST Housing for Overseas Researchers.
Room Number： / Name (print)：Date of check-in： / Signature：
2015.04.01