Recommendation Form for the Candidate for Kao ScienceAwardof Fiscal Year 2016

Receipt number

Research Field for Recommendation (Please circle either of the below fields.)
1.Thefield of chemistry and physics 2. The field of medicine and biology
Candidate
Name______
The date of birth Month Day, Year ( years of age)(45 years of age or under as of April 1, 2017)
The name of the institution
The title of position
The address of the institution
Zip code
TEL : FAX :
e-mail:
  1. Achievement for recommendation
  2. Curriculum Vitae
(List the candidate’s research experience in a clear, consecutive manner starting from the freshman year of the university, to universities, departments, and courses [including research institutions and research sectors] to which the candidate transferred. List the names of the professors [the department head] who taught the courses in parenthesis as much as possible. Use the Christian era instead of the Japanese era.)
Month Year
Month Year
Month Year
Month Year
Month Year
  1. Record of awards (Award name, theme of award, date)

Recommender
Name
The name of the institution
Signature[ ] The title of position
The address of the institution
Zip code
TEL : FAX :
e-mail:
The reason for recommendation
The summary of the research outcomes
The background of the research and the candidate’s role in the research
The main point of the research outcomes
The originality of the research,recent progress in the research area, and the significance of the research
Special Notes
(Feel free to adjust spaces for listing each item for the reason for recommendation as long as everything is listed within 2 pages.)
The list of research papers
(Please circle 3major papers, and attach 5 copies each of the said papers.)
1）Only the original report will be accepted. Summaries may be attached separately at the end.
2）Please list the papers starting from the latest one to the oldest one.
3）List the name of the author (in principle, list all the authors and underline the name of the candidate), the title of the article, the title of the journal (use the official abbreviations), the volume number, the pages (the first page and the last page), and the year of publication, in this order.
4）Please do not list papersthat are in the process of peer review or submission. Ifa paper is scheduled to be published (in press), please attach the document providing proof of acceptance (a copy of the document will be accepted).
5）If necessary, please add more pages to the form.

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