Professional Documents
Culture Documents
Application Gakkai Eng200827-1
Application Gakkai Eng200827-1
Application Period: February 26, 2021 NOTE: Continues on reverse side (Double-sided copy)
Application
◇Applicant use *Application forms must be submitted or posted to the Office by applicant him/herself. date
Year/ Month/ Day
Scholarship Type to apply □ Attend at Domestic Conference □ Present at Domestic Conference □ Present at Overseas Conference
Graduate school of Economics Major: Master Program in Economic Development
Affiliation
□ M □ D (Degree Program Master Program in Economic Development) Year level: M2 (Enrolled in □ April □ September)
Student ID # 5 2 2 1 1 8 0 0 4 1 - 0 □ Enrolled □ Study abroad *Students who are on a leave of absence are not applicable
Seal/Signature TEL(Mobile)
Name 印
※No need to put your seal when you sign your name E-Mail @
〒 ‐
KATAKANA
Account # Savings
Account Holder’s Name
Name
Academic Conference
Date of the Conference Year/ Month/ Day ~ Year/ Month/ Day (Presentation date: Year/ Month/ Day)
Duration of Trip Year/ Month/ Day ~ Year/ Month/ Day (Length of Stay: Nights Days)
In case *If the budget will be withdrawn from the research expenses to make up the difference after utilizing the GAKKAI Scholarship (Budget “2” below.), please fill the following part.
Of summing with other budgets □The nearest station from your campus □The nearest station from your home ( Station Line)
A Copy of brochures, program agenda, etc. (Conference name, venue, date must be included)
学会の案内・プログラム等のコピー(学会名、開催地、会場、日程)
Everyone
Document showing the presentation is given by the applicant at the academic conference (presenter’s name, theme, and
B the date must be included) 学会での発表が分かるもの(発表者、発表テーマ、発表日記載)
C Materials used in the presentation (poster, slides, etc.) 発表資料
D GAKKAI Scholarship(Attendance/Presentation) Report (Form D) 報告書学会(参加・発表)報告書
JSPS Research Fellowship for Young Scientists must submit the following documents as well
E Materials indicating the venue of the academic conference, map for the venue, and access information
学会の会場の地図、アクセスがわかるもの(地図、アクセス案内)
Receipt of academic conference registration/attendance fee(original) or Credit card statements and supplementary
F
materials(signature/seal) 学会登録料・参加費の領収書【原本】またはカード利用明細と補足資料(署名・捺印)
G Statement/breakdown of conference registration/attendance fee (The evidence for registration fee must be included)
学会登録料・参加費の領収書の明細がわかるもの(登録料金額根拠記載)
In case if you used an aircraft (In case the venue is overseas, in Hokkaido, Okinawa, or in other island region) 航空機を利用した場合(開催地が海外/北海道、沖縄県、離島)
Air ticket receipt (original) and statement/breakdown or Credit card statements and supplementary materials
H (signature/seal) 航空運賃領収書【原本】と明細またはカード利用明細と補足資料(署名・捺印)
I Air fare estimate or statement containing the flight schedule and details of the fare フライトスケジュール
J Boarding pass stub (original) 搭乗券半券
In case paying the rest of the actual expense with other budgets such as research fund etc.
Submit the above E ~ J to the offices which manage other budgets in case using other budgets (Check Page 7 in the Application Guidelines)
◇Academic Advisor’s use only
*Please check the right box and fill in the date, sign/signature. I confirmed the above person attended or gave a presentation in the conference above.
*Regarding your budget, circle the corresponding number. I also approve that his/her academic activity is subject to this scholarship.
Academic Advisor Graduate School of Sign or Signature
confirmation/approval (Affiliation/Name) 印
Date Year Month Day ※No need to put your seal when you sign your name
指導教員 所属/氏名
1 学会奨学金より執行する(他の研究費を利用しない)。Utilize the GAKKAI Scholarship (no use of other research funds)
2 学会奨学金より執行後、差額を研究費より執行する。
Withdraw from the research funds to make up the difference after utilizing the GAKKAI Scholarship □ Daily allowance as defined
【研究費の執行予算】Funding sources of the research fund *科研費とは合算できません。 *You cannot withdraw from Grants-in-Aid for
scientific research. *予算名称は必ず記載。The budget name shall be stated. □ Reduce daily allowance (
受託研究等(民間) Delegated Research (Private sector) ( ) )
□ Daily allowance not necessary
学外共同研究 External Joint Research ( ) □ Accommodation expenses as
研究費繰越金 Management of Carried-Over Research Funds ( ) defined
奨学寄附金 Contributions for Encouraging Research ( ) □ Reduce accommodation expenses
Budget
/
/
/
交通費小計
円 円 円 円
学会参加・登録料
円
(要領収書・明細書)
1 交通費+学会参加・登録料 2 補助金支給額 精算額(返還・追加)
円 円 円
◇リサーチオフィス記入欄
月 鉄道・航空運賃 バス 学会登録料
発地~着地 日当 宿泊費
日 km 運賃 その他 (要領収書)
/ ~
/ ~
/ ~
/ ~
/ ~
/ ~
/ ~
小計
事務局備考
合計 円
科目・予算など 教研院生学会参加補助 合 計
支払先別
出
金
内
訳
合計
小計 円 円 円 円 円
事務局備考 出金依頼書を複数起票する場合の原票添付伝票番号
(起票 1 件の場合は記入省略)
大学院課・BKC・OIC リサーチオフィス
確認 検収 受付 承認 検収 受付