**************************FORMAT**************************


    SEND THIS FORMAT: 
    BY EMAIL : director@rcnp.osaka-u.ac.jp<br>
    BY FAX :    +81-6-6879-8899<br>
Name:
      ____________________________________________________________________
       (Family Name,            Given Name,                Middle Name)

Date of Birth:
               ________________________________________________________
                              (Day / Month / Year)

Sex:                                                   [Male or Female]
               ________________________________________________________

Birthplace (Country):
                    _________________________________________________
Nationality:
              __________________________________________________________

Affilication:
(With Address) 
               _________________________________________________________

              _________________________________________________________

              _________________________________________________________

              _________________________________________________________

Status:
              _________________________________________________________

Home Address:
              _________________________________________________________

              _________________________________________________________

              _________________________________________________________

School Career: with Period  (after high school)

Month/ Year (19 . . ) - Month/ Year (19 . . )       Name of your school
_________________________________________   __________________________________

_________________________________________   __________________________________

_________________________________________   __________________________________

_________________________________________   __________________________________

 * Be sure to write the typical time (in years) required for graduation 
   settled in the country where you have studied.
	Undergraduate: __________ years 
	Master: __________ years
	Doctor: __________ years
   → If this does not apply for your country, please indicate the 
      corresponding total time: ___________ years

Date and Year of getting Ph.D:
                      _________________________________________________
                           (Day/ Month/ Year)

            Ph.D. in                                          (Subject)
                      _________________________________________________

Occupational Career: with Period (Month/ Year)
   * Be sure to make circle: FULL time or PART time
   * If you are (were) part time worker (researcher), please write the working 
     hours per week.

   Month/ Year (19 . . ) - Month/ Year (19 . . )

______________________________________________  [FULL / PART] (____hours/ week)

______________________________________________  [FULL / PART] (____hours/ week)

______________________________________________  [FULL / PART] (____hours/ week)

______________________________________________  [FULL / PART] (____hours/ week)

______________________________________________  [FULL / PART] (____hours/ week)




Subject of Your Study:
                       ________________________________________________

                       ________________________________________________

                       ________________________________________________


Publication (10 main recent papers: Title, Authors, Journal, Volume, Page, 
Year)

     1.


     2.


     3.


     4.


     5.


     6.


     7.


     8.


     9.

    10.



Title of Your Planning :
Study in RCNP           _______________________________________________

                        _______________________________________________

Period of Your Stay in RCNP:        *invitation will begin from July, 2001.

                        __________________________________________________ 

Nearest Intl' Airport:
                        __________________________________________________
  
Have you ever visited to Japan?                            [Yes or No]
                        __________________________________________________