（Form 1）

Registration No.

Application for the Grant for General Joint Research
Program of Institute for Genetic Medicine (IGM)，Hokkaido University (FY 2024)
Date: _________________
Institution (University,college, etc.)
Academic Unit (School,Faculty, etc.)
Title
Name
Address
Applicant
T

E

L

F

A

X

E-MAILResearch projects of host researchers at IGM*Circle the number of the project(s) applicable to your research project.
1. Molecular mechanism of tumorigenesis caused by infection-associated genes: Toru Kondo (StemCell Biology)
2. Immune regulation for cancer and transplantation: Ken-Ichiro Seino (Immunobiology)
3. Dissecting the mechanisms and developing therapeutics for cancers caused by persistent bacterial
or viral infection: Masahiro Sonoshita (Biomedical Oncology)
4. Analyses of innate immune responses associated with infection (SARS-CoV-2 etc,), cancer, andinflammation: Akinori Takaoka (Signaling in Cancer and Immunology)
5. Structural biological studies of factors related to infectious tumors: Nobuo Noda (Division ofbiological molecular mechanisms)
6. Analysis of DNA structure and transcriptional regulation during the development of diseases
including infectious cancers: Kenichi Noma (Genome Biology)
7. Roles of Gateway reflexes and IL-6 amplifier on infectious tumors, COVID-19, autoimmune
diseases: Masaaki Murakami (Molecular Psychoimmunology)
8. Functional analysis of cell polarity factors in infectious cancer development:Fumio Motegi(Developmental Physiology)
9. Study on the molecular mechanisms of viral hepatitis-induced infectious cancers: Kouji Moriishi

(Hepatitis Virology)
10. Mechanisms inducing genome instability in infection-associated cancer： Masanori Hatakeyama(Center of infection-associated cancer)
11. Molecular mechanism underlying Helicobacter pylori-mediated gastric carcinogenesis： NaokoKamiya (Division of Microbial Oncology)
12. Understanding the cell fate determination after oncogenic DNA or RNA virus infection:
Tomohiko Okazaki (Laboratory of Molecular Cell Biology)
13. Establishment of animal models for infectious tumors including HPV+ cervical cancers andCOVID-19: Kumiko Yoshimatsu (Laboratory of the animal experiment)
Is it new or continued

Title ofResearch

new・continued

ProjectResearch
PeriodFrom (YMD)

to (YMD)

Host researcher at IGM
Name of division：
Name of host researcher：
Role of the host researcher in the project proposed：
Research collaborators※YoungResearcher

Institution・Academic unit

Title

（35 orunder）(Please put acircle)※YoungResearcher（Under40）

Name・e-mail(Please put acircle)

e-mail:e-mail:e-mail:e-mail:e-mail:Research-related travel plan
Number of days
Name of traveler

requiringaccommodation

1.

Estimated travel expenses
Enter the total amount of travel expenses (round-trip flight, surface
transportations, accommodation and daily allowance) Note *1below.
¥（Departure Airport：）¥（Departure Airport：）¥（Departure Airport：）¥（Departure Airport：）¥（Departure Airport：）

Travel expenses (Below shall not exceed 400,000 yen)¥

【Travel expenses】
・ Travel expenses are calculated according to “HOKKAIDO UNIVERSITY TRAVEL EXPENSE
RULES” and “HOKKAIDO UNIVERSITY TRAVEL EXPENSE REGULATIONS”, and granted
within the budget.
・ Airfare shall be as much as possible for the use of non-changeable flights. The difference in fares will notbe paid when you upgrade your seat class (e.g., ANA: Premium Class, JAL: Class J). Please make yourschedule as early as possible and try to take the cheapest non-changeable flight possible (e.g., ANA: SuperValue, JAL: Special Saver).

・ As a lodging fee, up to 13,500 yen per night is reimbursed according to “HOKKAIDO UNIVERSITYTRAVEL EXPENSE REGULATIONS”.
・ As a daily allowance, 4,500 yen is provided.
・ The destination for your travel expense has to be IGM, Hokkaido University (Sapporo City).
・ The age of the young researcher should be as of April 1, 2024.

2.

Expenses for consumable supplies, etc. (includes printingand binding costs and costs for transporting animals)¥(Below shall not exceed 100,000 yen)[Consumable supplies]
1. Only the expenses of consumable supplies delivered to the IGM are covered.
2. For the General Joint Research Program, the following items are not covered by our financial support.
i.
Office equipment (Even if below 100,000 yen, no grant is available for equipment which can beused repeatedly for an extended time, such as a printer.)ii.
Office supplies (including printer toner)[Printing and binding]1. Printing and manuscript submission fees are granted only if the support from the IGM is mentioned in
the acknowledgements of your printed material.
2. The printed material must be submitted and be billable to the IGM within the applicable fiscal year.
[Transporting animals]
This refers to expenses incurred in the transportation of animals related to the joint usage or research activity
to and from the IGM.

Total （Sum of 1 to 2）¥Purpose of the research project

The proposed research plan and methods（State whether the plan contains recombinant DNA experiments orexperiments on animals.）

Necessity of the joint research with IGM

Expected results and significance of the joint researchSummary of the results and significance of the previous study if the project proposed is continued one.
※Please put ‘#’ in case of joint paper(s), and put ‘*’, if the statements for financial support or usage of our facilities
were described in the Acknowledgement.