APPLICATION FORM FOR THE USE OF JAEA COMPUTER PROGRAM(S)BY
RESEARCHERS OTHER THAN JAEA EMPLOYEESFor the attention of the Director, Center for Computational Science & e-Systems (CCSE):
I, Taro Genken, hereinafter referred to as "the applicant", am filingherewith an application for your approval for the use of JAEA computer program, Particle and Heavy Ion
Transport code System PHITS, as specified hereunder;

1. Name of the applicant:Taro Genken
2. Nationality of the applicant

Japan
3. Affiliation of the applicant (including department or group name)

Japan Atomic Energy Agency, Nuclear Science and Engineering Center
4. Position of the applicant (e.g. professor, researcher, technician, post-doc, Ph.D student)

Professor
5. Full address of the affiliation:

Shirakata 2-4, Tokai, Ibaraki 319-1195, Japan
6. URL of English website of the affiliation/department*:

https://nsec.jaea.go.jp/en_index.html
7. Telephone number of the applicant:+81-29-xxx-xxxx
8. Email address of the applicant

genken.taro@jaea.go.jp
9. Purpose of use (please specify as concrete as possible):

Used for accelerator shielding and beam line design of J-PARC, which is constructed in JAEA.
10. Computer system for installing PHITS (e.g. Windows, Mac, Linux):

Windows and Linux
11. Additional information worth special mention.

NoneDateApril 9, 2019

Name Taro Genken
Signature* If there is no English website of the affiliation, please submit signed document(s) with official letter head thatshow the major research or development topics of the affiliation written in English in addition to this form.

WRITTEN PLEDGE
BY
THE APPLICANT
FOR THE USE OF JAEA COMPUTER PROGRAM(S)I, Taro Genken
conditions as provided for as follows:, hereby pledge to obey and abide by the terms and1.

I will by no means use the JAEA computer program(s) as specified in the APPLICATION FORM FOR
THE USE OF JAEA COMPUTER PROGRAM(S) BY RESEARCHERS OTHER THAN JAEAEMPLOYEES, signed by Taro Genken
on April 9, 2019,
(hereinafter referred to as FORM) for purposes other than the one as specified in the FORM.

2.

In case I make any modification on or happen to know any problem, disorder or anything wrong withthe program(s), I will immediately notify thereof to the Director of Center for Computational Science& e-Systems (CCSE) of JAEA.

3.

I will neither make copies of program(s) nor distribute to persons outside my establishment without
JAEA’s permission in advance.

4.

In case I intend to enter a contract with a third party undertaking a part or the whole of the use of or
the modification on the program(s), I will make an advance notification thereof in writing to theDirector of CCSE of JAEA.

5.

In case I intend to publish the results obtained in the course or as the result of the use of theprogram(s), I will make reference to the documents listed in the NOTIFICATION OF APPROVALFOR THE USE OF JAEA COMPUTER PROGRAM(S) to be issued in the name of the Director ofthe CCSE and addressed to the applicant and also I will include in my publication a description tothe effect that I have got the benefit of the program(s) for my publication.
Where advance consultation with JAEA is obligatory according to the terms and conditions of theapproval of the use of the program(s) for the publication of any result, it must be processed
accordingly.

6.

I will never disclose to outside persons any information about program(s) I acquire through the useof program(s).

7.

Handling and allocation of the copyright of the modified version of the program(s) or other rights
derived from the use of the program(s) by the applicant shall be decided by the agreement between
the applicant and JAEA.

8.

The applicant shall indemnify and hold harmless JAEA for any damage incurring in the course of theuse of the program(s) and other information provided by JAEA in relation with the approval of theuse of the program(s).

DateApril 9, 2019

Name Taro Genken
Signature