Application Form for Shared Use Program of JAEA Facilities:Filling Instructions(Updated: Apr.2024)

For the required application forms, please refer the table below.
Form
Project classification

Intendedpublicationfor

Not intended for
public disclosure

Form 1

Form 2Form 3Form 4

Basic information

For project review

For project review

For project review

△△Symbols) ○：Required.

I.

△：Research purpose and Safety check required

Form 1 (common items)：Basic information

1. Facility name and laboratory equipment to use
Completely fill out the names of the research facility, equipment, devices, etc. to use,
based on those listed in the Appendices to the Application Guide. (If anything isunclear, please confirm with the staff members in charge.)
If you are planning to use more than one facility or piece of equipment, you mustcomplete (1) and (2) for each.
2. Publication and non-publication of results
Please check the box to indicate whether Non-proprietary Research or Proprietary
Research.
3. Project leader
Please enter the name of the appropriate individual who is qualified for application,
who is capable of fully grasping the whole of the experiment, and will take full
responsibility on site. Students cannot be project leader.
For affiliations, please indicate the course/division of university, position at a privatecompany, or department of national and public research institutions you belong to.
4. Collaborating researchers
List the names of all collaborating researchers participating in the project.
If you require any support from JAEA researchers when using the facilities or
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equipment, it is possible to enlist the concerned researchers as collaborators. And, ifthe concerned researcher is credited as a co-author of published results, expenses(additional expenses) related to such support shall not be charged. However,pre-processing costs required for the operation of the Tandetron accelerator mass
spectrometer and the Pelletron accelerator for radioactive age determination will not
be waived, because they are not related to the support.
On the other hand, if results are not to be published, compensation for the support
from JAEA researchers must be agreed upon beforehand.
5. JAEA staff members consulted
Please list name and affiliation of JAEA staff members whom you have had
consultation with.
II. Form 2 (Research plans, etc.): For project review
1. Overall research planThis form should be completed by those who are applying for approval of a project
intended for publication.
(Applicants not publishing their results need to fill into “1) Research purpose” only.)(1) Please explain clearly and specifically an overview of the entire research plan for
the review process stipulated in the Application Guide, including the following:
1) Research purpose (This is not affect the project review of the project notintended for public disclosure.)2) Significance of the research (including creativity and novelty)3) Necessity of facilities and equipment
4) Research plan5) Contribution to human resource development (Explain how the research
project will contribute to the development of human resources, if relevant.)
6) Other
III. Form 3 (project implementation): For project review
1. Project implementation plans
Regardless of the type of project, this form needs to be completed by each applicant.
(Applicants of Proprietary Research must also fill out this form.)(1) The project implementation plans should include a clear indication of theequipment to be used, the beam conditions, the duration and number of times ofirradiation, the desired exposure conditions, and the scope and number of
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experiments. These detailed aspects of use will be required for allocating themachine time and the period of use (which month etc.).
For the desired number of experiment days, please list specifically the number ofexperiment days required and when (around which month), as well as durationof time required × the number of experiments.
1) Equipment, irradiation hole, etc. desired for testing2) Test sample environment, desired number of experiment days, etc.
3) Preparatory status of test samples, number of test samples, etc.
4) Specific details of the experiment to be performed, exposure planning, etc.
(If you are bringing in any outside equipment or devices, please list themhere.)5) OtherIV. Form 4 (research results/safety, etc): For project review
1. Previous research results
This will constitute an important element in the review process. Please list research
results and publications (article title, authors, journal name, volume, page, andpublication year) related to your proposed use. And if your proposed use are related
to previous use of JAEA’s shared use facility, please include relevant information.
Applicants of Proprietary Research do not need to fill in this section.

2. Safety and other concerns
Regardless of the type of project, this section on safety needs to be completed byeach applicant. (Applicants who are Proprietary Research should also complete thissection.)
Describe any special concerns for safety and other related matters.
Additional procedures may be required in the process of applying for permission
to start the experiments of the approved project, if the project involves thefollowing:1) Nuclear fuel material2) Radioactive material
3) Experiment requiring biohazard containment measures, etc.
4) Gene recombination experiment, etc.
5) Experiment involving bioethics issues, etc.
Please fill out the necessary safety information for any outside equipment or
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devices as well. As a general rule, any test samples or experimental devices
brought in from outside must be taken away after the experiment is completed.
3. Status of application
An applicant of a project intended for publication must fill out this section, if he or
she has filed a separate application under a program sponsored by anotherorganization or entity for use of the same JAEA facility or equipment as that in thisapplication. In this case, please submit a copy of the written application of therelevant issue.
Contact information
renkei.shisetsu@jaea.go.jp
4-49 Muramatsu, Tokai-mura, Naka-gun, Ibaraki 319-1112
Intellectual Property and Industry-Academia Collaboration Section
Research and Development Promotion Department
Japan Atomic Energy Agency
TEL: 029-282-0251
Remarks
The following cases may be subject to export control.
(1) Sending back samples and equipment (e.g. measuring instruments, handmade experimental instruments)
brought in by a foreign user of JAEA facility (non-resident) for joint research and other purposes
When JAEA sends back such items directly to foreign countries upon agreement between JAEA and aforeign user, export control procedures must be followed based on the internal rules of JAEA.
Depending on the items to be sent, permission of the Ministry of Economy, Trade and Industry is required.
As there are cases where it takes substantial period of time for the permission to be granted, please allow
enough time for the necessary procedures in order to avoid inconveniences arising in the research schedule.
Please consult with the International Affairs Department of JAEA if the export control classification isdifficult due to complicated specifics of the samples, equipment, etc.
(2) Provision of data obtained through experiment and samples to non-resident foreigners
For sending data (except those in the field of basic scientific research) obtained through experiment,
samples, etc. to the foreigners (non-resident) by a user of JAEA facility belonging to a Japanese research
institute other than JAEA, there are cases where export control procedures must be taken. In such cases,
please go through procedures required in such Japanese research institute appropriately.
(3) Foreigners’ taking out data obtained through experiment or samples to their own countries
Please note that non-resident foreigners’ taking out data (except those in the field of basic scientific research)obtained through experiment, samples, etc. abroad, he or she must observe the Foreign Exchange andForeign Trade Control Act of Japan.

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