Application No.

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Astellas Foundation for Research on Metabolic Disorders
FY2024 Step-up Research Grant Application Form
Research theme:
Keywords:

Reading (if applicable)

Name:
Age:

Last institution graduated from:
Department, faculty, etc:

Gender:PL

Date of birth: (mm/dd/yyyy)

EYear of support of research grant by AFRMD:
Years:
FY_20_____, FY_20_____

Current institution (university, graduate school, laboratory, etc.):
Department, faculty, etc.:

Current Job title:

M

Field, course, laboratory, etc.:

Current Institution address:
Tel:
Fax:
Email:SA

Contact details:List any research funding obtained as a grant for fiscal year 2024 or any obtained grant for multiple
fiscal years if it covers fiscal year 2024 (including the source, amount, and fiscal year of funding).

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NameMPL

E[Ⅰ] Graphical Abstract (Please refer to “Points for the preparation of application documents” in the applicationguidelines.)SA[Ⅱ] Objectives of your research proposal

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E[Ⅲ] Summary of achievements at the research grant stage (The submitted research report will be provided to theselection committee as a reference.）

SAM

PL

[Ⅳ] Outline of your research plans （Please specify what kind of points you want to step up. In the case of jointresearch, please describe the principal investigator, joint researcher, and research division.）

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EPLSAM[Ⅴ] Describe appeal Points for your research proposal and feasibility. If you’re planning collaborative researchor interdisciplinary research, also explain the reason why it is necessary for your research.

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E[Ⅵ] Outline of studies conducted by other researchers relating to your research proposal （If not applicable,write "None"）PL[Ⅶ] Key papers you published in relation to the proposed research plans (particularly in the last five years,including papers in press)

M・For papers in English language publications, enter the full title and your name in English. As for your name(s) and/or its
abbreviations in publications, make sure to write down all so that the Selection Committee members do not exclude papers
published with your name(s).
・The number of papers you have had published will not be taken into consideration when assessing your application. Only list key
papers related to your research proposal.
・Add a one-line explanation about the content of each publication.
・Provide your achievements according to the following.
Underlining your own name in bold.
Enter Journal names in bold italic.
Ishikawa S, Takahashi T, Ito Y, Suzuki H: Characterization of HIV-1-specific T-helper cells in acute and chronic infection. NatureImmunology 22, 118-127 (2021).

English expression of your name in publication:

English titles: 1.
2.
3.
4.

,,

SA

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[Ⅷ] Status of application to the Research Ethics Review Committee (if not applicable, please enter “Notapplicable”)[Ⅸ] Items and amount of research grant to be used (supplies, reagents, travel expenses, etc.)
The standard grant amount is 4 million yen. If the grant can be expected to have a significant effect on research, such as
accelerating research, acquiring important data, or increasing costs associated with conducting collaborative research, we
may allow the grant to be added. If you wish to increase the grant, please describe the purpose and amount of the additionalamount and explain its validity and necessity.

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