(Form J) FY2018 Advanced Research and Development Programs for Medical Innovation Research and Development (R&D) Proposals Title of proposed R&D project of ○○ R&D Area (Type) Enter R&D Area (AMED-CREST) R&D Period Oct. 1st 2018 ~ Mar. 31th 2024 (5.5 years) Area Discipline Research Field Research field Keyword Keyword Name of R&D PI (Japanese) (English) Mr./Ms. Yyyy Yyyyyy Affiliated Institution ○○○○University Address Phone Number XX-XXXX-XXXX FAX Number XX-XXXX-XXXX E-mail YYY@YY.jp Section Title Person in charge of accounting work ○○ ○○ Accounting department name, contact information etc. R&D Mr./Ms. Zzzz Zzzzz Affiliated Institution ○○ University Address XXX-XXXX Phone Number XX-XXXX-XXXX FAX Number XX-XXXX-XXXX E-mail YYY@YY.jp Section ○○○○ Title ○○○○ Person in charge of accounting work ○○ ○○ Accounting department name, contact information etc. *Add rows as needed in accordance with the number of R&D Co-Investigators, etc. Academic Background and Professional Appointments of R&D PI Academic Background (since University) ----Example---- <Undergraduate Institution> yyyy (year of completion): Department of XXXX, YYYY University <Graduate Institutions> Master’s Course: yyyy (year of completion): Faculty of WWWW, Department of XXXX, YYYY University (Supervisor: Prof. Wwww Y. XXXX)[Necessary Information] Doctor’s Course: yyyy (year of completion): Faculty of WWWW, Department of Co-
(Unit: Thousand Yen) AMED Advanced Research & Development Programs for Medical Innovation (AMED-CREST/ PRIME) 40 Grants-in-Aid for Scientific Research, Fundamental research (S) Creating W by V (** **) 2015.4 - 2019.3 PI (1) 100,000 T Yen (2) 25,000 T Yen (3) 25,000 T Yen (4) 5,000 T Yen 20 ALCA, JST Strategic Basic Research Programs Achieving high performance in X by Y (** **) 2017.4 - 2023.3 Co- Investigator (1) 140,000 T Yen (2) 35,000 T Yen (3) 8,000 T Yen (4) - 25 List grants that the applicant is currently receiving, or selected, in descending order of the allocated budget (for the entire period). Subsequently, list those for which the applicant is currently applying or planning to apply (specify “submitted” or “preparing” in the “Program” column.) Type “Awarded” if currently awarded or a decision has been made to award, and type “Submitted” for any other status. Specify “PI” or “Co-Investigator” as “Role.” Enter the amount of allocated budget to the applicant. Do not the efforts of the programs you are applying for, or planning to apply for. Enter only the efforts received or planned to receive assuming only this program is selected. Make sure that the sum of efforts for this program and awarded funds doesn’t exceed 100 %. Add rows if needed. R&D Co-Investigator (1): ○○ ○○ Program Status Project title (Name of PI) Research Period Role (PI or Co- Investigator) (1) Allocated Budget (For the entire period) (2) FY 2018 (planned) (3) FY 2017 (planned) (4) FY 2016 (Unit: Thousand Yen) Effort (%) AMED Advanced Research & Development Programs for Medical Innovation PRIME) 10 Health and Labour Sciences Research Grants Real research for Z development (** **) 2015.4 - 2019.3 PI (1) 50,000 T Yen (2) 20,000 T Yen (3) 20,000 T Yen (4) 5,000 T Yen 20 (1) (2) (3) (4) R&D Co-Investigator (2): ○○ ○○ Sub