分野

支援フェーズ

Subject Number :S-19-xx-xxxx

Support Type : (select) Common use (including technical support necessary for the training),

Technical support (except the training), Technical surrogate,

Collaborative research, Technical consultation

Proposal Title (English) :

Username (English) :A. Aaaaa1), B. Bbbbb2) (underline applicant’s name)

Affiliation (English) :1) Aaa、Bb University, 2) Ccc , Co., Ltd.

分野

支援フェーズ

1. Summary

（ If the suppor type you used is technical

consultation, you only have to describe

1.Summary.）

2. Experimental

(Describe main facilities you used and your

experimental method.)

3. Results and Discussion

(Give figures and tables if necessary.)

4. Others

(Describe references, explanation of the technical

terms and acknowledgements if necessary. If you

have no items mentioned, describe “N/A“.)

5. Publication/Presentation

(1) A. Aaaaa, B, Bbbbb and C. Ccccc, (journal title), Vol.

## (yyyy) p.p.##-##.

(2) A. Aaaaa, the n-th academic society autumn meeting,

yyyy/mm/dd (presentation date).

(Describe “N/A”, if you have no items in this column.)

6. Patent

(1) A. Aaaaa and B. Bbbbb (inventor name), ”xxxxxxx (Title

of invention)”, Patent Application Publication,

dd/mm/yyyy (published date)

（ Describe the patent which was published or

registered. Do not describe the patent which has not

published yet. Describe “N/A”, if you have no items in

this column.

* Attention1. User report submitted will be posted on Internet webpages, or delivered to National

Diet Library as a part of Reports of Nanotechnology Platform Program. 2. In section 4. Others, you may describe acknowledgements to financial grants, the

collaborators or the technical assistants, as well as references, explanations of the technical terms.

3. In section 6. Patent, you should not describe the patent which has not published yet. Only the patent which was published or registered should be presented.