Form 1-3

Japan-U.S. Brain Research Cooperation Program
Researchers Dispatched to the U.S. Program FY2025: Report

	Field:_______________________	
                                                   
1.	Researcher

Name:
Title:
Affiliation:

2.	Research Title:

3.	U.S. Joint Researchers/Institutes
Please give the name, title and affiliation.

4.	Research Period, from/to (yyyy/mm/dd):

5.　Abstract, Results, and Research Significance (300 Words):

6．Other (Research-related concerns, particular points to note):

*Please attach any reference materials as necessary.