Form 2-1 

Japan-U.S Brain Research Cooperation Program
Application for Group Joint Study Project Program FY2025

Field:　　　  

1. Principal Researcher for Group Joint Study Project           
Name:				Signature or Electronic signature:
Title and Affiliation:
Address of the Affiliation:
Contact Information
		Tel:
		E-mail:

2. Research Title:

3. Japanese Group Organization
    Principal Researcher
Name:
Title and Affiliation:
    Collaborating Researcher
Name:
Title and Affiliation:

4. U.S. Group Organization
Principal Researcher
Name:
Title and Affiliation:
    Collaborating Researcher
Name:
Title and Affiliation:

5. Research Period (Max. of 3 years) (yyyy/mm/dd): 
From            to            (     years)

6. Motive for Application (Please note in detail the need for joint study.)

7. Division of Roles between the Researchers:

8. Research Plan
　(1) Abstract and Future Outlook of the Entire Research Plan

　(2) Specific Research Plan in FY2025 

　(3) Expected Result of Research

9. Dispatch Plan
*when there are some dispatch plans in the same FY, each plan should be described.
　	Dispatch Plan in FY2025
Dispatched Researcher
Name:
Title and Affiliation:
Period of Dispatch (yyyy/mm/dd):
Host Institute:

　	Dispatch Plan in FY2026
Dispatched Researcher
Name:
Title and Affiliation:
Period of Dispatch (yyyy/mm/dd):
Host Institute:

　	Dispatch Plan in FY2027
Dispatched Researcher
Name:
Title and Affiliation:
Period of Dispatch (yyyy/mm/dd):
Host Institute:

10. Major Publications (Max. of 10 publications): 

11. Grants from Other Institutions (Please note major grants including grants that are under application 
and scheduled for application. Please specify research title, amount of research fund, research period, and roles of the principal researcher, collaborating researcher, etc. with respect to each grant.)