旅行報告書:GIMRT Business Trip Report
* is required.
共同利用が終了後速やかにこちらに旅行報告を記入してください。Please fill in your email address below.
Email address *
課題番号 Proposal No. *
カテゴリー:Area *
受け入れ部門 Host Lab. *
If none of the listed labs apply, please choose その他 and fill in.
氏名 Visitor's Name *
所属機関および研究科・部署等 Affiliation and Department *
身分 Position *
用務、どこで、誰となにを行ったのかを数行で簡単に記入下さい。Write what has been done, with whom and in which place (lab./center name etc.) in a few lines.
成果、当該出張で得られた成果について記入して下さい。Write what has been achieved by this business trip in a few lines.
未提出の書類:Document should be submitted
支払いに関わる旅行計画の変更があれば記入して下さい。If you have any plane of your business plan from what you submitted, please write below.
登録内容のコピーを受領したら受け入れ教員に転送して予定を共有して下さい。Please transfer the copy of this registration to a local contact to share your schedule.
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of 国立大学法人東北大学. Report Abuse