COLLABORATIVE RESEARCH PROJECT ON HARMONIZATION OF INDUSTRIAL PROPERTY RIGHT SYSTEMS ENTRUSTED BY THE JAPAN PATENT OFFICE

APPLICATION FORMRESEARCHER INVITATION PROGRAM 2019

Foundation for Intellectual Property, Institute of Intellectual Property*

Please fill this form out in English. Attach additional sheets whenever necessary.

*Other Entity than IIP passively implement 2019 program. In that case, the information described in the form will be transferred to the entity.

I shall apply for the program while declaring that I understand and accept the purpose of the program, the requirements for applicants and obligations, etc. which are described in the APPLICATION GUIDELINES, and that I check that there is no error in the following description.

Date

Signature

A-1

Photo

Please attach a copy of your ID photo (3 cm x 4 cm).

No.For IIP use only.

A. BASIC INFORMATION

1. NAME in FullFirst / Middle / Last2. NATIONALITY / CITIZENSHIPNationality / Citizenship3. GENDERPlease select one: ( ) Male / ( ) Female4. DATE of BIRTHMonth Day, Year5. PLACE of BIRTH (City and Country)City / Country6. PRESENT POSITION (If you have more than one position, you may add it in the same manner.)Occupation / Position: Name of Organization: Office Address: URL:

7. PRIVATE or PROFESSIONAL CIRCUMSTANCESPlease describe any possible status during the invitation period, if selected, e.g. sabbatical leave. If you are working as a full-time employee in any company or organization, please obtain prior consent to apply from your superior and attach it to the application form. Also describe your private circumstances including your family and your mental & physical conditions such as any previous or chronic disease that the IIP should consider, if any.Status during the Visit: Marital Status (Please select one): ( ) Married / ( ) SinglePrevious or Chronic Disease:

8. LANGUAGE ABILITIESYour Native Language: Language for Speaking at the Presentation and Writing the Report (Please select one): ( ) Native Language / ( ) English (recommended)

If you are a non-native speaker of English or Japanese, please indicate your own-evaluation of your English and Japanese abilities and any score tests in English (TOEFL, TOEIC or other exams) or level on the Japanese Language Proficiency Test (JLPT) if applicable, as well as any other language(s) thought necessary for the proposed research.

Reading Writing Listening Speaking Name of Test Score YearEnglishJapaneseOther LanguageOther Language

A-2

9. PAST ENTRY INTO / STAY IN JAPANPlease select and describe specifically, if yes (How many times, when, where, and the purpose)e.g. during 2014.9.1-2014.9.15 to Tokyo for Tourism( ) No / ( ) Yes (How many times: )

A-3

B. CURRICULUM VITAE (Resume, Biography)

Please describe chronologically (including starting and ending year / month).e. g. 2010.9.1-2014.8.30: Faculty of Law, ABC University, Tokyo, Japan, Bachelor of Law (2007)Section B. should be in less than 2 pages.

1. EDUCATION (After High School Level) and QUALIFICATION (Bar Exam. etc.)

2. WORK EXPERIENCE INCLUDING THE PRESENT POSITION

3. BIBLIOGRAPHY of MAJOR PUBLICATIONS AND ORAL PRESENASTIONSPlease list major publications particularly concerning industrial property issues (patents, designs or trademarks).Publications:

Oral Presentations:

4. REPRESENTATIVE PAPERSend us a copy of one of your paper, which you think representative, if available, via e-mail or post together with this Application Form.Title of the Representative Paper:

5. AWARDS (Title, Organization, Year)

6. PC SKILLOS: ( ) Microsoft Windows / ( ) Apple MacApplication: Microsoft Office ( ) Word / ( ) Excel / ( ) PowerPoint / ( ) Other

B-1

C. RESEARCH PROPOSAL (S)Please select the following check boxes with an “X” if you are applying for the Short Term Program. ( ) Short Term (1-3 months),

as ( ) the First Choice or ( ) the Second Choice (only in case of selecting both programs)

Please describe your research proposal to be carried out under this program. The proposed research should fit the program term and should be conducted on a subject related to the industrial property rights system which would require international harmonization in the medium term, since the program is sponsored by the Japan Patent Office (JPO). Please describe simply for laymen not in the specific field (Add explanations of terminology, if necessary)*no line space between paragraphs with first line indents

1. RESEARCH THEME (This title may become the title of the report.)

2. ABSTRACTPlease describe an abstract of the Research Proposal in a single paragraph of approximately 200 words.

3. BACKGROUND AND OBJECTIVE OF THE PROPOSED RESEARCHPlease describe the background and the previous research or studies on the proposed research theme, issues and originality, the points that require harmonization of the industrial property rights system (patent, utility model, design or trademark) in the medium term and the significance of the research on the Japanese industrial property rights system and/or practice as the proposed subject of study.1) Background:

2) Previous Studies:

3) Issues:

4) Points that require harmonization of the industrial property right systems in the medium term:

5) Originality:

6) Significance of the research on the Japanese industrial property rights system and/or practice as the proposed subject of study:

4. DETAILS OF THE PROPOSED RESEARCHThis is the most important part of this application. Please describe the area, scope and detailed substance of the proposed research and methodology of the research such as analysis of systems, laws, literature, or judicial precedents and interviews or discussions with specialists as well as attending seminars / symposia during your stay at IIP, if selected.

5. POSSIBLE CHAPTER TITLES OF REPORT ON THE PROPOSED RESEARCHPlease describe construction of the report on the proposed research, which you are assuming at present.Ch. 1 Ch. 2 Ch. 3 Ch. 4 Ch. 5

C-1

And so forth.

6. BACKGROUND INFORMATION CONCERNING THE PROPOSED RESEARCHPlease list information such as Laws, Regulations, Guidelines, Judicial Precedents or Literatures, etc. concerning the proposed research, which you have already studied or will study before visiting IIP.1) Concerning the Japanese industrial property system or practice:

2) Other than the Japanese industrial property system or practice:

7. FOREGROUND INFORMATION CONCERNING THE PROPOSED RESEARCH1) List of materials on the Japanese system: (Please list information such as Laws, Regulations, Guidelines, Judicial Precedents or Literatures, etc. concerning the proposed research, which you would study at IIP, if you are selected, in its translation, if no translation is available to you, together with the reasons why you need each such material.)2) List of persons whom you would like to interview or organizations where you would like to visit during your stay at IIP, if you are selected: (Please identify them with as specific name(s) as possible and describe the reasons why you need such an interview or visit. You may be requested to prepare respective questionnaires for them, if you are selected.)1) List of materials on the Japanese system

2) List of persons

8. POSSIBLE RESEARCH PERIODIIP will accept researchers during the period of minimum 1 month to maximum 3 months between the June 2019 and February 2020. Please indicate the most favorable period and alternatives, if possible, and the reasons.e.g. From October 15, 2019, To December 14, 2019 (2 months)

Choice From To Months1st Month day, 2019 Month day, 2019/20202nd Month day, 2019 Month day, 2019/20203rd Month day, 2019 Month day, 2019/2020Reasons:

9. SCHEDULE OF THE PROPOSED RESEARCHPlease describe a rough idea of the weekly schedule of the proposed research, including the preparatory period in advance of the invitation period, if selected.

Preparatory Period

Research Schedule

1st week

2nd week

3rd week

4th week

C-2

5th week

6th week

7th week

8th week

Follow-up Write and submit a draft Report to the IIP at the earlier of within one month of leaving Japan or by February 20, 2020.Cooperate for translation and editing of the Report to be submitted to the JPO by the end of March 2020.

C-3

C. RESEARCH PROPOSAL (L)Please select the following check boxes with an “X” if you are applying for the Long Term Program. ( ) Long Term (4-6 months),

as ( ) the First Choice or ( ) the Second Choice (only in case of selecting both programs)

Please describe your research proposal to be carried out under this program. The proposed research should fit the program term and should be conducted on a subject related to the industrial property rights system which would require international harmonization in the medium term, since the program is sponsored by the Japan Patent Office (JPO). Please describe simply for laymen not in the specific field (Add explanations of terminology, if necessary)*no line space between paragraphs with first line indents

1. RESEARCH THEME (This title may become the title of the report.)

2. ABSTRACTPlease describe an abstract of the Research Proposal in a single paragraph of approximately 200 words.

3. BACKGROUND AND OBJECTIVE OF THE PROPOSED RESEARCHPlease describe the background and the previous research or studies on the proposed research theme, issues and originality, the points that require harmonization of the industrial property rights system (patent, utility model, design or trademark) in the medium term and the significance of the research on the Japanese industrial property rights system and/or practice as the proposed subject of study.1) Background:

2) Previous Studies:

3) Issues:

4) Points that require harmonization of the industrial property right systems in the medium term:

5) Originality:

6) Significance of the research on the Japanese industrial property rights system and/or practice as the proposed subject of study:

4. DETAILS OF THE PROPOSED RESEARCHThis is the most important part of this application. Please describe the area, scope and detailed substance of the proposed research and methodology of the research such as analysis of systems, laws, literature, or judicial precedents and interviews or discussions with specialists as well as attending seminars / symposia during your stay at IIP, if selected.

5. POSSIBLE CHAPTER TITLES OF REPORT ON THE PROPOSED RESEARCHPlease describe construction of the report on the proposed research, which you are assuming at present.Ch. 1 Ch. 2 Ch. 3 Ch. 4 Ch. 5 And so forth.

C-4

6. BACKGROUND INFORMATION CONCERNING THE PROPOSED RESEARCHPlease list information such as Laws, Regulations, Guidelines, Judicial Precedents or Literatures, etc. concerning the proposed research, which you have already studied or will study before visiting IIP.1) Concerning the Japanese industrial property system or practice:

2) Other than the Japanese industrial property system or practice:

7. FOREGROUND INFORMATION CONCERNING THE PROPOSED RESEARCH1) List of materials on the Japanese system: (Please list information such as Laws, Regulations, Guidelines, Judicial Precedents or Literatures, etc. concerning the proposed research, which you would study at IIP, if you are selected, in its translation, if no translation is available to you, together with the reasons why you need each such material.)2) List of persons whom you would like to interview or organizations where you would like to visit during your stay at IIP, if you are selected: (Please identify them with as specific name(s) as possible and describe the reasons why you need such an interview or visit. You may be requested to prepare respective questionnaires for them, if you are selected.)1) List of materials on the Japanese system

2) List of persons

8. POSSIBLE RESEARCH PERIODIIP will accept researchers during the period of minimum 4 month to maximum 6 months between the June 2019 and February 2020. Please indicate the most favorable period and alternatives, if possible, and the reasons.e.g. From July 15, 2019, To December 14, 2019 (5 months)

Choice From To Months1st Month day, 2019 Month day, 2019/20202nd Month day, 2019 Month day, 2019/20203rd Month day, 2019 Month day, 2019/2020Reasons:

9. SCHEDULE OF THE PROPOSED RESEARCHPlease describe a rough idea of the monthly schedule of the proposed research, including the preparatory period in advance of the invitation period, if selected.

Preparatory Period

Research Schedule

1st month

2nd month

3rd month

C-5

4th month

5th month

Follow-up Write and submit a draft Report to the IIP at the earlier of within one month of leaving Japan or by February 20, 2020.Cooperate for translation and editing of the Report to be submitted to the JPO by the end of March 2020.

C-6

D. LIST OF RECOMMENDATIONS

Please list the names and addresses of recommenders to whom you requested a recommendation. If you are working as a full-time employee in a company or organization, you should obtain a recommendation or at least approval for application from your superior.

Although we require at least one recommender, applicants are encouraged to submit two letters of recommendation. The Certified Recommendation Letter(s) should be sent to IIP directly from the recommender(s) by e-mail.

Recommender

Name

Title

Professional Affiliation

Address

Recommender

Name

Title

Professional Affiliation

Address

D-1

E. CONTACT INFORMATION

1. OFFICEName of OrganizationAddressE-mailTel (starting with country code)Fax

2. PRIVATEDomicile (City, Country)E-mailMobile phone (starting with country code)Tel (Land line) (starting with country code)Fax

3. OTHER CONTACT PLACEIf the most convenient place is different from 1. and 2. above, please provide the information on your contact place for communication from the IIP below.Name of PlaceAddressTel (starting with country code)Fax

4. INFORMATION FOR TELEPHONE INTERVIEWWe will conduct a telephone interview with you after receiving your application. Please mark (multiple selections are also possible) the most convenient location, days and time frame (local time and Japan time, in consideration of the time difference between your country and Japan) to get in touch with you by telephone (preferably a fixed land line) with (X): If there is a specific period when you are not available, please identify in Remarks.

Days: Local Time: Japan Time:( ) Office( ) Private( ) OtherRemarks:

5. Your e-mail address will be registered in our mailing list for the program 2020, if you wish.Please select one: ( ) YES / ( ) NO

6. How did you learn about the program of this year? Could you please identify the source, if it is not inconvenient for you?Source:

E-1