--- APPLICATION FORM

Please complete the following application form and e-mail this form to
<pschool-loc@cps.scitec.kobe-u.ac.jp> by September 22, 2008.

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Application for participation in the Planetary School January 5 - 9, 2009

1. Name (family name, given name) __________________________

2. Status/Degree (M1/M2/D1/D2/D3/postdoc for domestic applicants,
  master's or doctoral(Ph.D.) students/postdocs for foreign applicants,
  exclusive of bachelor or diploma students)
  _____________________________

3. Affiliation (Department and Institution)
_________________________________

_____________________________________________________________________________


4. Postal address
___________________________________________________________

_____________________________________________________________________________


5. Citizenship (Country) _______________________

6. E-mail address ______________________________

7. Phone number   ______________________________

8. FAX number     ______________________________

9. Your current research subject(s) or interests (about 400 words);

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

10. Reference Information:
Name, affiliation, and e-mail address of a person whom we could consult about
your qualifications (usually a supervisor for your thesis or a person in
charge of your position).

_____________________________________________________________________________

_____________________________________________________________________________

11. Are you planning to present a poster? (Yes/Maybe/No) _________

12. Do you request financial support? (Yes/No) ____

13. Estimate of transportation expenses (If Yes in Item 12):
________________________ (JPY/USD/EURO)

Departure from: _________, Arrival at: _________
Airline Company (for foreign applicants): _________

If possible, please attach a written estimate from your travel agency or
air company.

14. Preferred room type:
(a) a Japanese-style room w/o tub/shower for share (approx. 36,000  
JPY), (b) a Japanese-style room w/ tub for share (approx.  
38,000-50,000 JPY), (c) a Japanese-style room w/o tub/shower for  
single use (approx. 48,000 JPY), or (d) a Japanese-style room w/ tub  
for single use (approx. 50,000 JPY).
________________________

--------- end of the application form ------------------------------