1. Name (*)
First name
Last name
2. Contact Information E-mail (*) TEL
3. Country of residence SwedenNorwayFinlandDenmark Other country:
Period of your stay there:
From (Year/Month)
to (Year/Month)
4. Affiliated Institution Institution name Department Position
5. Affiliated Institution in Japan Institution name Department Position
4. Field of research
Privacy Policy (*) I have read the Privacy Policy and accept it. Processing of personal data under the EU General Data Protection Regulation (GDPR) (*) I hereby confirm that I have received the information regarding processing of my personal data by JSPS Stockholm Office and hereby give my consent to the processing of my personal data for the purpose of building a network between Japanese and Nordic/Baltic researchers. (*) This item is required.