ࡱ> O Rbjbj$$?FΉeFΉe   VVVVVjjj8fTjiJ $$$IIIIIII$M?P8BIV$$$$$BIVVT J"$VVI$Inj?ApǬ>r@ I-J<iJ@wPP@AA2wPP$VC($$$$$$$BIBI4$$$iJ$$$$P$$$$$$$$$  : Doctoral Dissertation Submission and Publication Confirmation (Application Form) 0Based on Articles 8 and 9 of the Degree Regulations (Ordinance of the Ministry of Education, Culture, Sports, Science and Technology No.9 of April 1, 1953) and on Articles 13 and 14 of the ֱ Degree Regulations (No.8 of April 1, 2004) those who will receive a doctoral degree from ֱ shall use the ֱ Institutional Repository for the publication of the abstract of the dissertation content, the summary of the results of the dissertation screening and the entire dissertation. When you submit a doctoral dissertation, please confirm the following requirements regarding application for a doctoral degree and publication in the Hiroshima University Institutional Repository then fill out the following form: Applicant s Name:Graduate School where the Dissertation is to be Submitted:Title of the Dissertation: Inquiries On the Institutional Repository and Copyright: Hiroshima University Library Information Planning Group (Information Planning) Tel : 082-424-6228 (Extension: Higashi-ֱ 6228) Fax: 082-424-6211 (Extension: Higashi-ֱ 6211) E-Mail:  HYPERLINK "mailto:tosho-kikaku-jyoho%20@office.hiroshima-u.ac.jp" tosho-kikaku-jyoho @office.hiroshima-u.ac.jp Hiroshima University Institutional RepositoryHiR Top page: http://ir.lib.hiroshima-u.ac.jp/ On the Confirmation (application form), electronic files, thesis reviews Contact your support office (Student Support Section). On Patent issues etc.0 Contact your doctoral advisor or Office of Research and Academia-Government-Community Collaboration (Department of Intellectual Property) Tel: 082-424-5597 Fax: 082-424-6133 E-Mail: chizai@hiroshima-u.ac.jp Items to verify concerning the writing of the dissertation %The author took the required educational program on research ethics, and sufficiently understood the principles and expectations for ethical research.%The author did not commit any misconduct in the research such as fabrication, falsification, or plagiarism.%The author did not infringe upon copyright. (Works were cited in an appropriate manner as described in A  D below, or copyright clearance was obtained to use the work in writing the thesis.) A0Quotation is from a work already made public. B0Quotation is used in a manner compatible with fair practice. * Quotation is used only when deemed necessary. * Quotation is clearly indicated by devices such as quotation marks. C0Quoting from a work is permissible to the extent justified by the purpose of the quotation. * The subordinate-superior relationship between quoted parts and other passages in the text is clear. * Quotation is not used more than is absolutely necessary. D0Sources are clearly indicated.%There are no human research subjects who require privacy protection, or the privacy of the research subject is protected (the subject agreed to participate in the study, and also agreed on the manner of publication). ; For official use only f[MOjuS2u YN,{00000000Sf[MOcNt^get^000g000eItems to verify concerning the application of dissertation%In cases of there being a coauthor, the coauthor has submitted the certificate of consent  I agree to declare this thesis as your academic dissertation to avoid submission of an academic dissertation with the same contents by the coauthor. Alternatively, the dissertation is written by a single author.%The electronic data of the entire dissertation and the abstract of the dissertation content will be submitted. In cases of unavoidable circumstances as described in the Hiroshima University Degree Regulations, article 14.2, the electronic data of the summary of the dissertation content will also be submitted. The data file format of the doctoral dissertation is PDFPDF/A(ISO 19005 recommended).Items to verify concerning publication in the Hiroshima University Institutional RepositoryNote Hiroshima University conducts internet publication of the entire dissertation or its abstract in the Hiroshima University Institutional Repository (hereinafter referred to as Repository). Note that by submitting this form Doctoral Dissertation Submission and Publication Confirmation (Application Form), you agree to matters concerning reproduction right and right of public transmission, both of which are part of copyright. By publishing the data in the Repository, we manifest that data replication (print or download etc.) is strictly limited to purposes of investigative research, education, and study. Note that the abstract of the dissertation content and the summary of the results of the dissertation screening will be published in the Repository within 3 months after the day the degree is awarded and the entire dissertation or the summary of the dissertation content within 1 year after the day the degree is awarded. 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Please check any box that applies below. If none of the following options apply, check the box on this option. 0Unavoidable circumstances as described in the Hiroshima University Degree Regulations, Article 14.20 (only choose appropriate entries) !%Publication in the internet is virtually impossible because the thesis contains stereoscopic figures etc."%Text, charts or pictures etc. in the dissertation are not regarded as quotation according to the Copyright Law Article 32 and they are used with permission according to Article 63 of the same law, and publication in the Repository is beyond the sphere of permitted use and conditions. Additionally, publication in the Repository hasn t been permitted. #%There is a coauthor and permission from him/her for publication in the Repository has not yet been obtained.$%Copyrights have been granted, and permission from the copyright holder (publishing company or academic society) has not yet been obtained. %%The dissertation is already submitted/published or planned to be submitted/published and permission from the magazine or publishing company has not yet been obtained.&%There is private information or secrets concerning the object of research which are not allowed to be published. '%The dissertation is planned to be submitted/published and publication of the whole text would create obvious disadvantages to the applicant. (%The applicant has a plan to apply for patent or new design for practical use etc., and publication of the whole text would create obvious disadvantages to the applicant.To the President of Hiroshima University: For the reason stated aboveDetails0000000000000000000000000 I wish to publish a summary of my doctoral dissertation instead of the whole text. As soon as the unavoidable circumstances mentioned above are resolved, I will immediately resubmit this form to ______________ _ and have the whole text of my dissertation published in the Repository. 0Assumed date of publicationYear 20____ , Month _____ , Day _____000 0%0not yet determined (For official use only) Results of deliberations concerning the unavoidable circumstancesYear 20____ , Month _____ , Day _____0 Approval by the Faculty Meeting of the Graduate School0 the Board of Representatives %Signatures of the applicant and the doctoral advisor Signature of the Applicant for a Doctoral Degree (sign manually)Year 20____ , Month _____ , Day _____Signature of the Main Doctoral Advisor sign manually Year 20____ , Month _____ , Day _____%The advisor has confirmed that there is no plagiarism or theft in this dissertation by following methods: (1) Use of the plagiarism checking software iThenticate (2) Confirmation that citations have been made in an appropriate manner * Please attach a copy of the screenshot of the iThenticate results (where the similarity rate (%) is displayed).In cases of a doctoral degree by dissertation only, the chief etc. must sign here.     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