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???*i0a00g00j0D0Ai0a00g00j0D0  e%+ 00000 ,00^ 00  -000 00A000 00 }% .`D07`D0  % /{o{  }%  0fJTe- fJTe %1Ah:SR02, Ah:SR0 [0.00]3QW0 1?QW0 1 I}%O4QW0 2?QW0 2 I}%?5QW0 3?QW0 3 I}%236QW0 41QW0 4 I}% 7ƖGƖ %OO 8QRoQR  ???%????????? ??? 9fe-5fe %:;(  [0.00] <eQRoeQR ̙ ??v% +jn % =oD07oD0  a%XTableStyleMedium2PivotStyleLight16`a Nn0laN3 Instruction q'Form1 oForm2 Form3QQ  ;Z  ;G  ;  ;8P$ aS AA@A@   7 TEL: E-mail: (000000000000)  5  (Form 1) 5  (Form 2) 5No. 5 Impact Factor 5 (Date of Birth0ut^ge $50000000 ,(Year/Month/Day)(t^/g/e)(5000000 (zip code00: )   5> Date(Year/Month/Day)000000000000000000000000000000000eN(t^/g/e) 7 89 :; <= 50005 Curriculum Vitae0e\tkf500000 ,List of Achievements0mi>~v2(5 000000000 (Name)l T %%%%  5000 Times Cited 5 Impact Factor 5 Times Cited 5 (Kana)(K0j0)  5 D0Patents0*Distinction of applying or registered, Invention Name, Investor s Name, Summary of the Patent, Patent Number00yr10*QX0{v2n0%R0zvfn0 Ty0zvfn0l T0yr1n0}0yr1juS0 v w{| @5000000000000000x   0f[MOn0;N֊ek0o0 W0juSk0#pS0NW0f0O0`0U0D00 5 0f[Ob2o0  W0j0D0g0O0`0U0D00 5= 0b?z-Nn00n0o0 W0j0D0g0O0`0U0D00_0`0W0 StU00f0pS7R-Nn00n0o0 ]0n0<fh0j000n00mNn0F0H0 W0f0O0`0U0D00 5 03fk0d0D0f0o0 ]0n0e0 W0f0O0`0U0D00 5% 0Wfk0d0D0f0 RbWF{n04XTo0i0n0v0RbW0_0K00 W0f0O0`0U0D00 5. 0W T 3 TSo0zvh To0 Y0y0f0eQW0 ,gNn0 TMRk000000000_D0f0O0`0U0D00 5 0:SRT0h0k0W0juS0NW0f0O0`0U0D00 5mi>~v2000(Form 2) 5% 0VYn0xOo0 xvzk0OL0B00h0`0000n0k0d0D0f0eQW0f0O0`0U0D00 50Overseas Training etc.0 5 0e\tkNk0zz}vRL0B004XTk0o0 f0d0Q0f0O0`0U0D00 50Professional Experience0 5  0O gW0f0D00f[X OX ZSXn0f[MOk0d0D0f0eQW0f0O0`0U0D00 50Academic Degree0 5 0'Yf[f[eQf[NMn0f[tk0eQW0f0O0`0U0D00 5 0Education0 5e\tkf000(Form 1) 5 000000I{g0Yu0Z0k0 000Sj0b_g0cQW0f0O0`0U0D00 5 0t^Nn0SD0K00 W0f0O0`0U0D00 5 0e,gSo0񂞊g0\ObW0f0O0`0U0D00 5qQN 50 0 N0n00l0a0N0 51Instruction for filling out the application forms 5Common to all forms(Form 1)Curriculum Vitae(Form 2) List of AchievementsNo. 5No. 5O 40Certified Physician or Specialist0*Title, Qualified Society 0[;S \;S0* Ty [f[O T " #=FG05 0000000000>@B0 >Affiliated Academic 0Society, Position0 @b^\f[O y_w T&:5000000000000000(*- Sex '`%R50000 Name in Full l T 5000  0Seal or Signature0000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000pS0So00r T,500000000 "Present Address sOO@b50000000 Current Affiliation @b^\50000 Affiliation Address @b(W0W500000 Position sw 500000  60Overseas Training etc.0 0wmYxOI{0  25 00000000000 ! *0Social Contributions0 0>yOk0J0Q00;mR0&500000000= D0Awards0*Award Name, Date(Year/Month/Day) 0Sތ0*Sތ T, eN(t^/g/e)*./ 24 67 89 :; <@5000000000000000+/ 1 4  0International conference0 5  0Domestic conference0 5R :0Education0*Name of University, Faculty, Department, Laboratory 0f[tk0*'Yf[ f[0xvzy xvz[  ?@DE65 0000000000ABK MN L0Academic Degree0 *Title, Major Field, Conferring University 0f[MO0* Ty \;eRΑ cN_j  <=ABH50000000000000000?BE G L@ H0Licensure and Certification0*Title, License Number 0MQ10* Ty MQ1juS  489D50000000000000000059 < >_ D0Professional Experience0*Name of Organization, Department, Laboratory, Position 0wtk0*_j T r w T  QUV@5000000000000000RVX ] ,0Books0*Authors or translators (all in order), Title, pp., Publisher, Year (e.g. 1. 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KAKENHI Scientific Research(C), representative, 2000000yen, 2013-2015) 0xvznjёn0rs_0*xvzn0 Ty Nh0Rbn0%R ёMRbn04XTo0S_Nn0MRёMn00 gd | ! h500000000000000000000000000  <0Original Papers (refereed)0*Authors (all in order), Title, Name of Journal, vol, pp., Year (e.g. 1.* Hiroshima T, Suzuki I, Tanaka H: The relationship between eeee. Scientific Reports, 15: 200-215, 2007) 0SWg g 0*hQW T Lv c T ] R^B} t^0 g r  85 00000000000 Q 0Science Citation Index Expanded (SCI) / Social Sciences Citation Index (SSCI) / 5 0Education0  0Academic Degree0 0Professional Experience0 0Overseas Training etc.01All forms must be written in Japanese or English. 5<Fill in the forms in chronological order (oldest to newest). 5I  Fill in your academic background starting from undergraduate education. 5=  Fill in your academic degree (bachelor, master and doctor). 58  If you have a period of unemployment, explain the gap. 5V  You can fill in your overseas training courses if they are related to your research. 5 00*pS0NW0f0O0`0U0D00 5i Arts & Humanities Citation Index (A&HCI) / Emerging Sources Citation Index (ESCI) k0S2U00f0D00֊ek0o0 W0juSk0 5 00%pS0NW0f0O0`0U0D00 5/ 0xvznjёn0rs_o0 Rbh0j0c0f0D000n0k0d0D0f0o0 ꁫn0MRёMn000 W0f0O0`0U0D005 00000000000000000000000000000000  !& 0Otherwise0  5 0Competitive funds0 5*4 000000000000000NW k0o0 TMRn0Sk0*pS0NW0f0O0`0U0D0005 0000000000 < 0_(uVpeo0 00000000000000>y 0Web of Science 00O(uW0f0i"}W0_0$P0eQW0f0O0`0U0D00 5RApplication forms should not be stapled together so that we can make those copies. 5Q 0mi>~L0c U00f0D00іk0Impact FactorL0NNU00f0D004XTo0 00000000000000>y 0Journal Citation Reports 0 53 e Put the serial numbers on items in each category.  5\ e List all authors names, translators names or presenters names, and underline your name.  54 e If you write object translated books, indicate it.  53 e You cannot include publications under submission.  5R e If you research papers in press, indicate it and attach the certifying document.  5* e You cannot include conference abstracts.  5h e Put the mark * on the number of your publications covered in the Science Citation Index Expanded (SCI)  5g / the Social Sciences Citation Index (SSCI) / the Arts & Humanities Citation Index (A&HCI) / Emerging 5  Sources Citation Index (ESCI). 5= e Put the mark # on the number of your doctoral dissertation.  5I e Put the mark * on the right shoulder of the corresponding author's name$# 5e e When you write the publications published in the journals that have Impact Factors, add the values  5C and "Original Papers (refereed)" , and circle the listed numbers.Ye If you write object sharing writings in "Books", specify which section you contributed.ke Choose 10 major publications representing your achievements in the last 10 years from "Books", "Reviews" KbSet^b'`%Rt (0Conference Presentations(invited)0*Presenters (all in order), Title, Conference Name ,Year 0f[OzvhI{b_ 0*zvh oL f[O T t^"#\gh $50000000acu 0Conference Presentations(not-invited)0*Presenters (all in order), Title, Conference Name ,Year0 0f[OzvhI{0*zvh oL f[O T t^&'_ ahi 500f: 0N,n0zvho0dM0 VQSs0Vf[On0b_o 000000 0000000I{n0F{-zvhk0P0 W0f0O0`0U0D00 5h 0You can write symposiums, workshops and others if you were principal presenter. (General presentations (' 5 0 are excluded.))' 5_ e Regarding acquisition of Research Funds, please write only the allocation amount of yourself.&% 5q e Regarding the conference presentations, fill in the invited lectures in domestic or international conferences. )' 5$ ^0Clinical Trials0 0聊^f聊^l0+T0 n0[>~0$Z50000000000000000000000 !b e When you write Times Cited, add the values referring to "Web of Science" by Clarivate Analytics.  5Day of Surgery < 5Age 5Sex 5Operative Method 5S_500000$Tl 500000Anesthesia Method +5DKbSk0J0Q00y_rR TbS_ c\j0i0 @5000000000000000   * you can write cases before this period. 5  (Form 3) 5 ds|VTf[O SMRrKaR^`+50000000000000000000000000   ASA-PS +5'p 0juo0000juSh0#P}W0_0juSh0W0 xL0Sj0rKah0W0f0J0D0f0O0`0U0D00l50000000000000000000000000000   Serial Number 5ju50000gяt^n0TuO000000(Form 3)50009(Form 3) List of anesthesia cases in the last three years 5,` 0gяt^n0TuO0 W0f0O0`0U0D00t^300N 3t^900N0 NPh0W0f0 \500000000000000000000   $&0 0S_rg-Nk0VYYuf[j0i0n0_00T[>~L0\j0D04XTo0 S_rgNMRn0[>~0 W0f0O0`0U0D005000q e List your anesthesia cases in the last three years. 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