【Form 2】

Agreement Form

To Director of Glycan and Life Systems Integration Center, Soka University,

Institution Name	:

Address	:

Phone No.	:

The following joint research is approved by the institution listed below.

１．Representative

Name (Signature)	:

Institution	:

Position	:

２．Joint research project name

Joint research theme No.:

Person in charge	:

３．Research period: ___________________ to ___________________

Institution Head Name:

Institution Head Signature Date: _