Emerging Future Technology Training Program Application

If selected as an Emerging Future Technologies Training Program - EmFuTech Fellow, I agree to comply with all program terms and conditions and abide Japan laws, including pertaining to my passport status. I have carefully read and agree to honour the details of this program and also acknowledge my responsibility to strictly follow the rules and regulations of my host organization in Japan. I understand that my participation in the Emerging Future Technology Training Program - EmFuTech depends upon authorization of Mirai Innovation Japan, and in case I do not comply with the rules and ethical conduct expected, my participation can be cancelled. I understand that I am not authorized to seek or carry out any other training or employment in Japan during the period covered by the Emergent Future Technology Training Program. I understand that any misrepresentation will disqualify my candidacy. I certify that all of the statements in this form are correct and that I understand the qualifications and requirements of this program. I am aware that any violation of program conditions may cause Mirai Innovation Research Institute to withdraw my participation, resulting in a loss to complete my participation in the program, and that I will not be entitled to any reimbursement of costs. By typing my name below, I confirm that, to the best of my knowledge, all information contained in this application is true. I agree that if selected as an Emerging Future Technology Training Program - EmFuTech Fellow, I will actively participate in all program activities including the pre-departure orientation, opening conference and closing summit, Japan-based fellowship, Emerging Future Tech Program surveys, Alumni activities, and continued communication with all program members, including but not limited to partners and Mirai Innovation Research Institute.