ࡱ>  @bjbj))BKzKz  X X X8BX|X̏ NZNZdZdZdZnnn$ؑR*@Ɏ\rAl\n\r\rɎdZdZ(((\rJ dZdZH\r((V@Z dZBZ Ţݚ X} ψ0̏ j~rjjnYo^olKpnnnɎɎI X^ XAPPLICATION FOR JAPANESE GOVERNMENT (MONBUKAGAKUSHO:M%84) SCHOLARSHIP e,g?e^eyf[w hYf[ёYuf[u3uˊf Research Students for 2009xvzYuf[u 00000).3425#4)/.3eQ Nn0la 00000The application should be typed if possible, or neatly handwritten in block letters. fwk0eQY00S0h0a) 00000Numbers should be in Arabic numerals.peW[o0{(upeW[0(uD00S0h0a) 00000Years should be written using the Anno Domini system. t^So0Y0y0f0fh0Y00S0h0a) 00000Proper nouns should be written in full and not abbreviated. V g T^o0Y0y0f0ck_j0 Tyh0W0 NRweuW0j0D0S0h0a) 00000 * Personal data entered in this application will only be used for scholarship selection purposes, and contact information such as e-mail addresses will only be used for forming related human networks after the student returns home and for sending information by the Japanese Government.) (,g3uˊfk0 U00_0 PN`1Xk0d0D0f0o0 ,ghYf[ёn0xn0_00k0O(uY00{0K0o0 yrk0E-mail0000I{n0#a}HQk0d0D0f0o0 0^V_k0J0Q00On00000000\O0S0h0Ss0_k0_X0e,g?e^00T.z`1X0OY00NYk0o0O(uW0j0D00 (Sex) Name in full in your native language %Male7u 00Y TV))0 000000(Family name/Surname) 00 (First name) 00000 (Middle name) %FemalesY 00In Roman block capitals (Marital Status) 00000W[ 0000000000(Family name/Surname) 00 (First name) 0000 (Middle name) %Single*gZZ %Married(eZZ) Nationality 2-2Japanese nationality00%Yes0o0D0 00V0M| 000000000000000000000e,gVM|0 gY00 %NoD0D0H0 00 Date of birth(ut^ge 0 0019 00Yeart^ 0 Monthg Daye 0 Age (as of April 1,2009)t^b2009t^ges(W Present status with the name of the university attending or employer 00sw(Wf['Yf[ TSo0RRHQ T~0g0eQY00S0h0a  Present address and telephone number, facsimile number, e-mail address 00sOO@bSs0q 00000juS E-mail0000 00sOO@b(Present address  00qjuS/FAXjuS(Telephone/facsimile number  00E-mail address 00* If possible, write an e-mail address where you can be contacted for periods that include the time before you come to Japan, your stay in Japan and the period after you return home. 00Sj0P00!neMR^e,gYuf[-N^0^V_k00_00OD0}Q00S0h0L0N`U000E-mail00000eQY00S0h00 Field of specialization studied in the pastBe as detailed and specific as possible.) 00NSk0\;eW0_0\RΑg0M00`0Q0wQSOvk0s0}k0fO0S0h0a Educational background f[tk Name and Address of School f[!h TSs0@b(W0W Year and Month of Entrance and Completion (eQf[Ss0RSmit^g)Amount of time spent at the school attended Of[t^pe Diploma or Degree awarded, Major subject f[MO0njy T QHrt^ge QHr4X@b0Y0S0h0a Please write the title of your graduation thesis or project paper. 0 * Please attach abstracts of those papers to this application. (l)֊en0i0mNn0S0h0a Employment Record: Begin with the most recent employment, if applicable.wtk Name and address of organization RRHQSs0@b(W0W Period of employment RRg Position y_w T Type of work wRQ[  From To From To 10Japanese language proficiency: Evaluate your level and insert an X where appropriate in the following blank space. 00e,gR0]UOn0F0H0 rS_kk0pS0eQY00S0h0a Excellent *Q Good o Fair S Poor  NS Reading 0R Writing fO0R Speaking qY0R  11Foreign language proficiency: Evaluate your level and insert an X where appropriate in the followjp @  \ (  &0NRZbd˵˵˵˵ˠtˬjˬaˬjh]OJPJo(jh+|Uo(h+|B*OJo(phhXB*OJPJQJo(phh+|B*OJPJQJo(phh+|B*OJo(phh+|OJPJo(h+|OJPJQJo(h+|OJPJho( h+|OJo(h+|CJOJo(h+|@OJPJo(h+|nHtHh+|nHo(tH h+|o(h+|&2  ~   ~b* $  a$gd+| $WD`a$gdy#I$VDWD8^`a$gdy#I$WDD^`a$gdy#I$a$gd+|@&gd+|4$@&gd+|4$@&gd+|d|",26dh28DR`n  nr~`|h#OJPJo(h+|CJOJo(h+|OJPJQJo(jh+|Uo(h]OJPJo(h+|OJPJo( h+|OJo(K*,Nj~XZ\$&(, $ @&a$gd+| $ a$gd+| $ a$gd+|$a$gd+| $  a$gd+|"$(*,0xz (.2:BH|,D^lt<ʿ泣}h+|CJOJh+|B*OJPJo(phh#B*OJPJQJo(phh+|B*OJPJQJo(phh+|B*OJo(phh+|OJPJQJo(h+|OJQJo(jh+|Uo(h+|CJOJo( h+|OJo(h+|OJPJo(h#OJPJo(1.B $$Ifa$gd k $-WD`-a$gdy#I$a$gd+| $dha$gd+|  $Bbx}qqqqqqqqqqqq $$Ifa$gd kkd$$IfrZo'z S g'4a  "$@Bv(*,Fbdf "2468@BDVXZ^`bprtvh+|CJOJo(h+|OJPJ h+|OJo( h+|OJh+|OJPJo(h+|CJOJh+|CJKHPJN,HJdfokd$$IfrZo'z S g'4a $$Ifa$gd k .024BPRTV`nprt$d\$Ifa$gd k*8:hr`TTTTT $$Ifa$gd kkd$$IfrZo'z S g'4a $$Ifa$gd k$d\$Ifa$gd k (*:fprtz$.02JLTbdfj  "$&,.>@BDLNh+|CJOJo(h+|CJOJ h+|OJo( h+|OJh+|OJPJo(h+|CJKHPJRr0DFHJd$d\$Ifa$gd k`TT $$Ifa$gd kkd$$If$rZo'z S g'4a $$Ifa$gd k$d\$Ifa$gd k  $:<>@N\^`blz|~ $d\$Ifa$gd kNPbdfjln|~ .0@fprtz       $ . 0 2 J L T b d f j h+|CJKHPJ h+|OJh+|CJOJh+|CJOJo( h+|OJo(h+|OJPJo(Q  0>@hrocccccTT$d\$Ifa$gd k $$Ifa$gd kkd$$If5rZo'z S g'4a $$Ifa$gd k      0 D F H J d $d\$Ifa$gd k !!!!! !0!2!4!6!>!@!B!T!V!X!\!^!`!n!p!r!t!!!!!!!!!!!!!!!!!!"P"R"x"z"""""""""####h+|OJPJ h+|OJh+|OJPJo(h+|CJKHPJh+|CJOJh+|CJOJo( h+|OJo(J occTTTTT$d\$Ifa$gd k $$Ifa$gd kkdx$$If8rZo'z S g'4a $$Ifa$gd k !,!.!0!2!@!N!P!R!T!^!l!n!p!r!!!!!!!!!!!! $$Ifa$gd k$d\$Ifa$gd k!"R"x""""#{o]]K?? $$Ifa$gd k$$IfWD,`a$gdy#I$$IfWD,`a$gdy#I $$Ifa$gd kkdj$$If-rZo'z S g'4a###D$F$% &&&0'`'b'd'f'h'j'$a$gd+| $`a$gd+|$-^-`a$gdU$a$gd+|Jkd\$$If0T T$ X g'L 4a#$####$$J$$$%%(%*%%%% &&&&,'0'<'n''''''(((R(T(j(l(((((((((((((((()) )))))")()*)2)l)n)*Z*\*n*p*v*x****** h+|OJh+|CJKHPJh+|CJOJ hUOJo( h+|OJo(h+|OJPJo(h+|OJPJQJo(Lj'( ( ((((T(V(l(((((rrrrrrr$dj$Ifa$gd kikd$$If\4 ' )r 4a4 $$Ifa$gd k$a$gd+| (((((((()) ) )xxxxx $$Ifa$gd kkkd$$IfD\4 ' )r 4a4$dj$Ifa$gd k ))))$)&)() $$Ifa$gd kkkd$$If\4 ' )r 4a4()*),)*Z*\*p*x******* $$Ifa$gd k$a$gd+|kkdq $$If\4 ' )r 4a4 *****************++++ +*+,+4+6+>+v+x+,rrdrfrhrzr|rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrsssss s sssss s"s*s,sUh+|CJKHPJ h+|OJo( h+|OJh+|CJOJh+|OJPJo(h+|OJPJQ********tttttt $$Ifa$gd k~kdM $$Ifr, 7!' rr}4a1*******+tttttt $$Ifa$gd k~kd1 $$Ifr, 7!' rr}4a1+++"+$+&+(+*+tttttt $$Ifa$gd k~kd $$Ifr, 7!' rr}4a1*+,+.+0+2+4+tttt $$Ifa$gd k~kd $$Ifr, 7!' rr}4a14+6+8+"rdrfrhr|rrrrrrrr $$Ifa$gd k$a$gd+|kkd $$Ift\, 7' r 4a1ing blank space. 00YVR0]UOn0F0H0 rS_kk0pS0eQY00S0h0a Excellent *Q Good o Fair S Poor  NS English 񂞊     French N     German r     Spanish            12The first course you plan to take in Japane,gk0J0Q00gRn0eQf[ ^g z Please mark either p!), q!), r!) or s!) with a circle. ^gY00gRn0eQf[ ^g z0!kn0d0K00xbW0 %0Y00S0h00 p!) Research studentxvzu q!) Master's degree courseOX z r!) Doctoral courseZSX z 00s!) Professional graduate course\wf[MO z 13Proposed period of study ^gY00!neBfg Please mark either p!), q!), r!) or s!) with a circle. ^gY00!neBfg0!kn0d0K00xbW0 %0Y00S0h00 p!) I wish to arrive in Japan in April.g!ne ^g q!) Although I wish to arrive in Japan in April, October is possible.g!ne ^g`0L0 10g!ne0S r!) Although I wish to arrive in Japan in October, April is possible.10g!ne ^g`0L0 g!ne0S s!) I wish to arrive in Japan in October.10g!ne ^g 14Term you wish to study in Japane,gk0J0Q00gB}vj0 ^gYuf[g Please mark either p!), q!), r!) or s!) with a circle.!kn0d0K00xbW0 %0Y00S0h00 * Please refer to item 3 titled  Term of Scholarship in the document titled  Japanese Government Scholarship for 2007 for more information on the term of scholarship and the conditions for extending the term. j0J0 hYf[ё/ef}gSs0/ef}g^wn0n0Nk0d0D0f0o0 RƖ 0hYf[ё/ef}g 00Sgqn0S0h00 p!) Only a research student s term (two years or one year and six months) 0 0xvzun00t^So0t^0g q!) From a research student through master s degree course completion OX zON~0g0 r!) From a research student through doctoral course completion ZSX zON~0g0 s!) From a research student through professional graduate course completion \wf[MO zON~0g0 15Have you been awarded a Japanese Government (Monbukagakusho) Scholarship in the past? If so, please specify the period, the name of the university, etc.NSk0VYuf[uk0c(uU00_0S0h0L0B00K00B00j00p0 ]0n0g0SeQ'Yf[ TI{0eQn0S0h00 00p!) Yes, I have. B00 Period: 0 University: q!) No, I have not. j0D0 16Accompanying Dependents (Provide the following information if you plan to bring any family members to Japan.) 0 T4O[ek!neY004XT T4ON[n0[eL0D004XTk0eQY00S0h00 * All expenses incurred by the presence of dependents must be borne by the grantee. He/She is advised to take into consideration various difficulties and the great expense that will be involved in finding living quarters. Therefore, those who wish to be accompanied by their families are advised to come alone first and let their dependents come after suitable accommodation has been found. l j0J0 T4Ok0_j0L}o0Y0y0f0Yuf[un0bg0B00L0 [e(un0[00d0Q00S0h0o0vS_Vg0B00Ìe0^8^k0rRؚk0j00n0g0B00K0X00bwU00_0D00S0n0_00 Yuf[uo0~0Z0XSg0egeW0 iS_j0[00d0Q0_0_ [e0|Ts0[[00S0h00 Name l0 T Relationship (}0g)Age t^0b  17. Person to be notified in applicant's home country in case of emergency: 00(}%`n0n0kVn0#a}HQ) 0p! Name in full: 0000l T 0q! Address: with telephone number, facsimile number, e-mail address 0000OO@bqjuS 00000juSSs0E-mail00000eQn0S0h0a 0000sOO@b(Present address) 0000qjuS/FAXjuS(Telephone/Facsimile number  0000E-mail address 0 r! Occupation: 0000w0mi 0s! Relationship: 0000,gNh0n0O 18.Immigration Records to Japane,gx0n0!n*2 Begin with the most recent travel to Japan DateeN 0 Purpose!n*vv From To From To 00000000000000000000000000000000000000000000000000000000000000 19.e,gVM|0 gW0f0D00K0 p!) Yes, I have. D00 q!) No, I have not. D0j0D0 I understand and accept all the matters stated in the Application for Japanese Government (MONBUKAGAKUSHO:MEXT) Scholarship for 2008, and hereby apply for this scholarship0 yo02009t^^e,g?e^eyf[w hYf[ёYuf[uRƖk0 U00f0D00N0Y0y0f0NW0f03uˊW0~0Y0 Date of application: 3uˊt^ge 00000000000000000000 0000000000 Applicant's signature: 3uˊr T 000000 Applicant's name in Roman block capitals  3uˊl T 0000000000      PAGE 1 ( ) Paste a passport sized photograph taken within the past 6 months. 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