邢唷> 欹y 餜pobjbj6遻遻F F 8cT;?>(((*>,>,>,>,>,>,>$yA+DP>+&\(++P> >C6C6C6+D*>C6+*>C6C6V<@K@=饦垷^?4(= > ?0;?= 鵇g4~鵇==鵇2=()rC6 *\h*(((P>P>5^(((;?++++鵇(((((((((F + q: APPLICATION FOR JAPANESE GOVERNMENT (MONBUKAGAKUSHO:M%84) SCHOLARSHIP 錯,g?e淾噀钀褃f[w hYf[褢Yuf[u3u藠鴉 Research Students for 2012xvzYuf[u 00000).3425#4)/.3奺Q Nn0鑜a 00000The application should be typed if possible, or neatly handwritten in block letters. f瓀k0奺QY00S0h0a) 00000Numbers should be in Arabic numerals.peW[o0梴(upeW[0(uD00S0h0a) 00000Years should be written using the Anno Domini system. t^鱏o0Y0y0f0墻fh0Y00S0h0a) 00000Proper nouns should be written in full and not abbreviated. 鶹 g T^妎0Y0y0f0ck_j0 T饄h0W0 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 of information by the Japanese Government.) (,g3u藠鴉k0 廢00_0 P篘臽1Xk0d0D0f0o0 ,ghYf[褢n0xn0_00k0O(uY00{0K0o0 yrk0E-mail0000I{n0#恆}HQk0d0D0f0o0 0^齎宊k0J0Q00翺n00000000\O0S0h0蔛s0臺亯k0躝X0錯,g?e淾00T.z臽1X0愥OY00錘Yk0o0O(uW0j0D00 (Sex) Name in full in native language %Male7u 00覻 T陙齎瀶))0 000000(Family name) 00 (First name) 00000 (Middle name) %FemalesY 00In Roman block capitals (Marital Status) 00000W[ 0000000000(Family name) 00 (First name) 0000 (Middle name) %Single*gZZ Write your name exactly same as is printed in your passport %Married(鈋ZZ) Nationality ; Possesion of Japanese nationality00%Yes, I have.o0D0 00齎0M| 000000000000000000000000000000 0000 %No, I don t have it.(D0D0H0) Date of birth(ut^g錯 0 0019 00Yeart^ 0 Monthg Day錯 0 Age(as of April 1,2012)t^b(2012t^g錯(W Present status with the name of the university attended or employer 00w(Wf['Yf[ T萐o0銻賀HQ T~0g0奺QY00S0h0a  Present address and telephone number, facsimile number, e-mail address 00OO@b蔛s0麞q 00000ju鱏 E-mail0000 00OO@b(Present address  00麞q妀u鱏/FAXju鱏(Telephone/facsimile number  00E-mail address 00* If possible, write an e-mail address that can be used for periods including the time before you come to Japan, your stay in Japan and the period after you return home. 00颯齹j0P枈00!n錯MR^錯,gYuf[-N^0^齎宊k00_00OD0殅Q00S0h0L0圢骮U000E-mail00000奺QY00S0h00 Field of specialization studied in the pastBe as detailed and specific as possible.) 00N惢Sk0\;eW0_0\R螒g0M00`0Q0wQSO剉k0s0}k0鴉O0S0h0a Educational background f[tk Name and Address of School f[!h T蔛s0@b(W0W Year and Month of Entrance and Completion (eQf[蔛s0RSmit^g)Amount of time spent at the school attended 頞f[t^pe Diploma or Degree awarded, Major subject f[MO0菍h :OJPJo( h :OJo(ha\hd4CJOJPJQJo(h :OJPJQJaJo(h憇OJPJQJaJo(hd4OJPJQJaJh葁OJPJQJaJo(ha\OJPJQJaJo(hd4OJPJQJaJo((jhd4h :OJPJQJUaJo(hd4h :OJPJQJaJo(hd4hd4OJPJQJaJo(hd4hd4OJPJQJaJhd4h7BOJPJQJaJo( "46<Xb RTvx|~ "V\`屮茗茗茗茗瘴硒進茗茗帶屣狓狓狓珷鴶h :B*OJo(phh :OJPJQJo(h :OJQJo(h,/CJOJo(hS#Ah :OJo( hAEKOJo( hS#AOJo( h7BOJo(h :OJPJo(jh :Uo(h :CJOJo( h :OJo(8PRH $$Ifa$ $,WD`,a$$a$ ,4PVN|6LNln"痄咒掀掀掀暇淳飄暇痞葡酒ζ暇葡蠗坽tdhYrhYrCJOJPJQJo( hYrOJo(hYrCJOJPJQJo(hYrhYrCJOJPJQJhYrhYrOJPJQJaJh :OJPJ h :OJh :CJKHPJh :CJOJh :OJPJo( h :OJo(h :B*OJPJo(phh :B*OJo(phh :B*OJPJQJo(ph'"8Nnyyyyyyyyyyyyy $$Ifa$|kd$$If謗Zo'z S 4a",wk $d\$Ifa$~kd$$If旤謗Zo'z S 4a $$Ifa$  "*,.46HJP`bdjlnt|~  .02DFJLrt鯧轢獒鯇鯧鯇鯇鯇衙驗衙槊囪轢瘀轢轢轢楂獪轢瘀轢轢轢轢轢楂帷鯧轢h :CJKHPJh :CJOJo(h :h :CJOJmH sH h :h :OJmH o(sH h :h :OJPJmH o(sH h :CJOJ h :OJo( h :OJh :OJPJo(?,BDFHbxz|~ 0DF $d\$Ifa$FHJLtkbbbbb $$Ifa$~kdR$$If敃謗Zo'z S 4a $$Ifa$ $d\$Ifa$   "$,.0BDFJLN\^`bnxz|$&(.68:@BTV\lnpvx欒怙欒欒欒欒欒桫鐠鐔鐠鐠鐠鐠嬴鐠鐔鐠鐠鐠鐠鐠鐠嬴巷忤欒怙欒欒欒欒欒桫鐠鐔鐠鐠鐠h :CJKHPJh :CJOJo( h :OJ h :OJo(h :OJPJo(h :CJOJR .<>@BLZ\^`z $d\$Ifa$&8NPRTnwnnbbbbbbb $d\$Ifa$ $$Ifa$~kd$$If$謗Zo'z S 4a $$Ifa$  < P R T V $$Ifa$ $d\$Ifa$      : < > P R V X x z !!! !!! !"!$!,!.!0!B!D!F!J!L!N!\!^!`!b!n!x!z!|!!!!!!!!!!!!!!! " "鯤孓鯤鮐鯤鯤鯤鯤鯤鯤孓析仫鯤搛秭倀秭秭秭秭秭鏞鯤鮐鯤鯤鯤鯤孓鯤鮐鯤鯤鯤鯤鯤鯤孓析h :CJKHPJ h :OJh :CJOJh :CJOJo( h :OJo(h :OJPJo(QV X z !wwwwwkkkkkk $d\$Ifa$ $$Ifa$~kd$$If5謗Zo'z S 4a !!!! !.!!@!B!L!Z!\!^!`!z!!!!!!!!!!! $$Ifa$ $d\$Ifa$!! ""*"@"B"D"F"`"v"x"z"wwkkkkkkkkk $d\$Ifa$ $$Ifa$~kd$$If8謗Zo'z S 4a """" "("*","2"4"F"H"N"^"`"b"h"j"z"|"~""""""""""""""""""""""# # ##,#.#0#B#D#H#J#############$TT瑛璣瑛瑛瑛瑛瑛瑛痃徵痃徵鷂璣狼共遣遣前U hS#AOJo( h7BOJo( hu\:OJo( hAEKOJo(h :CJKHPJh :CJOJo( h :OJh :OJPJo(h :CJOJ h :OJo(Cz"|"""""""""""""""" #.#B#D#F#H# $$Ifa$ $d\$Ifa$H#J####TT2TwhVVMM $$Ifa$$劼$IfWD,`劼a$gdAEK$劼$IfWD,`劼a$ $$Ifa$~kdz$$If-謗Zo'z S 4a  000000years 00000t^ 00* If the blank spaces above are not sufficient for the information required, please attach a separate sheet 000((鑜) Nkk0鴉M0M00j0D04XTk0o0 i怱_j0%R}k0奺QW0f0鹠豊Y00S0h0a) State the titles or subjects of books or papers (including graduation thesis authored by the applicant), if any, with the name and address of the publisher and the date of publication.W匄f 謯噀RSmi謯噀0+T0a L0B00p0]0n0L T 鶴Hr>y T 鶴Hrt^g錯 鶴Hr4X@b0奩0S0h0a 0 Employment Record: Begin with the most recent employment, if applicable.wtk Name and address of organization 銻賀HQ蔛s0@b(W0W Period of employment 銻賀g摃 Position y_w T Type of work w賀匭筟  From To From To 10Japanese language proficiency: Evaluate your level and insert an X where appropriate in the following blank space. 00錯,g瀶齹汻0陙馷U姟On0F0H0 r奡_kk0pS0奺QY00S0h0a Excellent *Q Good o Fair 颯 Poor  N颯 Reading 瓓0齹汻 Writing 鴉O0齹汻 Speaking q奩0齹汻  11Foreign language proficiency: Evaluate your level and insert an X where appropriate in the following blank space. 00Y齎瀶齹汻0陙馷U姟On0F0H0 r奡_kk0pS0奺QY00S0h0a Excellent *Q Good o Fair 颯 Poor  N颯 English 駛瀶     French 螻瀶     German 靣瀶     Spanish 墳           12Have you been awarded a Japanese Government (Monbukagakusho) Scholarship in the past? If so, please specify the period, the name of the university, etc.N惢Sk0齎粚Yuf[uk0(uU00_0S0h0L0B00K00B00j00p0 ]0n0g摃0譙eQ'Yf[ TI{0奺Qn0S0h00 00p!) Yes, I have. B00 Period: 0 University: q!) No, I have not. j0D0 13Accompanying Dependents (Provide the following information if you plan to bring any family members to Japan.) 0 T4O禰蟚k!n錯Y004XT T4O圢歔n0禰蟚L0D004XTk0奺QY00S0h00 * 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. 鑜 j0J0 T4Ok0臺亯j0L}粚o0Y0y0f0Yuf[un0爩舃g0B00L0 禰蟚(un0縖倰00d0Q00S0h0o0鴙S_餠銝g0B00脤笇檈0^8^k0rR貧k0j00n0g0B00K0X00b鍂U00_0D00S0n0_00 Yuf[uo0~0Z0XS珟g0eg錯W0 i怱_j0縖倰00d0Q0_0宊 禰蟚0|Ts0腫[00S0h00 Name l0 T Relationship (殅0膅)Age t^0b 14. Person to be notified in applicant's home country in case of emergency: 00(蕔%`n0洊n0蚹齎n0#恆}HQ) 0p! Name in full: 0000l T 0q! Address: with telephone number, facsimile number, e-mail address 0000OO@b麞q妀u鱏 00000ju鱏蔛s0E-mail00000奺Qn0S0h0a 0000OO@b(Present address) 0000麞q妀u鱏/FAXju鱏(Telephone/Facsimile number  0000E-mail address 0 r! Occupation: 0000w0mi 0s! Relationship: 0000,g篘h0n0翺 15.Immigration Records to Japan錯,gx0n0!n*2 Date錯豊 0 Purpose!n*傤v剉 From To From To 00000000000000000000000000000000000000000000000000000000000000 I understand and accept all the matters stated in the Application for Japanese Government(MONBUKAGAKUSHO:MEXT) Scholarship for 2012, and hereby apply for this scholarship0 羪o02012t^錯,g?e淾噀钀褃f[w hYf[褢Yuf[u逺茤亯榢0 廢00f0D00婲槖0Y0y0f0哊銐W0f03u藠W0~0Y0 Date of application: 3u藠t^g錯 00000000000000000000 0000000000 Applicant's signature: 3u藠r T 000000 Applicant's name in Roman block capitals  3u藠l T 0000000000      PAGE 4  Paste a passport sized photograph or digital image taken within the past 6 months. 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