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1、application for japanese government (monbukagakusho:mext) scholarship日木政府(文部科学省)奨学金留学生申請書specialized training college students for 2011 (専修学校留学生)instructions (記入 注意)1 . the application should be typed if possible, or neatly handwritten in block letters.(明瞭 c 乙記入t o)2 numbers should be in arabic nume

2、rals.(数字i玄氛用数字总用jz <k0)3 year should be written using the anno domini system(年号卞疋两-5 z to)4 proper nouns should be written in lull, and nol abbreviated.(固有名詞tle式肚名称一切省略<te)探 personal data cnlorod in this application will only be used for scholarship selecti on purposes, and con tact informatio

3、n such as e-mail addresses will only be used for forming related human networks after the student returns home and lor sending inlbrmation by the japanose governmenl(本申請哥二記載個人情報本奨学金(7)遶考朋际使用王力、出 特人e-mail等0)連絡先出 帰国後広拟巾関係7)礼/h7处r作事1匕及必耍忆応15日木政府則各稲情報总送倍丁召以外口玄使用1 name in lull in your native language(姓名(

4、自国語)(pamily name/surname)(first name)(middle name)(sex) male (男)female (女)in roman capital letters(口一字)(family name/surname)(first name)(middle name)(marital status) nsingle (未婚)married (:婚)paste your photograph or digital image taken wilhin the past 6 months write your name and nationalily in block

5、 letters on the back of the photo.(4.5 x 3.5 cm photo)(写真(4. 5cm x 3. 5cm)(please write your name exactly as it appears in your passport.)(綴才弋一卜(7)表記七同一二*! 2 七)2-1. nationality (国籍)2-2 possesion of japanese nationality dyes, i have u丸')(日本国籍总有弓”召者)dno, i don't have。"'幻3date of birth

6、 (生年刀日)19ageyear (年)month (ji)day (fl)(年齢)聂 as of april 1,2011 (2011 年4 月 1 日現在)4 . ivescnl address and telephone number, facsimile number, e-mail address(現住所及c/電話、番号又厲:e-mail t klx)present address (現住所)telephone/facsimile number(?s話番号/fax 番号)e-mail address斤possible, write an e-mail address where yo

7、u 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.(可能卞限耳、渡日前日本留学中帰国後使j、統廿召二七力予想e-mail t kux总記人才召二冥)5 chosen field of study and subjects in japan ( 口 木希望專攻分野及学科等)nb select from umajors and related subjects for fields

8、 of study” if you enter a second choice, ensure that it is from the same field of study as your first choice. (必于別紙尊攻分野(c関連歹召主卞学科等力選zul記入力-召二上。第2希望末7?記人歹召場合、必于第1希望上同一6尊攻分野力選択歹召 二耳)field of study (希望專攻分野)first choice of subjects (第 1 希望学科等)second choice of subjects (第 2 希望学科等)6 field of study you spe

9、cialized in at high school or university (過去在籍 l校乂【求大学*co専攻分野)7 present status (with name of school attending or employer)(現在co身分) student : name of school(在学中co者)(在籍学校勿ingrade / will graduate in(在学年次)(卒築見込年月)year monththose in employment : name of employer(就労者)(勁務先)8 educational background:(学歴)name

10、 and address of school(学校名及5所在地)year and month of entrance and completion(入学及疔卒業年n)duration ofattendances(修学年数)diploma or degree awarded, major subject, skipped years/levels (学位資格卑攻科目飛/級co状況)elementary education (初等教育) elemental school (小学校)name(学校名)location(所在地)from(入学)to(卒業)years(年)and months (月)s

11、econdary education (中等教育)ixwer secondary school (中学)name(学校名)location(所在地)from(入学)to(卒業)years (年)and months (月)upper secondary school(高校)name(学校名)location(所在地)prom(人学)to(卒業)years (年)and months (月)*-11 ligher education (高等教育) undergraduate level (大学)name(学校名)location(所在地)fromyears(入学);(年):andto:month

12、s(卒業):(月)*-2total of the years schooling mentioned above (以上总逋算0比全学校教育修学年数) as of april 1, 2011 (2011年4刀1日現在)yearsand monthsnotes- 1 exclude kindergarten education or nursery school education.(幼稚園保育所教育玄含)2 preparatory education for university admission is included in upper secondary school.大学予備教育屮等教

13、育c二含)3 if the applicant has passed the qualifying examination for admission to a university, indicate this in the blank with *t(大学入学資格試験 j it合格場合 乞旨*-1胸人記入4. any school years or levels skipped should be indicated in the fourth column(diploma or degree awarded, major subject, skipped years and levels

14、)(example: graduated high school in two years, etc)飛"級場合in乂乞旨总孩当-taa育課程学位資格,専門科目、飛”級状況欄怎記裁(例:高校3年次总飛厂級短期卒粟)5 . the applicant who has more than one major at his/her university should list all majors in the blank space with *-2 (複数0分野总専攻"t"z. 力認 大学広在籍学生it乞0専攻分野总全*-2記入丁召二七)9 employment r

15、ecord: begin with the most recent employmenl excluding part-time jobs, if applicable(h哉丿笊;t卜衣1徐 。)name and location of organizationperiod of employmentposition1'ype of work(勤務先及15所在地)(勤務期問)(役職名)(職務内容)fromio10. language proficiency:(語学力)(1) evaluate your ability as "excellent, "good&quo

16、t;, or "poor" in the blank space. (自己評価o9xl優、良、不可t)ox記入歹乙二匕jreading (談能力)writing (能力)speaking (話i能力)japanese (h本踣)english(英語)french(乃"語)others ()(s他)11. japanese language background, if any.(日本語学習歴)i ) name and address of institution(学習機関名及杉乞0)住所)ii) period of study(学習期間)fromtoyear(年)

17、month (ji)year(年)month (ji)years (年間)12. reasons for choosing to subjects entered in section 5 nb specify reasons for each subjects entered in section 5 also, ensure that the subjects in this section are the same as the subjects entered in section 5.(50)学科等总希望-r召理由 探5疋希望比学科具体的【乙記入于召二匕5七同一七扌爲二匕)subje

18、cts and reasons (希望学科等及理由)irst choice of subjects (第 1 希望学科等)second choice of subjects (第 2 希望学科等)13. what kind of field are you planning to study in japan? (日本(二留学学問总学14. what kind of impression do you have of japan?(日本u:卞印象总持召怕15. description of desired employment to be taken up after returning home.鮒国後(二希望代職業)16. person to be notified in applicant* s home country, in case of emergency-(緊急co際co母国0連絡先)i ) name in full-(氏名)ii)address with telephone number, facsimile number, e-mail ad

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