専修学校留学生申请书(日本)

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1、APPLICATIONFORJAPANESEGOVERNMENT（MONBUKAGAKUSHO:MEXT）SCHOLARSHIP©本致炳（殳部网歹坯）奨歹含忽歹隹申请書SpecializedTrainingCollegeStudentsfor2011（専钙学楼笔学住）INSTRUCTIONS（总入S注总）1.Theapplicationshouldbetypedifpossible,orneatlyhandwritteninblockletters.（収隙（二d乙入-6Cl）2・NumbersshouldbeinArabicnumerals.（衣乡餃闸救乡总闸'/、召二上。）3・Year

2、shouldbewrittenusingtheAnnoDominisystem・（年君®h-S>>1ho）4・Propernounsshouldbewritteninfull,andnotabbreviated・（矚有2询总■「八2式看：2看=1^、一仞殆竭»勺;匕）PersonaldataenteredinIhisapplicationwillonlybeusediorscholarshipselectionpurposes,andcontactinformationsuchase-mailaddresseswillonlybeusedforformingrelatedhumannet

3、worksafterthestudenlreturnshomeandforsendinginformationbytheJapaneseCovernmonl.（本申福积二记数叙侦厶俺報本奨孝金①還君①亡纵二僵'矿力、Ct、E-mail等0）連絡先［一DU比帰国後広抑坯関係者（0^7-^竹逐匕及O必要広応15日本政府别各種情報总送信严5以外口比使用）1・Nameinfull.inyournativelanguage（Sex）（銘2（仓⑥盘））DMale（男）（Familyname/Surname）（Hirstname}（Middlename}□Female（4）InRomancapital

4、letters,（MaritalStatus）（口一P字）（Familyname/Surname）、（Firstname}（Middlename）nSingle（未俯）（Pleasewriteyournameexactlyasitappearsinyourpassport.）（织*）—卜①盘祀上⑥—（二丁C1>;）□Marricdlfil^）2-1.Nationality（題雁）2-2.PossesionofJapanesenationalityDYes,Ihave（I^VX）Pasteyourphotographordigitalimagetakenwilhinthepast6mont

5、hs・Writeyournameandnationalityinblocklettersonthebackofthephoto.（4.5x3.5cmphoto）（易A（4.5cmx3.5cm））（◎本®ist）DNo,Idon'thave（）3・Dateofbirthd年/）0）19AgeYear（年）Month（月）Day（Q）（年齢）※恥ofApril1,2011（2011年4f）10爼石）4.Presentaddressandtelcphonenumber,lacsimilenumber,e-mailaddress（观d斫仏/寵诵、77^7Xfr«Alj：E-mailTYV7.）P

6、resentaddress^?£fi所）Telephone/Facsimilenumbert耄祈*纟/FAX各纟）Ei-mailaddress※“、possible,writeane-mailaddresswhereyoucenbecontactedforperiodsthatincludethetimebeforeyoucometoJapan,yourstayinJapanandlheperiodafteryoureturnhome.（可能衣•瞋9、滝勺前~6本忽学中~帰»）、続（t-6^七力空今盘E-mailTKU灭总葩入i■召5・Chosenfieldofstudyandsubje

7、ctsinJapan（0本空售分2（/于科茅）N・B・Selectfrom^MajorsandRelatedSubjectsforFieldsofStudy"・Ifyouenterasecondchoice,ensurethatitisfromlhesameHeldofstudyasyourfirstchoice.（0于別紙「專瑜分蚌【二関」力、“ig/diS入丁召二第2希塑求疋、左入-亍召耀仝、B歹第1话璽七⑥一（7）專玻分蛉力、