2016 Mex Tapp Doc Seng

8/19/2019 2016 Mex Tapp Doc Seng

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Application Procedures (September 2016 Admission)

1. Documents to be submitted

1) Please refer to the checklist on the next page and ensure ALL required documents are submitted. Some of the

required documents are included in this PDF.

2) Documents 1, 2, 3, 4, and 11 are included in this PDF. Please fill in all forms electronically in this PDF, where possible, and print on A4-sized paper.

* Please print all forms SINGLE-sided.

3) Documents 1, 2, 3, 4, 5, 6, 7, and 11 listed on the next page must be original versions.* If you cannot submit your original document, you may submit a copy that is certified by the issuing

organization as being a "certified true copy" and identical to the original in all respects. Please note that certified

copy must contain the original signature or seal of the university. Photocopied seals will not be accepted.* All signatures and seals must be original.4) Please DO NOT staple your application documents.

2. Important points for application

1) All submitted documents should be printed in the language you intend to study, either Japanese or English, on

A4-sized paper using PDF or word-processing software. If your documents such as certificates are in anylanguage other than Japanese or English, then you must submit the original certificate in addition to a translation

into Japanese or English. Translations will only be accepted if issued and signed by a translation company or a

qualified translator.

2) The name and birthday on all documents must be the same as that on your passport.3) All application documents must be submitted together and delivered by a traceable international express mail

service to the address below and arrive before the application period ends.

4) Documents such as thesis summaries should be concise summaries of your thesis contents.5) If it is determined that your application documents contain any deliberate falsifications of forgeries, your

application will not pass the examination.

6) Submitted documents cannot be returned for any reason.

3. Application Period

Friday, October 30, 2015 – Monday, November 30, 2015

All documents must be sent by express post (EMS, FedEx, DHL, etc)We will not send you a notification when we receive your application documents, so please use a

tracking service if you would like to know when your application documents have arrived.

All documents must arrive by the deadline.

Only posted applications will be accepted. No applications by email, fax, or walk-in will be accepted.

4. Application Mailing Address

Ritsumeikan University International Center at BKC

1-1-1 Noji-Higashi, Kusatsu, Shiga, Japan 525-8577

Phone: +81 (0)77-561-3946

2016 MONBUKAGAKUSHO Scholarship

(Host University Recommendation)

Application period: October 30, 2015 – Monday, November 30, 2015All documents must arrive by express mail before the deadline.

Please allow sufficient time for deliver .


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Application Documents Checklist (September 2016 Admission)

Forms 1, 2, 3, 4, and 11 are included in this PDF.

1. Ritsumeikan University Application Form (GS A) *3 pages: MUST be printed single-sided

2. APPLICATION FOR JAPANESE GOVERNMENT (MONBUKAGAKUSHO: MEXT) SCHOLARSHIP (4 pages) *MUST be printed single-sided. This form must be completed in the language in which your program is taught (either English or Japanese).

3. Application Questionnaire (2 pages) *MUST be printed single-sided.

4. Field of Study and Study Program (2 pages) *MUST be printed single-sided.This form must be completed in the language in which your program is taught (either English or Japanese).

The "Field of Study" should outline your intended field, while "Study Program" should detail your individual

research plans and progression during your degree.

5. Recommendation Letter by the dean, or a person of higher position, at the applicant’s current university (ifthe applicant has graduated, from the most recently attended school) Letter must be addressed to the "President of Ritsumeikan University, Japan")

Please be sure the appropriate titles of the sender and addressee are included.

6. Original certification of grades achievedCertificate of grades must show number of credits for each course.Certificate of grades must show the year/ semester during which each credit was acquired.

Certificate must include or be accompanied by a certificate that shows a clear explanation of all possible levels

used in grading, including the pass/ fail mark. Certificate must include grades for at least the final two years of courses of the most recently attended

undergraduate or graduate program.

7. Original certificate of graduation (or expected graduation) from most recent degree program

8. Concise summary of graduation thesis for current/most recent degree If you didn’t write a thesis for your most recent degree (if currently enrolled, a thesis towards your current degree),

please submit a summary of your research field instead.

9. Copy of applicant’s passport, if applicable, or other government-issued family registry or citizenshipregistry copy that shows applicant's legal name and birthdate

10. Copies of certificates of language proficiency For English Language:

Submit a score report from one of the following: TOEIC®, TOEFL®-iBT, TOEFL®-PBT, TOEFL®-CBT, or

IELTSTM. Copies are acceptable for these score reports.

*Test must have been taken between November 30th, 2013 and November 30th, 2015. Applicants who cannot submit a score certificate from one of the tests above must submit an original, formal

certificate of English language ability level, or a formal letter stating as much, issued by either their current

university, or, if they have graduated, from their alma mater. Only original documents may be accepted.

*Language ability certifications must have been issued between November 30th, 2013 and November 30th, 2015.

*Applicants who intend to submit this kind of certificate must contact the International Center at BKC in advance.

11. Certificate of Health (Please use the attached form, or one with identical contents)

12. Three (3) photographs of applicant (taken within 6 months, 4.5 cm tall x 3.5 cm wide, full-faced, chest-up, withno hats or caps).Write applicant’s name and nationality on reverse of each photo and attach one each to the Ritsumeikan University

Application Form and the Monbukagakusho: MEXT application form in the designated locations.

13. PDF copy of 教育部学歴証書電子注案表 (Graduates of Chinese Universities, only) or PDF copy of 教育部学籍在線験証報告 (Current Students at Chinese Universities, only)

2016 MONBUKAGAKUSHO Scholarship

(Host University Recommendation)


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－1－

APPLICATION FOR JAPANESE GOVERNMENT MONBUKAGAKUSHO:M Ｘ ) SCHOLARSHIP

日本政府（文部科学省）奨学金留学生申請書

Research Students for 2016（研究留学生）

ＩＮＳＴＲＵＣＴＩＯＮＳ（記入上の注意）

１．Type application, if possible, or write neatly by hand in block letters.（明瞭に記入すること｡)

２．Use Arabic numerals.（数字は算用数字を用いること｡)

３．Write years in the Anno Domini system. （年号はすべて西暦とすること｡)

４．Write proper nouns in full without abbreviation. （固有名詞はすべて正式な名称とし、一切省略しないこと｡)

※ 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 to create academic networks after the student returns home and by the Japanese government to send out information when

needed.（本申請書に記載された個人情報については、本奨学金の選考のために使用するほかは、特に E-mail アドレス等の連絡先につい

ては、帰国後における関係者のネットワークを作ること及び必要に応じ日本政府より各種情報を送信する以外には使用しない。）

(Sex)

１．Name in full in native language □Male（男）（姓名（自国語)) (Surname) (Given name) (Middle name) □Female（女）

In Roman block capitals (Marital Status)

（ローマ字） (Surname) (Given name) (Middle name) □Single（未婚）

(Please write your name exactly as it appears in your passport.)（綴りはパスポートの表記と同一にすること） □Married(既婚)

２-１．Nationality （国籍）２-２． Japanese nationality （日本国籍を有する者）

□Yes, I have （はい）

□No, I don’t have it.(いいえ)

３．Date of birth and age as of April 1, 2016(生年月日及び 2016年 4月 1日現在の年齢）

，19 Age

Month（月） Day（日） Year（年）（年齢）

４．Present status with the name of the university attended or employer

（現職（在学大学名又は勤務先名まで記入すること｡））

５．Present address, telephone/facsimile number, and E-mail address

（現住所及び電話番号、FAX 番号及びE-mail アドレス）

現住所(Present address）：

電話番号/FAX 番号(Telephone/facsimile number）：

E-mail address：

※If possible, write an email address that can be used continuously before, during and after your stay in Japan.

（可能な限り、渡日前～日本留学中～帰国後にわたり使い続けることが予想される E-mail アドレスを記入すること。）

６．Field of specialization studied in the past（Be as detailed and specific as possible.)

（過去に専攻した専門分野（できるだけ具体的に詳細に書くこと｡））

，

，

Paste a passport sized photograph

or digital image taken within the

past 6 months. Write your name

and nationality in block letters on

the back of the photo.

（4.5cm×3.5cm photo）

(写真(4.5cm×3.5cm))


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－2－

７．Academic Background: （学歴）

Name and Address of School

（学校名及び所在地）

Year and Month

of Entrance and

Completion

(入学及び卒業年月)

Duration of Attendance

（修学年数）

Diploma or Degree Awarded, Major

Subject, Ｓkipped Years/Levels （学位・資格・専攻科目・飛び級の状況、他

に特記すべき事項）

Primary Education

(初等教育)

Elementary School

（小学校）

Name (学校名)

Location (所在地)

From （入学）

To （卒業）

years （年）

and months

（月）

Secondary Education

（中等教育）

Middle School

（中学）

Name (学校名)


From （入学）

To （卒業）

years （年）

and months

（月）

High School

（高校）

Name (学校名)


From （入学）

To （卒業）

years （年）

and months

（月）

*-1

Tertiary Education

（高等教育）

Undergraduate Level

（大学）

Name (学校名)


From （入学）

To （卒業）

years （年）

and months

（月）

Graduate Level

（大学院）

Name (学校名)


From （入学）

To （卒業）

years （年）

and months

（月）

Total number of years of the aforementioned schooling

（以上を通算した全学校教育修学年数）

*as of April 1, 2016（2016 年 4月 1日現在）

years

（年）

Notes:

１．Exclude kindergarten education and nursery school education. (幼稚園・保育所教育は含まれない｡)

２．Preparatory education for university admission is included in secondary education.（いわゆる「大学予備教育」は中等教育に含まれる｡）

３．If the applicant has passed the university entrance qualification examinations, indicate this in the column with “*-1.”

(｢大学入学資格試験｣に合格している場合には、その旨＊-1欄に記入すること｡)

４．Any school years or levels skipped should be indicated in the fourth column (Diploma or Degree Awarded, Major Subject, Skipped Years/Levels).

(Example: Graduated high school in 2 years.) （いわゆる「飛び級」をしている場合には、その旨を該当する教育課程の「学位・資格・専攻科目・

飛び級の状況」欄に記入すること。（例）高校３年次を飛び級により短期卒業）

５．If you attended multiple schools at the same level of education due to moving house or readmission to university, then write the schools in the same

column and include the number of years of study and current status for each school.（住居の移転や大学の再入学等を理由に、同教育課程で複数

の学校に在籍していた場合は、同じ欄に複数の学校の在籍を記載し、すべての修学状況を修学年数に含めること。）

６. Calculate and write the total number of years studied based on duration as a student. (including extended leave such as summer vacation)

（修学年数合計は在籍期間を算出し、記入すること。（長期休暇も含める））


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－3－

７. You may use a separate piece of paper if the above space is insufficient. In such a case, please stipulate that the information is on a separate page.

（上記に書ききれない場合は、別紙に記入することも可能。しかしその場合は、別紙に記入する旨を上記学歴欄に明記すること。）

８．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.（著書，論文（卒業論文を含む｡）があればその題名，出版社名，出版年月日，出版場所を記すこと｡）

９．Employment Record: Begin with the most recent employment, if applicable.（職歴）

Name and address of organization

（勤務先及び所在地）

Period of employment

（勤務期間）

Position

（役職名）

Type of work

（職務内容）

From

To

From

To

10．Japanese language proficiency: Evaluate your level and insert an X where appropriate in the following blank space.

（日本語能力を自己評価のうえ，該当欄に×印を記入すること｡）

Excellent

（優）

Good

（良）

Fair

（可）

Poor

（不可）

Reading

（読む能力）

Writing

（書く能力）

Speaking

（話す能力）

11．Language ability: Evaluate your level and insert an X where appropriate in the following blank space.

（語学力を自己評価のうえ，該当欄に×印を記入すること｡）

Excellent

（優）

Good

（良）

Fair

（可）

Poor

（不可）

English

（英語）

French

（仏語）

German

（独語）

Spanish

（西語）

12．Past awarded record（過去の国費奨学金受給歴）

Have you been awarded a Japanese Government (Monbukagakusho) Scholarship in the past? Please check ⅰ) or ⅱ) below. If so, please specify the

period, the name of the university, etc. （過去に国費外国人留学生に採用されたことがあるか。下記の該当するものにチェックを付けること。ある

ならば、その期間・受入大学名等を記入のこと。）

□ⅰ) Yes, I have.

（ある） Period: University:

□ ⅱ) No, I have not.

（ない）


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－4－

13．Accompanying Dependents (Provide the following information if you plan to bring any family members to Japan.)

同伴家族欄（渡日する場合，同伴予定の家族がいる場合に記入すること。）

* 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.

（注）なお同伴者に必要な経費はすべて留学生の負担であるが，家族用の宿舎をみつけることは相当困難であり賃貸料も非常に割高になるの

であらかじめ承知されたい。このため，留学生はまず単身で来日し，適当な宿舎をみつけた後，家族を呼び寄せること。

Name

（氏名）

Relationship

(続柄)

Age

（年齢）

14. Person to be notified in applicant's home country in case of emergency(緊急の際の母国の連絡先):

ⅰ） Name in full:

（氏名）

ⅱ） Address with telephone/facsimile number, and email address.（住所：電話番号，ファックス番号及びE-mail アドレスを記入のこと｡）

Present Address(現住所）：

Telephone/facsimile number(電話番号/FAX 番号）：

E-mail address：

ⅲ） Occupation:

（職業）

ⅳ）Relationship to applicant:

（本人との関係）

15.Immigration Records to Japan（日本への渡航記録）

Date（日付） Purpose（渡航目的）

From

To

From

To

I understand and accept all the matters stated in the Application for Japanese Government(MONBUKAGAKUSHO:MEXT) Scholarship for 2016, and hereby

apply for this scholarship.

（私は 2016 年度日本政府（文部科学省）奨学金留学生募集要項に記載されている事項をすべて了解して申請します）

Date of application:

（申請年月日）

Applicant's signature:

（申請者署名）

Applicant's name

(in Roman capital letters)：

（申請者氏名）

( )


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APPLICATION QUESTIONNAIRE

For students who intend to study in ENGLISH. Please fill in electronically.

1. Name (As appears on your passport):

2. Birthday: YY MM DD

3. Nationality:

4. Do you have Japanese citizenship? Yes, I do. No, I don’t.

5. Please describe your most recently attended academic ins titution (current institution if applicable).

University name:

Faculty or Graduate School of:

Major:

6. Most recent Thesis Title: If your current degree is in progress, but you have not yet determined

your thesis topic, please enter the information for your previous degree thesis.

Have you wri tten a thesis? Yes, I have. No, I’ve never written a thesis.

If yes: Degree Level:

Title:

*The title should match that of your application document “ summary of thesis.”

7. Please describe your intended study program at Ritsumeikan University.

Field of study in Japan (your desired thesis topic at Ritsumeikan University):

The Graduate School of

Major Field: Level:

8. If you selected Research Only (Master’s Level) or Research Only (Doctoral Level) in

question 7, select your plan following the conclusion of your research term:

a) I only intend to conduct research, so I will return home after completing my research term.

b) I will apply for, and try to gain admissions in order to progress into a Master’s Degree Course.

c) I will apply for, and try to gain admissions in order to progress into a Doctoral Degree Course.

*In order to become full-time degree seeking students, research students may, during their research term, take the entranceexamination of the graduate school in which they are enrolled. If this exam is passed, and all appropriate entrance procedures arecompleted, it is possible for research students to become degree-seeking student at the same graduate school.

Select one


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（別紙）

専攻分野及び研究計画

Field of Study and Study Program

Full name in native language

（姓名（自国語）） (Family name) (First name) (Middle name)，

Nationality

（国籍）

Proposed study program in Japan (State the outline of your major field of study on this side and the details of your study program on the backside of this

sheet in concreteness. This section will be used as one of the most important references for selection. Statement must be typewritten or written in block

letters. Additional sheets of paper may be attached if necessary.)

日本での研究計画；この研究計画は，選考の重要な参考となるので，表面に専攻分野の概要を，裏面に研究計画の詳細を具体に記入すること。

記入はタイプ又は楷書によるものとし，必要な場合は別紙を追加してもよい。 )(

If you have Japanese language ability, write in Japanese.

（相当の日本語能力を有する者は，日本語により記入すること｡）

１ Field of study（専攻分野）


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２ Study program in Japan in detail and concreteness（研究計画：詳細かつ具体に記入すること｡）


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健康診断書 CERTIFICATE OF HEALTH (to be completed by the examining physician)

日本語又は英語により明瞭に記載すること。 Please fill out (PRINT/TYPE) in Japanese or English.

氏名 □男 Male 生年月日年齢 Name: , □女 Female Date of Birth: Age:

Family name, First name Middle name

１．身体検査

Physical Examination

(1) 身長体重 Height cm Weight kg

(2) 血圧血液型脈拍 □整 regularBlood pressure mm/Hg～ mm/Hg Blood type Pulse □不整 irregular

(3) 視力 Eyesight: (R) (L) (R) (L) 色覚異常の有無 □正常 normal

裸眼 Without glasses 矯正 With glasses or contact lenses Color blindness □異常 impaired

(4) 聴力 □正常 normal 言語 □正常 normalHearing: □低下 impaired Speech: □異常 impaired

２．申請者の胸部について，聴診とＸ線検査の結果を記入してください。Ｘ線検査の日付も記入すること（６ヶ月以上前の検査は無効｡ )Please describe the results of physical and X-ray examinations of the applicant's chest x-rays (X-rays taken more than

6 months prior

to this certification are NOT valid).

肺 □正常 normal 心臓 □正常 normalLungs: □異常 impaired Cardiomegaly: □異常 impaired

↓ ← Date 異常がある場合

A B O RH＋

Film No. 心電図 Electrocardiograph :□正常 normal□異常 impaired

Describe the condition of applicant's lungs.

３．現在治療中の病気 □Yes (Conditions/particulars: )Under medical treatment at present □No

４．既往症 Past history : Please indicate with ＋ or － and fill in the date of recovery

Tuberculosis......□( . . ) Malaria.......□( . . ) Other communicable disease......□( . . )Epilepsy......□( . . ) Kidney disease.....□( . . ) Heart disease......□( . . )Diabetes......□( . . ) Drug allergy......□( . . ) Psychosis.....□( . . )Functional disorder in extremities......□( . . )

５．検査 Laboratory tests検尿 Urinalysis: glucose ( ), protein ( ), occult blood ( )

赤沈 ESR: mm/Hr, WBC count: /cmm 貧血 □ anemia

Hemoglobin: gm/dl, GPT:

６．志願者の既往歴，診察・検査の結果から判断して，現在の健康の状況は充分に留学に耐えうるものと思われますか？ Yes又はNoにチェックをしてください。

In view of the applicant's history and the above findings, is it your observation that his/her health status is adequate to pursue studies in Japan?

Yes □ No □

７．特記すべき事項 Particulars or additional comments:

日付署名 Date: Signature:

医師氏名

Physician's Name (Print):検査施設名

Office/Institution:所在地 Address: