MONBUKAGAKUSHO Scholarship (Host University Recommendation)

Application Procedures (September 2013 Admission)

1. Documents to be submitted 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. * Please fill in all forms electronically in this PDF, where possible, and print double-sided. * All signatures and seals must be original. 2. Important points for application A) All submitted documents should be written in either Japanese or English and printed on A4-size paper using PDF or word-processing software. If documents are written in any other language, it is necessary to include an English or Japanese translation. B) The name and birthday on all documents must be the same as that on your passport. C) The University will not return and of the documents once they have been received, under any circumstances, regardless of their completeness or the results of your application. D) Ritsumeikan may not accept applications unless all required documents are included. All documents must be sent by express post and arrive no later than the deadline. E) Documents such as thesis summaries should be concise summaries of your thesis contents F) If it is determined that your application documents contain any deliberate falsifications or forgeries, your application will not pass the examination 3. Application Period Monday, November 5, 2012 Monday, December 3, 2012 - All documents must be sent by express post (EMS, FedEx, DHL, etc) - 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 Email: cger-bkc@st.ritsumei.ac.jp Please direct any inquiries about your application to the address above.

MONBUKAGAKUSHO Scholarship (Host University Recommendation) Application Documents (September 2013 Admission)
Document Checklist: (Forms 1, 2, 3, 4, and 11 are included in this PDF). Please print all forms double-sided.

*Documents 1, 2, 3, 4 ,5 ,6, 7, and 11 must be original versions. Documents will be accepted as original if they bear the original, authorized seal of the issuing agency. (The seal must be original. Photocopied seals will not be accepted). All forms and documents must be in English or Japanese or accompanied by an English or Japanese translation. 1. Ritsumeikan University Application Form (Form A) 2. APPLICATION FOR JAPANESE GOVERNMENT (MONBUKAGAKUSHO:MEXT) SCHOLARSHIP (4 pages) MUST be printed double-sided. 3. Application Questionnaire (2 pages)
This form must be completed in the language in which your program is taught (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.

This form must be completed in the language in which your program is taught (English or Japanese),

4. Field of Study and Study Program (2 pages)

5. Letter of Recommendation by the dean, or a person of higher position, at the applicants school or institution (must be addressed to the "President of Ritsumeikan University, Japan")
*Please be sure the appropriate titles of the sender and addressee are included.

*Certificate must explain correspondence of marks to merit (Outstanding/ excellent/ good/ satisfactory/ fail, etc.) *You must submit grades from your two most recent years of study in pursuit of a degree, indicated clearly.

6. Original certificate of grades from most recent acadmic institution attended (Undergraduate or Graduate degree program), with clear explanation of grading/ marking system covering at least two years, divided by year and semester.

7. Original certificate of graduation (or expected graduation) from most recent academic institution attended (Undergraduate or Graduate degree program) 8. Concise summary of thesis written for most recent degree awarded *attached to Application Form (2) 9. Copy of photo and all information pages from applicants passport, if applicable, or other government-issued family registry or citizenship registry copy (must show applicants full, legal name) 10. Copies of certificates of language proficiency (e.g. TOEFL , TOEIC , Examination for Japanese University Admission for International Students (EJU) Japanese as a Foreign Language section, Japan Language Proficiency Test (JLPT), etc.) 11. Certificate of Health (Please use the attached form, or one with identical contents) 12. Three (3) passport- quality photographs of applicant (taken within 6 months, 4.5 cm tall x 3.5 cm wide, full-faced, chest-up, with no hats or caps). Write applicants name and nationality on reverse of each photo and attach to application forms in the designated locations. 13. Copy of (students currently enrolled in universities in China, only) or (graduates of universities in China, only)

Application period: Monday, November 5, 2012 Monday, December 3, 2012, All documents must arrive by express mail before the deadline. Please allow sufficient time for delivery.

A P P L I C AT I O N F O R J A PA N E S E G O V E R N M E N T ( M O N B U K A G A K U S H O : M ) S C H O L A R S H I P

Research Students for 2013

The application should be typed if possible, or neatly handwritten in block letters. ) Numbers should be in Arabic numerals.) Years should be written using the Anno Domini system. ) Proper nouns should be written in full and not abbreviated. ) * 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.) ( E-mail

(Sex) Name in full in native language )) (Family name) Male (First name) (Middle name) Female

In Roman block capitals (Family name)

(Marital Status) (First name) (Middle name) Single Married()

Write your name exactly same as is printed in your passport

Nationality

Possesion of Japanese nationality

Yes, I have. No, I dont have it.()

Paste a passport sized photograph

Date of birth( 19 Year Month Day Age(as of April 1,2013)(2013

or digital image taken within the past 6 months. Write your name and nationality in block letters on the back of the photo.

4.5cm3.5cm photo Present status with the name of the university attended or employer
((4.5cm3.5cm))

Present address and telephone number, facsimile number, e-mail address E-mail (Present address /FAX (Telephone/facsimile number E-mail address * 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. E-mail

Field of specialization studied in the pastBe as detailed and specific as possible.)

Educational background Diploma or Degree awarded, Major subject When taking leave of absence, the period and reason.

Name and Address of School

Name () Elementary Education () Elementary School Location ()

Year and Month of Entrance and Completion () From

Amount of time spent at the school attended years

To

and months

Name () Secondary Education Lower Secondary School Location ()

From

years

To

and months

Name () Upper Secondary School

From

years

Location ()

To

and months

Name () Higher Education Undergraduate Level Location ()

From

years

To

and months

Name () Graduate Level

From

years

Location ()

To

and months

Total years of schooling mentioned above as of April 1,2013 2013 4 1 * If the blank spaces above are not sufficient for the information required, please attach a separate sheet (() )

years

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.

Employment Record: Begin with the most recent employment, if applicable. Name and address of organization From To Period of employment Position Type of work

From To

10Japanese language proficiency: Evaluate your level and insert an X where appropriate in the following blank space. Excellent Reading Writing Speaking Good Fair Poor

11Foreign language proficiency: Evaluate your level and insert an X where appropriate in the following blank space. Excellent English French German Spanish Good Fair Poor

12 Have you been awarded a Japanese Government (Monbukagakusho) Scholarship in the past? If so, please specify the period, the name of the university, etc. ) Yes, I have. ) No, I have not. 13Accompanying Dependents (Provide the following information if you plan to bring any family members to Japan.) * 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. Period: University:

Name Relationship ( ) Age

14. Person to be notified in applicant's home country in case of emergency: () Name in full: Address: with telephone number, facsimile number, e-mail address E-mail

(Present address) /FAX (Telephone/Facsimile number E-mail address

Occupation:

Relationship:

15.Immigration Records to Japan Date From To From To Purpose

I understand and accept all the matters stated in the Application for Japanese Government(MONBUKAGAKUSHO:MEXT) Scholarship for 2013, and hereby apply for this scholarship 2013

Date of application:

Applicant's signature:

Applicant's name in Roman block capitals

(HOST UNIVERSITY RECOMMENDATION SCHOLARSHIP) Please fill in electronically

1. /NameAs appears on your passport 2. /Birthday 3. /Nationality 4. Do you have Japanese citizenship Yes, I have No, I dont have /Year /Month /Day

APPLICATION QUESTIONNAIRE

5. 1 The first program you plan to enroll in at Ritsumeikan. Please select from the drop-down lists. Language Graduate School Level

Research Area: _____________________________________________________________________ Major Field: ________________________________________________________________________ 6 Field of study in Japan (thesis topic): ___________________________________________________________________________________________ 7. 5.Please fill in the following. (*Only for those who filled in a box under the column Research Student in Question 5 above.) Your plan following the conclusion of this term. 3 1 Please select one Choose one a) Research Student only b) Will enroll in the Masters Degree Course c) Will enroll in the Doctoral Course
*

*In order to become full-time degree seeking students, research students may, during their research term, take the entrance examination of the graduate school in which they are enrolled. If this exam is passed, and all appropriate entrance procedures are completed, it is possible for research students to become degree-seeking student at the same graduate school. Notice
2436 It may be possible for research students who have demonstrated exceptional grades and wish to enter into a Ritsumeikan University Masters or Doctoral course to extend their scholarship award until the completion of their masters program (24 months) or doctoral program (36 months) if they meet standards for enrollment and pass a rigorous evaluation by Monbukagakusho. (Scholarship extension in this case is not guaranteed.) However, students already enrolled in Masters course studies are unable to extend their scholarship award to doctoral studies upon completion of their masters program.

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8. Most Recent Completed/Approved Degree Thesis, if any: Degree Level: __________________ Title: _______________________________________

9. Your desired supervising professor and your contact status. Name of Professor Contact Status Yes, I have been in contact with this professor No, I have not been in contact with this professor
*Applicants to the Graduate Schools of Science and Engineering, Information Science and Engineering, and Life Sciences should make every effort to enter the name of a desired supervising professor.

10. Have you applied to other universities for a MEXT scholarship? Yes, I have No, I havent. 11. If you are applying for any other (non-MEXT) scholarships, state the name of the sponsor, duration, amount, etc. Scholarship sponsoring Institution Scholarship period /Year /Month /Year /Month Amount Release date of scholarship application results /Year /Month /Day 12. Please indicate the nearest international airport to your home (must be in your country of nationality): /Airport
13. Please indicate the nearest Japanese embassy or consulate to your home where y ou could obtain a Japanese visa (must be in your country of nationality):

14.

In the event that your application for Monbukagakusho funded studies is not su ccessful, do you wish t o enter Ritsumeikan as a self-financed student? (The student pays for their own academic fees and tuition) (5.Only for students who did not select a Research Student program in question 5, above). Yes, I would. No, I wouldnt.

End of Questionnaire

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Field of Study and Study Program

Full name in native language Nationality (Family name)

(First name)

(Middle name)

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.)

If you have Japanese language ability, write in Japanese. Field of study

Study program in Japan in detail and concreteness


CERTIFICATE OF HEALTH (to be completed by the examining physician)
Please fill out (PRINT/TYPE) in Japanese or English. Name: , Male Female Date of Birth: Age:

Family name,

First name

Middle name

Physical Examination (1) Height (2) Blood pressure cm Weight mm/Hg kg mm/Hg Blood type A B O RH regular Pulse irregular

(3) Eyesight: (R) (L) Without glasses (4) Hearing: normal impaired

(R) (L) With glasses or contact lenses normal Speech: impaired

normal impaired Color blindness

) 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). normal Cardiomegaly: impaired Date Electrocardiograph : normal Film No. impaired Describe the condition of applicant's lungs. Lungs: Yes (Conditions/particulars: Under medical treatment at present No 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......( . . ) Laboratory tests Urinalysis: glucose ( ESR: Hemoglobin: ), protein ( ), occult blood ( /cmm ) . . ) ) normal impaired

mm/Hr, WBC count: gm/dl, GPT:

anemia

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

Yes

No

Particulars or additional comments:

Date:

Signature: Physician's Name (Print): Office/Institution: Address: