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S THE UNIVERSITY OF TOKYO

Graduate School of Agricultural and Life Sciences


1-1-1, YAYOl, BVNKYO-KU, TOKYO 113-8657 JAPAN PHONE 81-3-5841-8122 FAX 81-3-5841-5339

~ll~ tIr~ August 20, 2008

To: The President! Dean,


tf, 7(rt-
Agricultural Sciences related Universitiesl Institutions,

Subject: Request for reconnnendation of students/researchers for the "Special Course for Advancement of
Agricultural and Life Sciences at the Graduate School of Agricultural & Life Sciences, the University
of Tokyo

Dear SirlMadam,

This is to inform you of the "Special Course for advancement of Agricultural and Life Sciences" offered
at the Graduate School of Agricultural and Life Sciences (GSALS) the University of Tokyo. Under this program,
five MONBUKAGAKUSHO (Japanese Government) Scholarships are offered to International Students for
pursuing doctoral course at the GSALS. However, applicants can also join as a Privately Financed International
Student. Detailed course information is enclosed along for your kind reference.
We request you to reconnnend competent student! researcher of your Universityl Institution (for both
categories - scholarshipl private students) who are desirous of obtaining doctoral degree at our graduate school.
Following documents are enclosed with this letter:
I. Course Announcement
2. List of fields of study and supervising professors
3. Application forms (separate formats for scholarship and private students)
4. Certificate of Health
5. Letter of acceptance (to be obtained from the supervisor in GSALS, the University of Tokyo)
6. Note ofConfrrmation (separate formats for scholarship and private students)

Kindly do the needful.


Thanking you in advance for your kind consideration.
With best regards,

:,r '/f~~1t ~~ it'>


97. 9. -4

Prof. Sinichi Shogenji, Dean,


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Graduate School of Agricultural & Life Sciences,
The University of Tokyo

97. 9. -5
,.

Special Course for Advancement of Agricultural and Life Sciences


(Doctoral Course) - 2009
Graduate School of Agricultural and Life Sciences
The University of Tokyo

This is an official announcement of the Special Course for Advancement of Agricultural and
Life Sciences-2009, offered to international students wishing to pursue doctoral course at the Graduate
School of Agricultural and Life Sciences (hereafter GSALS), the University of Tokyo. Details of the
course are as follows:

1. Course Highlights, Field of Study, and Number of Applicants


(I) Course Highlights and Field of Study
Study areas of this program include all agriculture related topics such as Agricultural and
Environmental Biology, Forest Science, Agricultural and Resource Economics, Global Agriculture,
Applied Biological Chemistry, Biotechnology, Biological and Environmental Engineering, Animal
Resource Sciences, Veterinary Medical Sciences, Aquatic Bioscience, Biomaterial Sciences, and
Ecosystem Studies. Most important objective of this course is the development of field sciences
leading to future international cooperation in the above areas. Hence, candidates employed in
education! research, and especially those recommended from universities! institutions having
International Acadenric Exchange Agreement with the Graduate School of Agricultural and Life
Sciences! The University of Tokyo will be selected on priority.
(2) Number of Applicants: Ten
Japanese Government SchOlarship Students (hereafter "Scholarship Students") 5
Privately Financed International Students (hereafter "Private Students") 5

2. Qualifications
(I) Nationality: To apply as Scholarship Student, one must be a citizen of the country recognized by
MONBUKAGAKUSHO.
(2) Age: Must be less than 35 years as on April I, 2009 (born later than April 2, 1974).
(3) Academic Background: Must have (or expected to have by September 30, 2009) a Master's degree
or academic qualification equivalent to Master's degree (to enroll in Veterinary Medical Sciences,
applicant must have completed undergraduate course in Veterinary Medical Sciences, or must have
academic qualification equivalent to that course).
Those employed in education! research in university! institution after completion of their Master's
degree will be selected for Scholarship on priority basis.
(4) Health: Applicants must be in good physical and mental health.
(5) Language Proficiency: Must be reasonably fluent in English.
(6) Arrival in Japan: On a specified date in the beginning of October, 2009 (Private Students must
arrive by the end of September for completing admission formalities).

Remarks:
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a) Military personnel and military civilian employees cannot apply for this scholarship.
b) Scholarship may be canceled if grantees cannot arrive in Japan by the specified date (see Section 2
(6)).
c) Those receiving scholarship from the government of their country or from other organizations, cannot
apply as Scholarship Students.
d) Application may be made in advance, in anticipation of graduating the Master's course (or under
graduate course of Veterinary Medical Sciences), or its equivalent by September 30, 2009 as shown
in Section 2 (3). However, scholarship will be canceled if the grantee fails to graduate the required
course by this date.
e) If a Private Student wish to conduct field work in the student's native country, it is possible to pursue
research through periodic interaction with the supervising professor, and submit the thesis thereafter.
Applicants are advised to submit their application after thorough discussion on this matter with the
host professor.

3. Scholarship Tenure
The Scholarship Students will be provided scholarship from October 2009 for three years (or four years for
Veterinary Medical Science) until the completion of the course.

4. Scholarship benefits for Scholarship Students


(I) Allowauce: A monthly stipend of 170,000 Yen (will change to 160,000 Yen from October 2010,
subject to change).
However, scholarship may be suspended during extended period of absence from Japan, or when the
student remains off campus for prolonged periods without permission.
(2) Transportation:
a) Transportation to Japan: An economy class air ticket from the international airport closest to the
student's university (in the applicant's home country) to the New Tokyo (Narita) International
Airport will be provided.
b) Transportation from Japan: Students leaving Japan after the completion of scholarship tenure, and
before the expiration of time limit designated by MONBUKAGAKUSHO, will be provided an
economy class air ticket from the New Tokyo International Airport to the international airport
closest to his/ her university (in the applicant's home ~ountry) .
• Expenses for domestic travel between the New Tokyo International Airport and the University of
Tokyo are to be paid by the grantee .
. All aviation / accident insurance to and from Japan shall be paid by the grantee.
(3) School Fees: Grantees are exempted from payment of fees for entrance examination, course
registration, and tuition.
(4) A part of the medical expense will be reimbursed.
Information on housing will be provided on request.

5. Support for Private StUdents


(I) Application of Private Students under this course will receive priority for recommendation to the
Tokyo University Fellowship and other Scholarship programs (scholarship cannot be guaranteed
though).
(2) A part of the medical expense will be reimbursed. Information on housing will be provided on
request.
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6. Admission related expenses for Private Stndents
(1) Application fee 30,000 ¥
(2) Admission fee 282,000 ¥
(3) Tuition fee (per year) 520,800 ¥
The above mentioned is an expected amount, which may be revised. Revised amount will be applicable
if fees are revised at the time of admission or during the tenure of the enrolled course.

7. Selection procednres and Notification of Selection


1) Scholarship Students
(1) Based on the evaluation of the documents submitted by the applicant, The University of Tokyo
will select and recommend suitable candidates to the MONBUKAGAKUSHO as Scholarship
Students.
(2) MONBUKAGAKUSHO will select the grantees from the list recommended by the University of
Tokyo, and inform about the selected candidates to the University of Tokyo.
(3) After receiving this intimation from the MONBUKAGAKUSHO, the University of Tokyo will
notify each applicant by mid July 2009. Grantees will be enrolled in the University of Tokyo as
"Doctoral Course students".
2) Private Studeuts
(1) Based on the evaluation of the documents submitted by the applicants, GSALS will select, and
inform the result to the selected candidates by the end of March 2009. These students will be
enrolled in the University of Tokyo as "Doctoral Course students".

8. Characteristic Features of the Special Course


(1) Lectures will be in English. Students are advised to gradually learn the Japanese language during their
stay in Japan so as to become familiar with technical Japanese required for his/ her area of research.
(2) After being approved by the supervising professor, research results of the student compiled in the form
of a dissertation will be submitted to the GSALS as a requirement for Doctoral Course completion.
On qualifying the necessary evaluation procedure of the GSALS, the degree of Doctor of Philosophy
(Doctor of Veterinary Medicine- for those belonging to the Department of Veterinary Medical
Sciences) will be awarded by the University of Tokyo.

9. Application Procedure
The following documents (an original and a copy for each) must be sent to the GSALS before the deadline of
January 31,2009.
The documents must be submitted through the head of applicant's graduate school if he/she is a graduate
school student (including a research student); head of the institution / university if employed; or the dean of
the university from which the applicant graduated, if no formal affiliation exists. All of the following
documents must be sent by registered airmail.
(1) Application Form
a) Those applying as Scholarship Student must submit the "Application for Japanese Government
Scholarship (Research Student)". Private Students must submit the "Enrollment Application form (for
Private Foreign Students)".
b) Those who opt to apply as Scholarship Student as the first choice, and as Private Student as the
second choice must submit the "Application for Japanese Government Scholarship (Research Student)"
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as well as the "Enrollment Application form (for Private Foreign Students".
(2) Letter of Acceptance from the supervisor in GSALS, the University of Tokyo.
(3) Medical certificate (issued by a registered medical doctor). The medical exam must be done
within the past 6 months prior to the application deadline.
(4) Photocopy of each university degree/diploma certificate (Bachelor, Master), or certificate which
guarantees successful completion of Master's course before September 30, 2009 (or the
undergraduate course for Veterinary Medical Sciences).
(5) Certified academic records / transcript of all applicable undergraduate and graduate course work
clearly indicating the GPA grades (or percentage of marks) obtained for the respective courses.
(6) Summary of the Master's thesis (or equivalent research papers): If Master's thesis is not a
requirement of the wliversity attended, this should be specifically indicated in the application form, and
equivalent research papers must be submitted.
(7) TOEFL score certificate (those unable to submit this certificate, should submit supporting document
or a certificate from the affiliated university certitying the applicant's English language ability.
Applicants whose mother tongue is English need not submit this document).
(8) Documents certifying the applicant's nationality, citizenship, or proof of residence in the applicant's
home country, i.e. census register etc (translated into English), passpDl1 (photo copy), or other proof
of citizenship.
(9) Letter of recommendation by the President, Dean or Head of the applicant's institution/employing
body (addressed to the President, the University of Tokyo). In addition to this, letters from the
applicant's closest advisor/teachers may also be submitted.
(10) Letter from the employee certified the applicant's designation at the affiliated universitylinstitute.
(II) Passport size photographs (6cm x 4cm) taken within 6 months prior to the deadline, with name and
nationality written on the reverse side - 2 copies.
(12) Applicants from countries which need government permission / agreement to study abroad must send
the consent of home government with the application form.

Remarks
a) Supervising professor have to submit the proposed research plan after the applicant is selected.
Hence applicants must maintain close contact with the research supervisor at GSALS, and
formulate the required research proposal in advance.
b) All application related documents should be typed in Japanese or English on A4-size paper.
c) Of the above mentioned documents to be submitted along with the application form, items (1),
(2) and (3) must be in the format prescribed by the University of Tokyo.
d) No application will be accepted unless all the above required documents are enclosed.
Incomplete applications, and applications received after the deadline will not be considered.
e) Submitted documents will be retained by the University of Tokyo for record, and not be
returned to the applicant.

10. Important
(1) Scholarship student will forfeit the scholarship in any of the following cases:
a) A false statement has been made in the application form.
b) If any article of hislher pledge to MONBUKAGAKU-DAIJIN (the Minister of Education,
Culture, Sports, Science and Technology) is violated.
c) He/ she is subjected to disciplinary action by the university or shows no prDlnise of academic
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achievement.
d) If the student opts to discontinue at the GSALS, or transfers to another university
e) The visa status has changed from student visa to some other category
(2) Those applying for this scholarship through various universities, or simultaneously applying for the
Embassy Recommended MONBUKAGAKUSHO-MEXT or Student Exchange Program
Scholarships will not be considered for the scholarship.
(3) In case of Scholarship Students, the scholarship can be received only for a fixed tenure 00 years (4
years for Veterinary Medical Science) and can not be extended.
(4) International Students are advised to be informed about Japan's weather, customs, climate,
University education and setting in general before coming to Japan. Although research related
instructions will be provided in English, Japanese language ability is necessary for daily life. Hence
it is advisable to learn the Japanese language.

11. Information
Email and all correspondence related to this application must be directed to the following address:
Office for International Cooperation & Exchange (OICE)
Graduate School of Agricultural and Life Sciences,
The University of Tokyo
1-1-1 Yayoi, Bunkyo, Tokyo 113-8657, JAPAN
TEL: +81-3-5841-8122, FAX: +81-3-5841-5339
E-mail: oice@ofc.a.u-tokyo.ac.jp

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Special Course for Advancement of Agricultural and Life Sciences
(Doctoral Course) - 2009
Graduate School of Agricultural and Life Sciences
The University of Tokyo
- Procedures for Admission and Study -

1. Departments
The Graduate School of Agricultural and Life Sciences (GSALS) presently consists of the
following twelve departments:
Agricultural and EnvirolUnental Biology, Applied Biological Chemistry, Forest Science,
Aquatic Bioscience, Agricultural and Resource Economics, Biological and Environmental
Engineering, Biomaterial Sciences, Biotechnology, Animal Resource Sciences, Ecosystem
Studies, Global Agricultural Sciences, and Veterinary Medical Sciences.
Applicants must choose one of the above departments, and indicate the name of the
department and the research supervisor on the application form.
Care should be taken, as the registered department cannot be altered in principle after
enrollment. Thus the applicant is advised to contact an appropriate advisor and carefully
evaluate the suitability of the department selected.

2. Field of Study
Graduate students are required to select a research field from those provided within the
department they select. Fields of study and names of the professors available under this
program are listed in Attachment I. The field of study must be entered on the application form.
However, research proposal may be changed after discussing the research topic with the
supervisor during the initial period following selection.
To minimize any potential difficulties, applicants are strongly encouraged to collaborate with
their prospective supervisor/advisor in their field of study or other appropriate persons
associated with the GSALS.

3. Advisor
Applicants must find an advisor from Attachment I whose research area corresponds with the
course selected, and indicate this name on the Application form. Full Professors in charge of a
specific research field should be selected at this stage. As the graduate student continues his
studies, an associate professor/ lecturer working in the same field, or another staff from a
related field may be appointed as additional advisor if necessary. This can be accomplished
through discussions coordinated by the graduate student's primary advisor and available staff at
the University of Tokyo, based on research progress.

4. Requirements for the Degree of Doctor of Philosophy


All work for the doctorate degree must be completed within a maximum period of three years
(four years for the Department of Veterinary Medical Sciences- CVMS).
Each graduate student must perform research in a specified subject related to the selected
field, under the supervision of an approved advisor, and also take a minimum of twenty (20)
credits (32 for CVMS) according to the selected course curriculum and its regulations. When
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a graduate student's research results are in the form of a dissertation, hel she will be allowed to
submit it to the GSALS as a Doctoral thesis. If the GSALS certifies the qualification of the
thesis, the degree of Doctor of Philosophy will be awarded by the University of Tokyo.

5. Language
Primarily English, but also use Japanese.
In this course, lectures as well as class instruction/exercise, and laboratory work will be
carried out in English. It is also possible to complete the enrollment formalities in English.
Dissertation and presentation in English is accepted. However, all graduate students are
strongly encouraged to develop basic skills in Japanese which will help their research activities,
as well as ensure an enjoyable daily life in Japan.

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[Attachment 1]
LIST OF FIELDS OF STUDY AND SUPERVISING PROFESSORS

FOR FOREIGN STUDENT SPECIAL PROGRAM

ACADEMIC YEAR 2009

Special Course for Advancement of Agricultural and Life Sciences (Doctoral Course),
Graduate School of Agricultural and Life Sciences
The University of Thkyo
(As on June 25, 2008)

Agricultural and Environmental Biology

Prof. Hiromichi HORIE ; Clinical Plant Science


" Hirohisa KISHIN0 ; Biometry and Bioinformatics
" Shigenori MORITA; Sustainable Agriculture and Plant Stress Biology
" Yasuo NAGATO ; Plant Breeding and Genetics
" Shigetou NAMBA ; Plant Pathology and Clinical Plant Science
" Keisuke NEMOTO ; Crop Ecology and Morphology
" Ryu OHSUGI ; Crop Science
" 'Ibru SHIMADA; Insect Genetics and Pathology
" Yukio SHIRAKO ; 'Iblerance Mechanism
" Nobuhiro TSUTSUMI ; Plant Molecular Genetics
Assoc. Prof. Hiroshi HAMAMOTO; Clinical Plant Science
" Yukio ISHIKAWA; Applied Entomology
" Akihiko KAMOSHITA ; Regional Resources Reassessment
" Kazuhiro KATO ; Environmental Ecology
" Susumu KATSUMA ; Insect Genetics and Pathology
" Saneyuki KAWABATA; Horticultural Science
" Junko KYOZUKA ; Crop Ecology and Morphology
" Mikio NAKAZONO ; Plant Molecular Genetics
" Haruto SASAKI; Sustainable Agriculture and Plant Stress Biology
" Tetsuo TAKANO ; 'Iblerance Mechanism
" 'Ibru YAMAGISHI ; Crop Physiology
" Junko YAMAGISHI ; Sustainable Agriculture and Plant Stress Biology
" Shuichi YAMASHITA; Plant Pathology
" Satoshi YONEKAWA; Sustainable Agriculture and Plant Stress Biology

Applied Biological Chemistry

1
Prof. Kazuko YAMAGUCHI-SHIN OZAKI ; Plant Molecular Biology
II Keiko ABE ; Biological Function and Developmental Chemistry
II Hiromichi NAGASAWA; Bioorganic Chemistry
II Hidenori WATANABE; Organic Chemistry
II Tadao ASAMI ; Chemical Biology
II Keishi SENOO ; Soil Science
Etsuro YOSHIMURA; Analytical Chemistry
"
II Naoki TAKAHASHI; Nutritional Biochemistry
II Ryuichiro SATO ; Food Biochemistry
II Makoto SHIMIZU; Food Chemistry
" Masaru TAN OKURA ; Food Biotechnology and Structural Biology
II Thmoko M. NAKANISHI; Radio-Plant Physiology
II Thmiko ASAKURA ; Taste Science
Assoc. Prof. Shuichi YANAGISAWA ; Plant Nutrition and Fertilizers
II Satoshi HACHIMURA ; Immunoregulation for Food Safety
Lecturer Hiroyuki TACHIKAWA; Biological Chemistry

Forest Science

Prof. Norihiko SHIRAISHI; Forest Management and Mensuration


" Takeshi TANGE ; Silviculture
II Shin NAGATA; Forest Policy and Economics
II Masakazu SUZUKI; Forest Hydrology and Erosion Control
II Hideo SAKAI ; Forest Utilization (Forest Engineering)
II Taizo HOGETSU ; Tree Physiology, Molecular Ecology
II Katsumi TOGASHI ; Forest Entomology and Zoology
II Akio SHIM OMURA; Forest Landscape Planning and Design
" Thshihiro YAMADA; Forest Botany and Forest Health
II Mikio KAJI ; Forest Botany and Forest Ecosystems
II Seiji ISHIBASHI; Forest and Human Society Relationships
II Shigeru HORI ; (AN.E.S.C.) Regional Resources Reassessment, Forest Landscape
II Katsumi KOJIMA; (AN.E.S.C.) Tree Physiology, Tropical Silviculture
Assoc. Prof. Satoshi TATSUHARA ; Forest Management and Mensuration
II Hiromichi FURUIDO ; Forest Policy and Economics
" Nobuhito OHTE ; Forest Hydrology and Erosion Control
II Thshio NITAMI ; Forest Utilization (Forest Engineering)
II Norihisa MATSUSHITA; Forest Botany and Forest Health
II Kohei KUBOTA; Forest Entomology and Zoology
II Ryohei ONO ; Forest Landscape Planning and Design
II Hirofumi SHIBANO ; Forest and Water Resources Management
II Naoto KAMATA; Forest Entomology
II Shigehiro KAMODA ; Forest Chemistry
II Susumu GOTO ; Forest Genetics, Tree Improvement
" Chunlan LIAN ; (A.N.E.S.C.) Symbiotic Function, Molecular Ecology

2
Aquatic Bioscience

Prof. Ichlro AOKI ; Fisheries Biology


" Yasuwo FUKUYO ; Coastal Marine Environment Assessment
" Ken FURUYA; Fisheries Oceanography
" 'lbshitaka GAMO : Marine Biogeochemistry
" 'lbyoji KANEKO; Fish Physiology
" Shingo KIMURA ; Fisheries Environmental Oceanography
" Kazuhiro KOGURE ; Marine Microbiology
" Shigeki MATSUNAGA; Aquatic Natural Products Chemistry
" Nobuyuki MIYAZAKI; Aquatic Mammalogy
" Mutsumi NISHIDA; Molecular Marine Biology
" Shuhei NISHIDA; Marine Planktology
" Kazuo OGAWA; Fish and Shellfish Disease
" Tsuguo OTAKE ; Fisheries Biology
" Kunio SHIRAKIHARA ; Fish Population Dynamics
" Yuzuru SUZUKI; Fish Immunology and Genetics
" Katsumi TSUKAMOTO; Fisheries Ecology
" Mitsuo UEMATSU ; Marine Biogeochemistry
" Shugo WATABE ; Aquatic Molecular Biology and Biotechnology
; Marine Biochemistry
" Yoshlro WATANABE; Fisheries Biology
" Ichiro YASUDA; Fisheries and Physical Oceanography
Assoc. Prof. Takaomi ARAI ; Fisheries Biology
" Koji HAMASAKI; Marine Microbiology
" Kazuhiko HIRAMATSU ; Fish Population Dynamics
" Susumu HYODO ; Fish Physiology
" Tomohiko KAWAMURA; Fisheries Biology
" Teruhisa KOMATSU; Fisheries Ecology
" Hajime OBATA ; Marine Biogeochemistry
" Yoshihiro OCHIAl ; Aquatic Molecular Biology and Biotechnology
" Shigeru OKADA; Biochemistry of Aquatic Organisms
" Katsufumi SATO ; Marine Biology
" Shigenobu TAKEDA; Fisheries Oceanography
" Atsushi TSUDA; Marine Planktology
" Takashi YAMAKAWA; Fisheries Biology
" 'lbmoyoshi YOSHINAGA ; Fish and Shellfish Disease

Biological and Environmental Engineering

Prof. Sho SHIOZAWA ; Land Resource Sciences


" Tsuyoshi MIYAZAKI ; Soil Physics and Soil Hydrology
" Kenji KURATA; Bio-environmental Engineering
" Shinya YOKOYAMA; Biological and Mechanical Engineering
" Seiichi OSHITA; Bioprocess Engineering
" Kenji OMASA; Biological and Environmental Information Engineering
Assoc. Prof. Taku NISHIMURA; Soil Physics and Soil Hydrology

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" Kazuhiro FUJIWARA; Bio-environmental Engineering
Kenji IMOU ; Biological and Mechanical Engineering
"
" Yoshio MAKINO; Bioprocess Engineering
Lecturer Koshi YOSHIDA; Hydrology
Thshiaki IIDA ; Water Environmental Engineering
" Kazuo OK! ; Biological and Environmental Information Engineering
"

Agricultural and Resource Economics

Prof. Akira KIMINAMI ; Farm Business Management


" Nobukazu TANIGUCHI; Agricultural Structure and Policy
" Takenori MATSUMOTO; Agricultural History
" Masayoshi HONMA; Agricultural and Development Economics
" Shin-ichi SHOGENJI ; Food and Resource Economics
" Yoichi IZUMIDA ; Rural Development Finance
" Yukio IKEMOTO ; Economic Development in Asia
Assoc. Prof. MitsuyoshiANDO ; Agricultural Structure and Policy
" Katsuhiro SAITO; Agricultural and Development Economics
" Yasuhiro NAKASHIMA; Food and Resource Economics
" Takao YURUGI ; Rural Development Finance
Lecturer Hironori YAGI ; Farm Business Management

Biomaterial Sciences

Prof. Naoto ANDO ; Wood-based Materials and Timber Engineering


" Akira ISOGAI ; Paper Science, Cellulose Science
" Shigenori KUGA ; Structural Biopolymers
Masamitsu OHTA; Wood-Physics and Timber Structures
"
Masahiro SAMEJIMA; Forest Chemistry
"
" Yuji MATSUMOTO; Wood and Biomass Chemistry
Assoc.Prof. Satoshi SHIDA ; Wood Physics and Dwelling Environment
" Akio TAKEMURA; Science of Polymeric Materials
" Masahisa WADA; Structural Natural Polymers
" Thshiharu ENOMAE :Paper Science and coating
" Masahiro INAYAMA ;Timber Engineering and Construction
" Tadahisa IWATA; Polymer Structure and Chemistry
" Masafumi INOUE: Wood-Physics and Materials for Timber Structures
Lecturer Thmoya YOKOYAMA; Wood,Pulping and Bleaching Cbemistry

Biotechnology

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Prof. Kentaro SHIMIZU; Bioinformatics and Computational Biophysics
Haruhiko MASAKI ; Molecular and Cellular Breeding
"
Sueharu HORINOUCHI ; Fermentation and Microbiology
"
Katsuhiko KITAMOTO; Microbiology
"
Akinori OHTA ; Cellular Genetics
"
Yasuo IGARASHI; Applied Microbiology
"
" Chikashi TOYOSHIMA ; Molecular Structural Biology
" Shigeaki KATO ; Molecular Biology
Tetsu AKIYAMA; Molecular Biology
"
Yoshinori WATANABE; Chromosome Segregation
"
Hisakazu YAMANE; Environmental Biochemistry
"
" Hiroshi OYAIZU ; Plant Biotechnology
" Makoto NISHIYAMA; Cell Biotechnology
Assoc. Prof. Takayoshi WAKAGI ; Enzymology, Applied Microbiology
Akira YOKOTA; Microbial Systematics and lAM Culture Collection
"

Animal Resource Sciences

Prof. Takashi ONODERA; Molecular Immunology


Kunihiko NAITO; Applied Genetics
"
Kunio SHIOTA; Developmental Biochemistry I Epigenetics
"
" Kazuhiro CHIDA ; Cell Biology
Yuji MORI ; Veterinary Ethology
"
Assoc. Prof. Yoshitsugu MATSUMOTO; Molecular Immunology
Satoshi TANAKA; Cellular Biochemistry and Developmental Biology
"
Shin-Ichiro TAKAHASHI; Cell Regulation
"
Yukari TAKEUCHI; Veterinary Ethology
"

Global Agricultural Sciences

Prof. Hisashi KUROKURA ; Global Fisheries Science


Yoshihiro HAYASHI; Veterinary Anatomy
"
" Kazuhiko KOBAYASHI; Agricultural Ecosystem Dynamics
" Makoto INOUE; Forest Environmental Governance and Sociology
" Nobuhiro SUZUKI; International Environmental Economics
" Masaru MIZOGUCHI ; International Agro-Informatics
Assoc. Prof. Mitsuhiko SANO ; Global Fisheries Science
Yasunobu MATSUMOTO; Veterinary Immunology and Vaccinology
"
Masatoshi SATO ; Global Plant Material Science
"
Satoshi TSUYUKI ; Forest Environmental Remote Sensing and GIS
"
" Hiroyuki KAWASHIMA; International Environmental Economics

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Ecosystem Studies

Prof. Kazuhiko TAKEUCHI; Landscape Ecology and Planning


Yuji IDE ; Forest Ecosystem Studies
"
Shigenori MORITA; Agricultural Ecology
" 'Ibshihiro YAMADA; Forest Pathology
"
Seiji ISHIBASHI; Forest and Human Society Relationship
"
Assoc. Prof. 'Ibshiya OKURO ; Landscape Ecology and Planning
" Naoto KAMATA; Insect Population Ecology
Susumu GOTO : Forest Genetics; Tree Improvement
" Shigehiro KAMODA ; Forest Chemistry
"
Hirofumi SHIBANO ; Forest and Water Resources Management
"

Veterinary Medical Sciences

Prof. Senkichi SAKAI ; Animal Breeding


Masugi NISHIHARA; Veterinary Physiology
"
Hirokazu TSUBONE ; Comparative Pathophysiology
"
HiroomiAKASHI; Veterinary Microbiology
"
" Hiroyuki NAKAYAMA; Veterinary Pathology
Hajime TSUJIMOTO ; Veterinary Internal Medicine
"
" Nobuo SASAKI; Veterinary Surgery
Yasuhiro YOSHIKAWA; Biomedical Science
"
" Ken-ichiro ONO ; Veterinary Clinical Pathobiology
Chieko KAI ; Molecular Microbiology and Immunology
"
" Yoichiro IWAKURA ; Transgenic Animal Disease Model
" Hiroshi OZAKI ; Veterinary Pharmacology
" Masamichi KUROHMARU ; Veterinary Anatomy
" Ryohei NISHIMURA; Veterinary Anesthesia
" Noboru MANABE ; Animal Life Science
" Yoshihiro HAYASHI; Global Animal Resource Science
Assoc. Prof. Kikuji ITOH ; Veterinary Public Health
Yasunobu MATSUMOTO; Veterinary Immunology and Vaccinology
"
Shigeru KYUWA ; Biomedical Science
"
" Manabu MOCHIZUKI; Veterinary Surgery

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APPLICATION FOR JAPANESE GOVERNMENT (MONBUKAGAKUSHO:MEXT) SCHOLARSHIP

Research Students for 2009 (liif ~ 'ill "P jo )

1 NSTRUCT 1 Ol'lS ('cAl:<DI±:l!:)


1. The application should be typed if possible, Of neatly handwritten in block letters. (~~f::~GA"9;S;: c.)
2. Numbers should be in Arabic numerals. (l&*I:tnm ~~~ m[,~ ~;: c.)
3. Years should be written using the Anno Domini system. (1F{%1:t9.r(TV§Mc99;: co)
4. Proper nouns should be written in fuU and not abbreviated. (~"ff4;BWJIj;9 /'{-CiEJ.tt,.t:tfij; c J..,., ~l::;rJ~13 L.,tJ.~);: co)

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.)
1;;f;;f1Jillill:'ol&~ 11t~IIlIA lIIl1il: :HITI~, ;;f;;li!"'jj',<Dil!~<Dt~IOI:"'!Il T '51~IJII~, "'I: E-mail 7I.v;:zi1Ji<Dil!jj!.tI:-:o •• TI~.
~Jlil!J<I::}Hj '5Jl!lli\cIf<D* Y J-- '7-7 l"fF'5 :: I: 1l1.U<£,'llI I:rr,; c: R ;;f;;jJ(jf.I J; ~ ""j>ftt,'lllil"jtjoT N'(~I:I~"'!Ill"t.l: ".)

(Sex)

1. Name in full in native language OM,I, (!Il)


-----;::-----:-----:--
(Family name)
------------------------------
(First name) (Middle name) OFemaie (ft)

In Roman block capitals (Marital Status)


--------~----------~---
(0-<'''') (Family name) (First name) (Middle name) OSingie (*~)
OMarried (ft!'lWl
2. Nationality

(00 ~) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ,- --

Paste a passport photograph

3. Date of birth (1:~iJ 8) taken within the past 6 months.

19 Write yOllr name and nationality

Year (1f) Month (fI) D,y (8) Ag,(" of April 1,20091'H~12009'F4Jll B.IJll'f) in block letters on the back (If the

photo.

(4. 5cmX3. 5cm photo)


4. Present status wi th the name of the university attended or employer {~~ (4. 5clOx3. Scm)}
I.IJlJlil (l'f"'*"'1'. Y:IH~I!lJt1'."' ""("oA T '5:: 1:, ))

5. Present address and telephone number, facsimile number. e-mail address


(.IJlftffl1l1.U<1I:iiIi, 77Y7;:Z*", E-m,il7I'v;:Z)
IJl{±ffl (Present address) :

.~iItf} /FAX ti~ (Telephone/facsimile numbed

E-mail address:

*If possible, write an e-mail address that can he used for periods including the time before you come to Japan, your stay in Japan and the period after
you return home.
(OJlrnt"i'& ~, ill B iliI- B ;;f;;fIl"'<!'-~Jll!J< I:bt~ ~ ""'11M '5 :: I: 1J''fl!.!;< 11'5 E-mrui 7 ~ v;:Z HeA T '5:: 1:.)

6. Field of specialization studied in the past (Be as detailed and specific as possible. )
OIM'I:"Ij( l"tdHHrJlf (""(';!' '5 t;'ij "l*fl'JI:i1'ImI:iI <:: 1:. ))

-1-
7. Educational background (~I:mi:)

I\ame and Address of School Year and Month Amount of time Diploma or Degree awarded,
of Entrance and spent at the Major subject
Completion school attended
I*tJ<,g Ii< V'IWffJ1l!1 IJ,. "j'1i<V'$"'F III Il!I"j''Fl:!:1 I"j'i~ . >!l!. \OJ:rJ(IHIl
J'\ame From years
1"j'tJ<,g1 IJ,.'i'1 I'FI
Elementary Education :
IW~!"Jtl"f1
Location To ond
Elementary School IIWffJ1l!1 1$.,1 months
I'J''i'1i11 ()J 1

: Name : From years ;


1'l'1i1,g I IJ,."j'1 I'FI
Secondary Education
1<P~!"Jtl"f1
Location To ond
Lower SecondalY School IIWffJ1l!1 1$ .. 1 months:
1<P'l'1 ()J 1 .

: i :
:
Name From years
1'i'tJ<,g 1 IJ,."PI I'FI

Upper Secondary School


: To ond
I,\l;W Location
IIWffJ1l!1 1$.,1 months
: ()1I

:
: Name From : years
1'l'1i1,g I IJ,.'i'1 I'FI
Higher Education
1;ll;~I"J<l"f1

Location To ond
Undergraduate Level IMffJ1l!1 1$.,1 months
Ix"Pl : ()J 1

:
J'\ame From
: years
I'l'1i11'. 1 IJ,."PI I'FI

Graduate Level
Ix'l'ltiiOl Location To ond
IIWffJ1l!1 1$.,1 months
()J 1

: ;
Total years of schooling mentioned above
o;U: l1cJJJj!j" LJd,"j'Ii1!"Jtl"fl!l'l''Fl:!:1 years
as of April 1. 2009 I'FI
12009 'F 4!l 1 BlJlffl
* If the blank spaces above are not sufficient for the information required, please attach a separate sheet.

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.

* Please attach abstracts of those papers to this application.

-2-
9. Employment Record: Begin with the most recent employment. if applicable. olmn
I'\ame and address of organization Period of employment Position Type of work

(l\I)!#Jtll:ljmtEJIl) (l\I)!#WiIlll) (&11111\) (JIt!# r'll'\')

From
To

From
To

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

Excellent Good Fair Poor


(ill) (M (Of) ('FOf)
Reading
<iiIWiill1J)
Writing
<
(,II tre1J)
Speaking
(liIi,tre1])

1 J. Foreign language proficiency: Evaluate your level and insert an X where appropriate in the following blank space.

Excellent Good Fair Poor


(Ill) (JiD (Of) ('FOf)
English
("J(;,:m
French
(iLiIi)
Gennan
(J!lrlli)
Spanish
(i!.IIi)

12. Have you been awarded a Japanese Government {Monbukagakusho} Scholarship in the past? Ifso, please specify the period, the name of the university, etc.
(i!ll$<lcllil'ltli'l"j"Elctliffl '" ntc;: cn'~ ",n'. ~'" t~ '" It, -j'-O)Wirdl' :l<J..*"'i\\l' HoJ.. 0);: c. )
i) Yes, I have.
(~"') Period: ________________________________ University: _______________________________________
ii} No, I have not.
(t~ ~,)

-3-
13. Accompanying Dependents (Provide the following information if you plan to bring any family members to Japan.)
iiiJi'I'li<hJ(lIII (il!! B ., 'OlI!;'\-, JiiJW'l')EO)lIIhJ(Ii'~' '0 lI!;,\-l:'OA ., '0 U: 0)
* All expenses incurred by the presence of depende!lts must he 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.

(
(11) t~tlJiiJi'I'jlfl:£"Il't~!tlj!iI:l:" "<,
lil"J>'EO)J!.l!!T<10 '0 Ii', 1IIhJ(1ll 0)111;"''''''- CO It'O;: I: 1:I:.fIl"l illlilT<Io 0 j'Jl:f~ t>""I::llJ,lli I:t~ '0 0) )
T <10 S Ii' C";!l<JlJ<" hto ~'o ;: 0) to";, lil"J>'EI:I: *'f .... !l'T* 8 t." ~"l1J:1O"''''''- CO IttdJ! , 1II1il< ""Hf1litt '0 ;: I: 0

l\'ame Relationship Ag,

(a iI) lili jjJj) ('I' /Iiil)

14. Person to he notified in applicant's home countI)' in case of emergency:

i) Name in full:
(ail)----------~--------------------------------------------------------
ii ) Address: with telephone number, facsimile number, e-mail address
(ttm : 1l!:iililll», 7 7 y:7 AlII»ll<1fE-m,;! 7 i' VA H~AO);: 1:.)

~ttPJT (Present address) :

7I1~#-l% /FAX ti~ (Telephone/Facsimile numbed:

E-mail address:

ill) Occupation:
(11\1 !I!)
iv) R,I,tion,hip:
(*AI:O)~*)----------------------------------------------------------------

15 Immigration Records to Japan (8 *,",O)jlU1L~2~)

Date (8M) Pucpo," (il!!1i\ § B'J)

From

To

From

To

-4-
(J understand and accept aU the matters stated In the Application for Japanese Government{MOl\'BUKAGAKUSHO:MEXT) Scholarship for 2009, and
hereby apply for this scholarshipo
(t\l~ 2009 'Filt B:.$:I;I(if.f ()($H"l'~) ll!"l'<iZM"l''EJj;jIP1PIiI:,2,.;,<nT ~,.:o.," ii'T«T7Wil-T>1'01! l- ;tT)

Date of application:

Applicant's signature:

Applicant's name
(in Roman block capitals) :
(>1'iiiljlfl!AI)

-5-
APPLICATION FOR JAPANESE GOVERNMENT (MONBUKAGAKUSHO:MEXT) SCHOLARSHIP
(ATTACHMENT)

OJIJ iit£)

Research Students for 2009 (liiI '1'l \iii "P !E )

1. Name in full in Roman block capitals (~4'l ~fc!A, O-'7*l":1Hc)


r - - - - - - - - - - - - - - - - - - - - - - - -,

(Sex)

DMale (:Y:J) Paste a passpon photograph

(Family name) (First name) (Middle name) DFemale (ft) taken within the past 6 months.

Write your name and nationality

2. Date of birth (:'tif..FJ 8) in block letters on the back of the

photo.
19
(4. 5cmx3. 5cm photo)
Year ('¥) Month (f]) Day (EJ) Ag,(as of April I. 2009) ('1'111\ 2009 '1'4 Il1 Blll1'f) (~. (4. 5cmx3. SCIII»

3. Nationality (0011)

4. Present address, telephone and facsimile number, e-mail address


(~f±m&V=:~t, 77P'Y~!J*.ry., E-mail 7Fv.A)

5. The institution you have graduated/will graduate. ($~ t....t.::, S Q (,q;t$~TJEO)t1IMI)

Institution (tiM) Y,a; ('F) Month (1'1)

Conferred Degree: a) Bachelor's Degree b) Master's Degree c} Doctoral Degree

(I1i(jil'l'f~) ('l'±) (l!!±) (fl'/±)

6. Field of study in Japan (B *-r:O):M"~W:.l}.(JtJr)

{Detailed field of study (M~JtJef (M:{$»

7. Term you wish to study in Japan (B ::;$:.1:::t:Ht 9:M"~Wl~Wm,')

a) Only a research student's term Maximum period of One year and six months)

b)By the end of master's degree course completion( Years)

c) By the end of doctoral course completion{ Years)

d) By the end of professional gradUate course completion(

- 1-
8. If you are applying for other scholarships, state the name of the sponsor, duration, amount, etc.
('b["fI!lO)Jl!'l'~I:ro;j}[.,n'Qi!lo"1l;t, ~O)'i\iifJ, Mr." ~m;I'l'HC9:C.)

9. Have you been awarded a Japanese Government (Monbukagakusho) Scholarship in the past? If so, please give the period, the name of the university, etc.
(i!l$;!:OOifli'l'l''EI:t1i!ll'''nto:clJ'~QiJ'. ~N~';I;f, ~O)M~" "lIJ..'l'tJ<'i\I'l'HcJ..O);-' c.)
i) Yes, I have.
Period: _____________________________ University: ____________________________________
ii) No, I have not.
(t~H

- 2-
A~IiJt. (f1. Jt;;. 00 A if~~Jij)
Enrollment Application Form (for Private Foreign Students)

- - -- - - - - - - - - - -- - -- -- -- - - - - -',

I NSTRveT IONS (,eAl::O)I±Jl') Paste your passport size

1. The application should be typewritten if possible, or neatly handwritten in block letters. photograph taken within the

(1j/j~1:'CA" '5;: c.) past 6 months. Write your

2. Numbers should be in Arabic numerals. (Jk~tJ.jJmtt~~ JD~~ ~;:: co) name and nationality in block

3. All years should be written using the Western Calendar. (1f.~I;;t T r(""(i!!imH:T ~ ;: co) letters on the back of the

4. Proper nouns should be written in full and not be abbreviated. ([j§ji'f1'lfijl::l T .r{TIE J:tt.l.f.¥F c G, photo.
-lm""ln-,t~~';: c.1
(4. Scm X 3. Scm photo)

(Sex)

1. Full name in native language _ _ _---:-_ _---:-_ _ _ _---:-_ _ _ _ _ _ _ DM,le (9l)


m1\ (1'IIlJi&11 (Family name) (First name) (Middle name) DFemale (3()
In Roman block capi tals (Marital Status)
(0-<'*) (Family name)
------------------------------
(First name) (Middle name) DSingle (*m)
o Married m~m)

2. Nationality

3. Date of birth (':t1f.R B)


19
Year (1f) Month (~) A,elAs of April 1,20091 ('FJIi\ 2009'F4Jll B!ll1'£)

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


(!ll1l1l (1'£'l':k'l'1\3(I:tll/Jf!l;\;1\;t ",2A ., '5;: c. »

5. Present address and telephone number. facsimile number. e-mail address


(!lliiWil!t.UllliiO, 77y?;2;iI\~, E;o(-)v7fv;2;)

~ttffl (Present address) :

m:ffi1i.~/FAX.~ (Telephone/Facsimile number)

E-mail address:

6. Field of study specialized in the past (Be as detailed and specific as possible. )
(j1l\'li1:I!PJ(l..to"'IHl"!!l' ("", '5t."lt JH$li'JI:ii'lIIBI:W< ;: c.»

~ 1~
7. Educational background ("F"IfI!)

Name and Address of School Year and Month Amount of time Diploma or Degree awarded.
of Entrance and spent at the Major subject
Completion attended schoo I
I), 'F:& V:$;o'F jj) 1~'F'Fli!:)

Name From years


Elementary Education I'l'Vill I)''F) I'F)
1l!J~¥!['~'1
Location To and
Elementary School IIJil'flt!l1 1$;0) months
1'1''l'1)) OJ)

Name From years


Secondary Education I'l'tlill I)''l') I'F)
I<I>'!>*&,,)
Location To and
Lower Secondary School 1$;0)
IIJil'flt!l1 months
1<I> 'F) OJ)

Name From years


('l'tl1S1 I), 'l') I'F)
Upper Secondary School
1,,1)) Location To and
IlJif£lt!l1 1$;0) months
Ill)

Name From years


Higher Education l'l'tl1S1 I), 'l') I'F)
I,,'!>*&,,)
Location To and
Undergraduate Level (pJil'flt!l1 W;o) months
I*'l') Ill)

Name From years


l'l'tl1S1 (A"F") I'F)
Graduate Level
1*'l'II'i) Location To and
IIJil'flt!l1 1$..) months
Ill)

Total years of schooling mentioned above years


1);,( 1: lBli j!l: IJo 1t'Ftl*&ll'~ 'l''F li!:) I'F)
* If the blank spaces above are not sufficient for infonnation required. please attach a separate sheet.

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 publisher and the
date of publication.

Please attach abstracts of those papers to this application.

·2·
9. Employment Record: Begin with the most recent employment, if applicable. OIUMJ

Name and address of organization Period of employment Position Type of work

(!ilJjMt&UiJi1'flt!!) (!ilJi!lMr.l) (1ll:JIiI4'o) (JIiIl,H"J'If)

From
To

From
To

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

Excellent Good Fair Poor


(Kf) (Jil) (OJ) (TOJ)
Reading
OiIWfiIj:!J)
Writing
(l!I<fiIj:!J)
Speaking
Oili,fiIj:!J)

11. Foreign language proficiency: Evaluate your level and insert an X where appropriate in the following blanks.
(J1.IlJ'lifilj:!J'-1'l c,HIiO).,,;t, It''lmll: X 1'Il'-'GA ,<5 :: c.)
Excellent Good Fair Poor
(Ii) (Jil) (OJ) (/fliT)
English
(~Mj)

French
(fL,.~ft)

Gennan
(J1I!;1D
Spanish
(jlIjlli)

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

* He/She is advised to take into consideration various difficulties and great expense that will be involved in finding living quarters. Therefore, those who
wish to be accompanied their families are well advised to come alone first and let their dependents come after suitable accommodation has been found.
(tt) *1;l;!!lO)!lf~'- J!. -,'tQ::~I~fIl "lllliil,,;J; 0,
lhl::f3f M,'litI:lIJill; I:t~ Q 0)"
;J; GIi' t:!6iJi(9lJ ~ htc ". :: O)tc!6, WI'l''tI:t:J;-rl!!''''ilf! B L-, ill "lt~11I~ Hl::o,ttc1li, li<1;l; '-Pl'Uilfit<5 :: C.

Name (!l:4'o) Relationship (iftfi'U Age ('Fili:i)

Relationship: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

- 3-
13. Person to be notified in applicant's home country in case of emergency:

i} Name in full:
(~~)-----------------------------------------------------------------
ii ) Address: with telephone number, facsimile number, e-mail address
@.: • • • ~, 77Y7~.~X~E~-J~7f~~REA~~~.1

~{fPJT (Present address) :

1l!Ri1i~ /FAX tift (Telephone/Facsimile number) :

E-mail address:

iii) Gc,"p,!ion:

(n ~) ---------------------------------------------------------------
iv) R,]"ion,hip:
(*A~~~ffi)---------------------------------------------------------------

14 Immigration Records to Japan (B*""'-0)iln:RIt~2~)

Date ( Hit) Purpose (ill!liltl;tj)

From
To
From
To

Date of application:
(>jI!IJ'I'1l B)

Applicant's signature:

Applicant's name
(in Roman block capitals) :

- 4-
(~IJfiD

Field of Study and Study Program

Full name in native language


(Family name) (First name) (Middle name)

Nationality

(00 n)----------------------------------------------
Proposed study program in Japan (State the outline of your major field of study on this side and the details ofyauT study program on the backside of this
sheet in concreteness. This section will be used as one ofthe most important references for selection. Statement must be typewritten or written in block
letters, Additional sheets of paper may be attached if necessary. )
C
8 *1:(I)IiJf'il:mlj : ;: (l)1iJf'il:iITiOOlt, itt~(I)!I!'!I!t~$~ t~Q (1)1:, i'<iIfi 1:"IJI:Jt!lf(l)Il'!l!lI:, j!ilfil: 1iJf'il:'~iOO(I)"~1I HlWI:,a). ., Q;:
(,a). It,$' l' 7 X Itll'iill I: J:: Q 't (I) C L-, £,'!I!t~lIl"'ltgIJIllH1!JJIl L- c 'tJ:: ",
C')

If you have Japanese language ability, write in Japanese.

1 Field of study (.J;!1.Jjc5tJef)

- 1-
2 Study program in Japan in detail and concreteness (Wf~~tOOi : ~.'fmliJ)-:J-1't-Uq;:m:!A "9 Q;: co)

- 2-
$ fflU~ 1tIf-=
CERTIFICATE OF HEALTH (to be completed by the examining physician)
a *;;;XI:l!1'Jlilc J: ~ llJliflCiicilitT i5 :: C.
Please fill out (PRINTrrYPE) in Japanese or English.

1'\:11 D!Jj Male 'E'¥Jla 'I'llii'


Name~, __~~_________________ -=___..,.,=~____ Dfr Female Date of Birth: Age:
Family name, , FiTst name Middle name

1. >t,,*,jj1J!i'
Physical Examinations

(j) >t
Height *
_______ em "*' lI! _ _ _ _ kg
WeighLt

(2) lfIl IE lfIlilll!l'l O~


Blood pressure _ _ _ _ _-'m"'m!H!!!I!:!JgC-'-____ mmlHg Blood Type 1;;-;;1 RH =1 W:fl3
Pulse
regular
D/f=m irregular
(3) ll! 1J
Eyesight: (R) (L) (R) (U ~JtAm-(l)~~ DIE'lit normal
l!l!g~ without glasses mlJE with glasses or contact lenses color blindness 0 A-m- impaired
(4) JIif, 1J D:iE 1X' normal g' g DIE1it normal
Hearing: Oili; T impaired speech: DAm- impaired

2. '" l,jjlfO)W'if!llIC--=>' '""(, liMtc X~jj1J!i'O)l<i!I"',IOA L ""( <to"" ". X~jj1J!i'O) a 1ttIOAT i5 :: c (6 'r Jl8J:JliTO)jj1l1'l:lI!\~.)
Please describe the results of physical and X-ray examinations of applicant's chest x-ray (X-ray taken more than 6 months prior to the
certification is NOT valid).

IIiIi DIE'M" normal 'L'1Ii D:iE;Iit normal


lung: DA'M" impaired Cardiomegaly; o fA lir impaired \
+--- Date 'fi, 1IriJ~ mQ mit
Film No. ,c,'i'l1ffig Electrocardiograph :OIE'M" normal
o Jc;lit impaired
Describe the condition of applicant's lung.

3. lJ!tEl!l1M'I'",r"m DYes (Disease,, _ _ _ _ _ _ _ _ _ _ _ _ _ _ __


Disease Treated at Present DNa

4. !ll;ttllF.
Past history; Please indicate with + or - and fill in the date of recovery

Tuberculosis...... 0 ( . ) Malaria ...... 0 ( . ) Other communicable disease ...... 0 (


Epilepsy ...... 0 ( Kidney Disease..... 0 ( ) Heart Diseases ...... 0 (
Diabetes...... 0 ( . Drug Allergy...... 0 ( ) Psychosis ..... 0 ( .
Functional Disorder in extremities ...... 0 ( )
5. M ~ Laboratory tests
~ 1* Urinalysis:glucose ( ), protein ( ) , occult blood (

~tt ESR :' _ _ _-.!mmlHr, WBC count: _ _ _.L/cmm ltlfll 0


anemia
Hemoglobin: _ _ _..!gmldl, GPT: _ _ _ __

6. JlJ>11fr1l1 O)FfJ g"I'ilI! "'""( T " ".


Please describe your impression.

7. $MijlfO)!ll;ttl!IL JlJ>1lI' jj1l'1O)l<iJI,,;> G'i'11Ifr L""(, lJ!tEO)1ll!~O):jJ:61I:lj'f)1IC fII'J'ICjjj;t 'j i5 to) C!!!.v",;t Til'?
In view of the applicant's history and the above fmdings, is it your observation his/her health status is adequate to pursue studies in Japan?
yes 0 noD

aft
Date: ______________
!lt1l
Signature",____________________________________________________

Il1 IliIi I'\: 11


Physician'S Name in Print: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

jj1J!i'lIii1l:1I
Officellnstitution:
iMEJl!l
Address: _____________________________________________________
~J...pgMHf
Letter of Acceptance
(for Japanese Government Scholarship students)

B
Date

To: Minister of Education, Culture, Sports, Science and Technology

(B *'"('Q)m~fj(~) Name of Supervisor in Japan

:*: '¥'15 **:*:'¥':*: '¥'1!;'GJl!!'¥'!E1f!lf4'¥'liII'>tf4


Graduate School of Agricultural and Life Sciences
The University of Tokyo

f/J;t, HcQ)j!ftJl B *illlilif (xflllf4'¥'i!i') ~,¥,;i\>'iIi'¥'!E (ifljIlE{~¥FgrJ:J - 7,) I: L, Ttll!l2: :ht~Jjf'; r:


~,m.fj(~I:~~~I:~~.L,~~

I agree to accept this person in our laboratoy if helshe is allowed to study as a Japanese Government
(Monbukagakusho) scholarship student (Special Course for Advancement of Agricultural and Life
Sciences), and to supervise his/her research work.

Nationality

Name
~Apg~:ji
Letter of Acceptance
(for private foreign students)

B
Date

To: Minister of Education, Culture, Sports, Science and Technology

(B *l'O)f\lijj~1'l) Name of Supervisor in Japan

Graduate School of AgTiculturai and Life Scie,\ces


The University of Thkyo

1'4 [;t , r~cO)1!l'iJ1i/1i!l!'fl:;!l!iZIj::J - A O)1'4Y~li'1~:'t c GTl*1ll ~ tlt.:llH';I: [;t, f\lijj¥J(1'l U.J. Q :: C ~ jj!,
llllG;tTo
I agree to accept this person in our laboratory if he/she is allowed to study as a privately financed
international student (Special Course for Advancement of Agricultural and Life Sciences), and to

supervise his/her research work.

Nationality

2. a 1';
Name
Note of Confirmation

Please circle one of the following options:


1. Wish to apply only as Japanese Government Scholarship
Student.
2. If not selected for the scholarship, wish to apply as Privately
Financed International Student.
3. Wish to apply only as Privately Financed International
Student.

Application form:
Choice 1: Application for Japanese Government Scholarship
(Research Student)
Choice 2: Application for Japanese Government Scholarship
(Research Student) and Enrollment Application Form
(for Private Foreign Students)
Choice 3: Enrollment Application Form (for Private Foreign
Students)