RECOMMENDATION FORM

Applicant’s name (in print):

　　　　 　　　　　　　　 　　　　　　

Family name First name 　　Middle name
To the Recommender:
This person named above is applying for “Ajinomoto Scholarship”. We would appreciate if you gave
us your opinion of the applicant’s academic abilities, together with some com
character and potential that he/she would be leading the future Asia and contribute to the friendship
b e t w e e n h i s / h e r c o u n t r y a n d J a p a n . P l e a s e f i l l i n t h
recommendation in English or in Japanese. In order to ensure confidentiality, please place this in an
e n v e l o p e , s i g n t h e s e a l a n d r e t u r n tW
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e e al c
pop lmi cea e
nat .r l y s u b m i s s i o n t o
candidate . Thank you for your cooperation and would like to assure you that your comments wil
carefully be considered.

How long have you known the applicant?　From 　To 　　　　　　　　　　　

In what capacity?　

Please identify the group to which you are comparing the applicant:
　　　Undergraduate students 　　　　Master’s level students
　　　Others (Please identify the specific group):

How many years, approximately, have you evaluated people in this group?

H o w m a n y p e o p l e a r e i n t h e g r o u p , i n r o u n d n

Please rate the applicant relative to others in the group:

Exceptional Excellent Very Good Good Average Poor N/A
　Top 2% Top 5% Top 10% Top 25% 50% Below 50%
Academic Performances

Intellectual Potential

Interpersonal skills

Creativity and Originality

M o t i v a t i o n f o r G r a d u a t e
Studies

Reasons for Recommendation

Please give us your contact information:

Name of Recommender:

Post or Position
Institution

Address:

E-mail: TEL:
FAX:

Date:　 　　Signature