RESEARCH CATEGORY

NOTE: The screening committee also takes into consideration your ability to follow the
guidelines and instructions. Please follow the instructions carefully.

1. Please print the Application Forms on an A4 size paper.

2. All submitted documents WILL NOT BE RETURNED. Should you foresee the necessity of
keeping a copy of the requirements for your own purpose, it should be done BEFORE
submission of documents.

3. MEDICAL CERTIFICATE ON PRESCRIBED FORM - Medical check-up may be undertaken in ANY

hospital or health institution, as long as the form is in conformity with that is shown in the
guidelines. Please ask your doctor to fill in all the required data.

4. MAKE SURE THAT ALL YOUR PAPERS ARE COMPLETE BEFORE SUBMISSION. Application forms
with incomplete requirements will not be considered. (We understand that some documents
like diploma and transcript of records are hard to obtain; certified true copies issued by the
University Registrar of the said documents will be accepted for the meantime)

5. To facilitate communication, please provide as much contact information as possible including

mobile number, landline number and correct email address.

6. Due to the huge volume of applications received every year, we are unable to confirm receipt
of documents from each applicant. We suggest you prepare a receiving copy, which can be
signed by the Embassy staff who receives your document, or, for those delivered by courier
(LBC, OCS, etc), please check with your courier service provider on how you can verify
delivery/receipt of your documents. Inquiries on application status will not be entertained.

7. Only short listed candidates will be contacted to take the exams and interview. The
examinations and interviews will be held in Manila.

8. Application Form Annex. Please provide the course (Field of Study) you wish to take up, the
name of the Japanese University where you intend to do your research and the name of your
contact professor. Application form annex with incomplete information will not be considered.

9. If you were successful at the preliminary screening (after passing the exam and interview), you
are required to find an academic adviser in a Japanese university. You may send copies of
your research proposal, and your academic record to the prospective adviser in a Japanese
university and ask for acceptance into that university. (Guidelines 5.5 and 5.6 SELECTION AND
NOTIFICATION)

10. Place all your documents in a clean envelope, folder or clear-book arranged according to the
list. Please do not fasten (use a fastener) your documents. Number the documents (
through ) in the right upper corner.

11. Past example exams are available at: http:www.studyjapan.go.jp/en/toj/toj0308e.html

Please mail or hand-deliver your application package to the following address on or before
May 27, 2016 ( Friday) Late applications WILL NOT BE ACCEPTED.

Attn: 2017 MEXT Scholarship for Research Students

Japan Information and Culture Center
Embassy of Japan
2627 Roxas Boulevard, Pasay City 1300
 APPLICATION GUIDELINES
JAPANESE GOVERNMENT (MONBUKAGAKUSHO:MEXT) SCHOLARSHIP FOR 2017
(RESEARCH STUDENTS)

The Ministry of Education, Culture, Sports, Science and Technology (MEXT) offers scholarships to international
students who wish to study in graduate courses at Japanese universities as research students(either non-degree or
degree students) under the Japanese Government (MEXT) Scholarship Program for 2017 as follows.

１．DEFINITION OF A RESEARCH STUDENT

Those who are enrolled in a master’s course, a doctoral course, or a professional graduate course at a graduate
school, or who are conducting research in a specialized field at an undergraduate department, graduate school,
institute attached to a university, etc. without the aim of completing the course, or who are receiving preparatory
education in the Japanese language and other subjects prior to placement at the university, etc. (Excluding the
Young Leaders Program(YLP) students or teacher training students.)

2. FIELDS OF STUDY
Applicants should apply for the field of study they majored in at university or its related field. Moreover, the
fields of study must be subjects which applicants will be able to study and research in graduate courses at Japanese
universities.
The fields of study may be restricted to particular fields by the Japanese Embassy/Consulate General
(hereinafter referred to as the “Japanese diplomatic mission”) in the applicant’s country.
A student who studies medicine, dentistry or welfare science will not be allowed to engage in clinical training
such as medical care and operative surgery until he/she obtains a relevant license from the Minister of Health,
Labor and Welfare under applicable Japanese laws. Those studying traditional entertainment arts such as Kabuki
and classical Japanese dances, or subjects that require practical training in specific technologies or techniques at
factories or companies are excluded from this restriction.

3. QUALIFICATIONS AND CONDITION

The Ministry of Education, Culture, Sports, Science and Technology (MEXT) is now accepting applications from
overseas students for study in Japan. Our aim is to foster human resources who will become bridges of friendship
between your country and Japan through study in Japan and who will contribute to the development of both
countries and the wider world.
(1) Nationality: Applicants must have the nationality of a country that has diplomatic relations with Japan. An
applicant who has Japanese nationality at the time of application is not eligible. However, persons with dual
nationality who hold Japanese nationality and whose place of residence at the time of application is outside
of Japan are eligible to apply as long as they choose the nationality of the foreign country and give up their
Japanese nationality by the date of their arrival in Japan. Applicant screening will be conducted at the
Japanese diplomatic mission in the country of applicant’s nationality.
(2) Age: Applicants generally must have been born on or after April 2, 1982.
(3) Academic Background: Applicants must be a graduate from a Japanese university or have academic ability
equal or superior to that of a Japanese university graduate. A person will be deemed to have academic ability
equal or superior to that of a university graduate, if he/she:
① has completed or will complete 16 years of school education in a foreign country (or 18 years of school
education if he/she desires to enroll in a doctoral course in the field of medicine, dentistry or veterinary
science, or pharmacy which is based on a 6-year course in a department or faculty); or
② is or will be aged 22 or older and has taken an individual entrance qualification examination and has
been judged by a Japanese graduate school as being equal or superior in academic ability to a university
graduate (or 24 or older if he/she desires to enroll in a doctoral course in the field of medicine, dentistry or
veterinary science, or pharmacy which is based on a 6-year course in a department or faculty). Eligible
applicants include those who otherwise satisfy or will satisfy qualification requirements for admission to a
Japanese graduate school. As a general rule, a person who has completed a doctoral course may not apply
unless he/she seeks to obtain a degree.
(4) Japanese Language Ability: Applicants must be willing to learn Japanese. Applicants must be interested in
Japan and be willing to deepen their understanding of Japan after arriving in Japan. Applicants must also
have the ability to do research and adapt to living in Japan.
(5) Health: Applicants must be free from any mental or physical disabilities that would impede the pursuit of
study at Japanese graduate school.

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 (6) Arrival in Japan: In principle, applicants must be able to arrive in Japan between the 1st and 7th of April
2017, or by the date specified by the accepting university, which will fall within two weeks of the starting
date for each semester (in general, in September or October) in that year designated by the accepting
university. “Arrival in Japan” is considered to be the arrival period specified in the application form; changes
will not be permitted after submission of the application.
(7) Visa Requirement: Applicants must acquire College Student (ryugaku) visas before entering Japan. They
then enter Japan with the College Student (ryugaku) residence status. Please also note that those who
change their visa status to one other than College Student after arrival in Japan will lose their qualification
to be Japanese Government Scholarship recipients from the date when their visa status changes.
(8) While the applicant is studying in Japan, he/she shall contribute to mutual understanding between Japan and
the home country by participating in activities at schools and communities with the aim of contributing to the
internationalization of Japan. The applicant shall make efforts to promote relations between the home country
and Japan by maintaining close relations with the university attended after graduation, cooperating with the
conducting of surveys and questionnaires after the return home, and cooperating with all relevant projects
and events conducted by Japanese diplomatic missions in the applicant’s home country.
(９) Any applicant who meets any or all of the following conditions is ineligible. If identified after the start of the
scholarship period, the applicant will be required to withdraw from the scholarship.
① Those who are military personnel or military civilian employees at the time of their arrival in Japan;
② Those who cannot arrive in Japan during the period designated by MEXT or the accepting university;
③ An applicant who is a previous recipient of a Japanese government scholarship, but does not have
educational research experience exceeding more than three years from the first day of the month following
the final payment of the previous scholarship to the beginning of the payment of this scholarship, as of April
1, 2017. This does not apply to the past recipients of Japanese studies scholarships and Japan-Korea Joint
Government Scholarship Program For The Students In Science And Engineering Departments who have
graduated or are going to graduate from universities in their home countries and past participants in the
Young Leaders Program;
④ Those who are currently enrolled at a Japanese university with a College Student (ryugaku) residence
status; those enrolled, or scheduled to be enrolled, at a Japanese university as a privately financed
international student during the period when the scholarship application was filed in the home country
until prior to the start of the provision of the scholarship; This does not apply to current self-financed
international students at Japanese universities who will complete their courses of study and return to their
countries before the end of the current fiscal year;
⑤ Recipients of scholarships from institutions other than MEXT (including government institutions in
their home countries) that overlap with the Japanese Government Scholarship (Prospective beneficiaries
are included);
⑥ Applicants who are expected to graduate at the time of application and cannot satisfy the
qualifications and the conditions related to academic background by the deadline given;
⑦ Holders of dual nationality at the time of application who cannot verify that they will give up
Japanese nationality by the time of the arrival in Japan; or
⑧ Applicants who wish, from the time of application, to conduct fieldwork or participate in an internship
outside of Japan, since this scholarship program is intended for overseas students who wish to enroll in a
Japanese university and do graduate research in Japan.

4. PERIOD OF SCHOLARSHIP
The period of the scholarship will differ as follows depending on the student category the applicant is accepted
under at a Japanese university.
(1) In the case where a grantee will enroll as a research student, part-time non-degree student, or auditor, etc.
(hereinafter referred to as a “Research Student (non-regular student”) after coming to Japan:
① If a grantee comes to Japan in April 2017, his/her scholarship will be payable for 24 months from April
2017 through March 2019;
② If a grantee comes to Japan in October 2017, his/her scholarship will be payable for 18 months from
October 2017 through March 2019.
(In either case, the above-mentioned scholarship period includes a 6-month Japanese language training
period for grantees who require such training.) In cases of arrival in Japan other than those periods specified
above, MEXT will decide such cases separately on a special basis.
(2) If a grantee enrolls as a regular student in a master's course, doctoral course, or professional graduate course
for a degree after coming to Japan, regardless of the time of his/her arrival in Japan the scholarship will be
payable for a period necessary for him/her to complete his/her regular course (standard course period).
(Period includes a 6-month Japanese language training period for the grantees who need such training.)

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 (3) The extension of scholarship period: If a grantee desires to proceed to a regular graduate course for a
degree from a Research Student (non-degree) course, or to a doctoral course from a master’s course or a
professional graduate course, he/she may have the term of his/her scholarship extended upon a successful
examination by MEXT and provided that he/she has made outstanding academic achievement that meets
certain criteria. However, note the following;
① A grantee cannot have the period of his/her scholarship extended as a Research Student (non-degree)
course.
② If a grantee proceeds to a more advanced level of education without receiving approval for an extension of
the period of the scholarship, the scholarship will be cancelled. He/she may, however, proceed to a more
advanced level of education or continue with his/her study as a privately-financed student.
③ A Research Student(non-regular students) is not eligible to apply for an extension of the scholarship
period if he/she cannot proceed to master’s or doctoral course by the end of the term of the Research
Student’s scholarship. However if he/she who wish for admission in April 2019 and withdraw traveling
costs (transportation from Japan), he/she is eligible to apply for an extension of the scholarship period.
Regular students enrolled in master’s or doctoral course in April 2019 and returns to his/her home
country within the fixed period after the expiration of his/her scholarship can also apply 5. (2)② for
transportation costs to travel back to their home country as stated below.

5. SCHOLARSHIP BENEFITS
(1) Allowance: 143,000yen (Research Students(non-regular students), 144,000yen (regular students in Master’s
courses or professional graduate courses), or 145,000yen(regular students in doctoral courses) per month.
(In case that the recipient research in a designated region, 2,000 or 3,000 yen per month will be added. The
monetary amount each year may be subject to change due to budgetary reasons.) The scholarship is
cancelled in principle if the recipient is absent from the university for an extended period. The scholarship
will be also cancelled in principle in the following situations. If the recipient has been receiving the
scholarship despite his/her falling under any of the following situations, the recipient will be ordered to
return the amount of scholarship that he/she received during the period wherein he/she was involved with
any of the following situations.
① The recipient is determined to have made a false statement on his/her application;
② The recipient violates any article of his/her pledge to the Minister of Education, Culture, Sports, Science
and Technology;
③ The recipient violates any Japanese laws and is sentenced to imprisonment with or without work for life or
for a period of exceeding 1 year. However, this shall not apply to those who were found guilty with
suspension of execution of sentences;
④ The recipient is expelled from his/her university or preparatory educational institution or receives other
punishment, or is removed from enrollment; (The scholarship payment may be stopped during the period
up until punishment is decided by the university, etc.)
⑤ It has been determined that it will be impossible for the recipient to complete the training course within
the standard time period because of poor academic grades or suspension from the university;
⑥ The recipient’s residence status has changed to one other than College Student as defined in the Appended
Table I-4 of the Immigration Act;
⑦ The recipient has received a scholarship from another institution (excluding those specified for research
expenditures).
⑧ If he/she proceeds to a more advanced level of education without receiving approval for an extension of
the period of the scholarship.
(2) Traveling Costs
① Transportation to Japan: The recipient will be provided, according to his/her itinerary and route as
designated by MEXT, with an economy-class airplane ticket from the international airport nearest to
his/her home country residence * to the New Tokyo International Airport or any other international
airport that the appointed university usually uses. Expenses such as inland transportation from his/her
home address to the international airport, airport tax, airport usage fees, special taxes on travel, or inland
transportation within Japan will NOT be covered. (*The address in the country of the recipient’s nationality
stated in the application form is in principle regarded as the recipient’s “home country residence.”)
② Transportation from Japan: In principle, the recipient who returns to his/her home country within the
fixed period after the expiration of his/her scholarship will be provided, upon application, with an
economy-class airplane ticket for travel from the New Tokyo International Airport or any other
international airport that the appointed university usually uses to the international airport nearest to
his/her home address.
Note 1: In principle, transportation costs to return to home country are not paid if the student who wish for
admission in April 2019 and failed or withdrew to proceed to a regular graduate course for a degree
from a Research Student (non-degree) course, or to a doctoral course from a master’s course or a
professional graduate course, despite applying for extension of the period of the scholarship, as stated
"4. Scholarship Payment Period (3) ③," so please note this when applying for such an extension.
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 Note 2: Any aviation and accident insurance to and from Japan shall be paid for by the recipient.
Note 3: If a grantee continues to stay in Japan after the scholarship period has ended, he/she will not be paid
travel expenses to return to the home country for a temporary return.
(3) Tuition and Other Fees: Fees for the entrance examination, matriculation, and tuition at universities will be
paid by the Japanese government.

6. SELECTION AND NOTIFICATION

(1) The Japanese diplomatic missions will conduct a primary (preliminary) screening of applicants by means of
submitted application documents, written examinations (language) and interviews.
(2) Written examinations will be English and Japanese language tests. The Japanese and the English language
examinations must be taken by all applicants.
Note 1: The result of the Japanese language examination will be used as reference data for placement at a
university and for Japanese-language education to be provided upon the applicant’s arrival in Japan.
Note 2: In particular, if an applicant with limited proficiency in Japanese desires to pursue studies in fields such
as Japanese linguistics, Japanese literature, Japanese history, or Japanese law ―fields that require
sufficient knowledge of the Japanese language ― he/she will not be selected as a grantee unless there
are exceptional circumstances.
(3) The following policy will apply to each stage of screening:
① Application documents: Must show that the applicant’s academic achievement at the university he/she last
graduated from equaled or exceeded the minimum specified level, and state the applicant’s desired
research program in a detailed and concrete manner.
② Written examination: Must show that the applicant obtained scores that cleared the fixed cut-off level in
both Japanese or English.
③ Interview: Must reveal that the applicant has a clear sense of purpose relating to his/her study in Japan
and has gathered information about Japanese universities. The interview must also reveal that the
applicant has sufficient Japanese or English language ability to communicate with his/her adviser in Japan.
If the applicant desires to study a subject that requires advanced Japanese language proficiency, the
interview must show that the applicant has a considerable degree of Japanese language proficiency.
(4) Results of the primary screening will be notified to the applicants on the date separately designated by the
Japanese diplomatic mission.
(5) Each person who has passed this primary screening is required to contact directly the Japanese university of
his/her choice in order to obtain admission as a regular student for a degree or as a Research Student
(non-regular student) in a graduate course, or a letter of provisional acceptance as a research student
(hereinafter referred to as “Admission”) by the 31th of August. In order to obtain the Admission, candidates
can gain information regarding the contact office for international students of each university, websites of
universities and researchers, etc. from the Japanese diplomatic mission. Candidates are not allowed to contact
Japanese universities after the 1st of September.
(6) Each candidate must submit to the university of his/her choice a set of the documents that are submitted to
and returned by the Japanese diplomatic mission (application, academic transcript of the university attended,
research program plan, etc.) all with a confirmation seal of the Japanese diplomatic mission affixed, and a
certificate of the primary selection issued by the Japanese diplomatic mission. Additional documents may have
to be submitted upon request of the university.
(7) MEXT will conduct a secondary screening based on the results of the primary screening conducted by the
Japanese diplomatic mission, and select applicants as MEXT scholarship grantees whose placement at a
university of their choice has been decided.
Note 1:Applicants who have passed the primary screening at a Japanese diplomatic mission are not necessarily
accepted as MEXT scholarship grantees.
Note 2: Applicants who were not accepted by any universities which the applicants named in their Placement
Preference Form will not be selected as MEXT scholarship grantees.

7. PLACEMENT AND RESEARCH GUIDANCE AT UNIVERSITY

(1) Placement of a grantee at a university will be made following a relevant request which was made to the
university by the applicant who has passed the primary screening and obtained Admission to the university.
MEXT will request the universities listed in the Placement Preference Form to accept the grantee, and place
him/her in the requested course upon its approval in principle (candidate who has received admission to a
regular course for a degree will be placed directly in such course without needing to pass through a Research
Student (non-degree) period).
If a candidate wants to enter either a public or a private university other than a national university, the
grantee’s preference specified in the Placement Preference Form may not be met due to budgetary reasons
concerning school fees, etc. Moreover, any objection by a candidate to the decision will not be accepted.

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 In case a candidate is not able to gain Admission to any universities due to poor communication, MEXT will
discuss the matter with the universities that the candidate listed in the Placement Preference Form. However
the candidate may not be accepted [nor may not be selected] by the universities [and then by MEXT] if his/her
research program plan is vague, unclear, or insufficient in content, or his/her desired major field presents
difficulty from the perspective of research guidance in Japan. In this case, any objection by a candidate to the
decision will not be accepted.
(2) Research guidance such as lectures, experiments and practical training at universities is basically conducted in
Japanese.
(3) If a grantee is judged to be insufficient in Japanese language proficiency by the accepting university, usually
he/she will be placed in a Japanese-language training institution designated by the university of placement or
MEXT for the first six-month period after his/her arrival in Japan. Upon completion of the language training the
grantee will be placed at a university for advanced education. If a grantee has poor achievement in the language
training course and is considered incapable of advanced education at the university, scholarship payment will
be stopped. (See 5. (1).)
(4) If a grantee is initially deemed by his/her accepting university to be sufficient in Japanese language
proficiency to conduct his/her research in Japan, he/she may be placed in the university as a Research Student
(non-degree) or a graduate student studying for a degree without going through Japanese-language training.
(5) If a grantee desires to move on to a regular course for a degree from a Research Student (non-degree) course,
or to a doctoral course from a master’s course or a professional graduate course, he/she needs to take an
entrance examination administered by the relevant university and pass it. To continue receiving the MEXT
scholarship after advancing to a higher level, the grantee must undergo another screening examination and be
awarded an extension of the scholarship. (See 4.(2).)
A grantee cannot apply for an extension of the scholarship period while enrolled in a Research Student
(non-degree) course.
(6) If a grantee desires to advance to a regular course for a degree from a Research Student non-degree course, in
principle, he/she must move on to the graduate school of the university at which he/she is studying as a
Research Student. If proceeding to the graduate school is deemed to be inappropriate given the grantee’s major
field or ability, he/she may be allowed to transfer to another graduate school provided that he/she is admitted
to it.
Note 1: Under the educational system of Japan, a typical master's degree course lasts for two years subsequent
to graduation from a university (i.e. after completion of 16 years of school education), and a typical
doctoral degree course lasts for three years after completion of a master's course. If a student has
completed such a two-, or three-year course, obtained the necessary credits, and passed the final
examination after submitting his/her graduation thesis, he/she will be granted the relevant degree.
Note 2: In the fields of medicine, dentistry and veterinary science, and pharmacy which is based on a 6-year
course at a department or faculty, most of the universities offer only 4-year doctoral courses. For
admission to such a doctoral course an applicant is required to have completed 18 years of school
education. If an applicant completed 16 years of school education, he/she is required to have engaged for
two or more years in research activities at universities or research institutions subsequent to completion
of the 16 years of education, and to be deemed by a graduate school in Japan as being academically equal
to an applicant who completed a 18 years of formal education.
Note 3: Professional graduate schools were opened in 2003 with the aim of developing individuals with deep
knowledge and outstanding ability in their field in order to support professions that require
sophisticated expertise. The standard required duration of study is two years. In some fields of study, the
duration is less than two years but more than one year. Upon completion of the course a master’s degree
(specialized occupation) is conferred. Among the professional graduate schools are “graduate schools of
law.” These schools require a standard duration of study of three years. Upon completion of the course a
student will be granted the degree of “Doctor of Law (specialized occupation).”
Note 4: Entrance examinations given by a graduate school vary from one university to another. In general,
applicants have to take examinations in two foreign languages, his/her major subject, and an essay test.

8. APPLICATION PROCEDURE
Applicants must submit the following documents to the Japanese diplomatic missions by the required date. The
submitted documents will not be returned.
① Application Form 【original １, copy 2】※photo（use FY 2017 form）
② Placement Preference Form (a prescribed form) 【original 1】※photo（use FY 2017 form）
③ Field of Study and Research Program Plan (a prescribed form) 【original 1, copy 2】（use FY 2017 form）
④ Certified grade transcript for each academic year from the last university attended (transcript issued either
by alma mater or by applicant's national government) 【original 1, copy 2】
⑤ Graduation certificate or degree certificate of the last university attended (or an attested document certifying
that the applicant will graduate from the school, where applicable) 【1 original , 2 copies 】
⑥ Recommendation from the president/dean or the adviser of the last university attended【1 original, 2copies】
(free format; samples available)
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 ⑦ Medical certificate 【original 1, copy 2】（use FY 2017 form）
⑧ Abstracts of theses【1 original, 2 copies】
⑨ Recommendation from the present employer (if currently employed) 【1 original, 2 copies】
(free format, sample available)
⑩ Photograph(s) showing applicant's own works of art or a recorded CD of musical performance
(only for those majoring in fine arts or music) 【1 original, 2 copies】
Note 1:These documents must be written in Japanese or English, or translations in either of these languages
should be attached.
Note 2: Photographs (4.5×3.5 cm, taken within the past six months, upper body, full-faced, uncapped. Write your
name and nationality on the reverse and paste them onto the Application Form and Placement Preference
Form) attached to the original application must be originals; copies are not acceptable. It is acceptable to
paste the data of photo on each application form (use FY 2017 form) and print it. (To print your photos
and paste it on the application form is not allowed.)
Note 3: The Field of Study and Research Program Plan should describe concretely and in detail the applicant’s
own research program because it will serve as important material for placement of the applicant at a
university. Use FY 2017 form.
Note 4: The academic transcripts of the last university attended should show the grade scale applied and the
grades earned by the applicant in all the subjects studied for each year of study at a university
department/faculty and graduate school. (A degree certificate or a graduation certificate simply showing
the ranking of the applicant at graduation will not substitute for academic transcripts.)
Note 5: The graduation certificate and the degree certificate obtained from the last university attended may be
photocopies provided that the copies are attested by an authorized person of the university. Do not
submit original as no submitted certificates will be returned.
Note 6: For abstracts of the theses, abstracts of the graduation thesis and any presented papers will suffice.
Please note that these abstracts will be used as basic data for evaluation of the applicant’s academic
ability.
Note 7: Number the documents(① through ⑩) in the right upper corner.

9. NOTES
(1) The recipient is advised to learn, before departing for Japan, the Japanese language and to acquire some
information about Japanese weather, climate, customs, university education, and conditions in Japan, as well as
about the difference between the Japanese legal system and that of his/her home country.
(2) As the first installment of the scholarship payment cannot be provided immediately upon the recipient’s
arrival, the recipient should bring approximately US $2,000 to cover immediate needs after arrival in Japan.
(3) Recipient must enroll in National Health Insurance (Kokumin Kenko Hoken) upon arrival in Japan.
(4) Accommodations:
① Residence halls for international students provided by universities.
Some universities have residence halls for international students. The recipients enrolled at such
universities may reside at these residence halls under certain conditions. However, due to the limited
number of rooms, some of these facilities may be unavailable.
② Private boarding houses or apartments:
Those who are unable to find accommodation in the aforementioned facilities may live in regular
dormitories of the university or in private boarding houses/apartments. It is difficult for recipients with
dependents to find appropriate housing in Japan. The recipient is requested to arrive in Japan alone first to
secure housing before having his/her spouse and/or family come to Japan.
(5) Information regarding the MEXT Scholarship recipient (name, gender, date of birth, nationality, accepting
university/graduate school/undergraduate school, field of specialty, period of enrolment, career path after
completion of scholarship, contact information [address, telephone number, e-mail address]) may be shared
with other relevant government organizations for the purpose of utilization for overseas students programs
implemented by the Japanese Government (support during period of study in Japan, follow-up survey,
improvement of the overseas student system).
Information in regards to the recipient other than date of birth and contact information may be made public
in materials produced by the Japanese Government as publicity information for promoting the acceptance of
overseas students in order to introduce the activities of past recipients in countries around the world after
their study in Japan.
(6) The English texts attached to the Application Guideline and the Application Form are for convenience only.
The Japanese versions of the Application Guideline and the Application Form take precedence, and any English
expressions do not change the Japanese content; if you have any questions about the content of the written
text, you should inquire at the Japanese diplomatic mission.
(7) In addition to the regulations stipulated in this guideline, those that are necessary to implement the Japanese
Government Scholarship are determined by the Japanese government.
(8) More detailed information on this scholarship program is available at the Japanese diplomatic missions.

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 A P P L I C AT I O N

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 Ｅ Ｘ Ｔ ) S C H O L A R S H I P F O R 2 0 1 7

日 本 政 府（ 文 部科 学 省）奨 学 金 留学 生 申請 書

Research Students for FY2017（ 2017 年 度 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 email 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 email 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。）

１－１）Name in full, in your native language（姓名（自国語)）

，
(Family name/Surname) (Given name) (Middle name)
１－２）Name in Roman capital letters （ローマ字）

，
(Family name/Surname) (Given name) (Middle name)
※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）

２－１）Nationality （国籍）
Paste your photograph or
digital image taken within
the past 6 months. Write
２－２）Possession of Japanese nationality （日本国籍を有する者）
your name and nationality
□No, I don’t have Japanese nationality.（いいえ）
in block letters on the back
□Yes, I have （はい）
of the photo.
→Scheduled date of relinquishing Japanese nationality [year][年] [month][月]

３）Sex （性別）
（photo size:4.5cm×3.5cm ）
□Male（男） □Female（女） (写真(4.5cm×3.5cm))
４）Marital Status （配偶者の有無）
□Single（未婚） □Married(既婚)

５）Date of birth and Age as of April 1,2017 (生年月日及び 2017 年 4 月 1 日現在の年齢）

19
Year（年） Month（月） Day（日） Age（年齢）(as of April 1,2017)（年齢 2017 年４月１日現在）
※Persons born by April 1, 1982 are not, in principle, eligible to apply for the scholarship.（1982 年 4 月１日以前に出生した者は原則として申請できない。）

６）Present address, telephone / facsimile number, and E-mail address（現住所及び電話番号、ファックス番号、E-mail アドレス）

Present address（現住所）

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

E-mail address

* If possible, write an E-mail address that can be used continuously before ,during and after you 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。）

1
６－２）If you currently reside in Japan: （現住所が日本の場合）

a. What is your current visa status?（現在の在留資格の種類）

b. If you intend to return to your home country, when do you plan to do so?（国籍国への帰国予定がある場合、帰国の時期）
／
Month(月) Year(年) Address where you will stay（予定居住地）

６－３）If you currently reside in a country which is neither your own country nor Japan:（現住所が国籍国及び日本以外の場合）

a. Do you understand that, in principle, after acceptance you will apply for a visa in a diplomatic office in your home country then be issued a plane
ticket from your home country to Japan?（採用後は原則として国籍国の在外公館で査証申請をし、国籍国発日本行き航空券が支給されることを理
解している。）
Yes（はい）□ No（いいえ）□

b If you intend to return to your home country, when do you plan to do so? （国籍国への帰国予定がある場合、帰国時期）
／
Month(月) Year(年) Address where you will stay（予定居住地）

７）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: Type: University:

ⅱ) No, I have not.（ない）

※If you are unsure if previously awarded student financial aid corresponds to a Monbukagakusho scholarship, please consult in advance with a Japanese
diplomatic office.（過去に受給した奨学金が文部科学省奨学金に該当するか否か不明の場合は事前に在外公館に相談すること。）

７－２) Are you receiving a scholarship from an organization other than that of the Japanese Government (MEXT) (including an organization of your home
country government) that overlaps with the MEXT Scholarship? (Including scholarships scheduled to be received from time of application and to be
continued to be received after arrival in Japan.)本制度による奨学金と重複し、日本政府(文部科学省)以外の機関(自国政府機関を含む)から奨学金等を
受給しているか。（申請時に受給を予定しており、渡日以降も継続して受給を予定する場合も含む。）

□ No, I am not. （いいえ） □ Yes, I am.（はい） →Describe the scholarship（奨学金の内容）

８）Are you applying for other scholarships? If you are, please state the name of the sponsor, scholarship period, scholarship amount, etc.
（他の奨学金に応募している場合は、その名前、期間、金額等を記すこと｡)

□ No, I am not. （いいえ） □ Yes, I am.（はい） →Describe the scholarship（奨学金の内容）

2
９）Academic background （学歴）

Year and Month Diploma or Degree awarded,

Name and Address of School Duration of
of Entrance and Major subject, Skipper years/levels
Attendances
Completion （学位・資格、専攻科目、
（学校名及び所在地） （修学年数）
(入学及び卒業年月) 飛び級の状況）
Name From years
(学校名) （入学） （年）
Primary Education
(初等教育)
Location To and
Elementary School (所在地) （卒業） months
（小学校） （月）

Name From years

(学校名) （入学） （年）
Secondary Education
（中等教育）
Location To and
Middle School (所在地) （卒業） months
（中学） （月）

Name From years

(学校名) （入学） （年）

High School
（高校） Location To and
(所在地) （卒業） months
（月）

Name From years *-1

(学校名) （入学） （年）
Tertiary Education
（高等教育）
Location To and
Undergraduate (所在地) （卒業） months
（大学） （月）

Name years
From
(学校名) （年）
（入学）

Graduate Level
（大学院） Location and
To
(所在地) months
（卒業）
（月）

Total years of schooling mentioned above

（以上を通算した全学校教育修学年数） Years and months
As of April 1, 2017 (2017 年４月１日現在) （年） （月）

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））
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。）

3
１０）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｡））

１０―１）Have you ever written a thesis?（過去に論文を執筆したことがあるか）

□Yes, I have. （ある） □No, I have not.（ない）

１０―２）State the titles or subjects of books and papers(including graduation theses) authored by applicant, if any, with the name, address of 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、出版場所を記入すること｡)

* Please attach abstracts of those papers to this application. （(注)論文の概要を添付のこと｡）

１１）The first course you plan to take in Japan（日本における最初の入学希望課程）

Please check either ⅰ), ⅱ), ⅲ) or ⅳ).（希望する最初の入学希望課程を次の４つから選択し、チェックを付けること。）

ⅰ) Research student courses（研究生）

ⅱ) Master's degree courses（修士課程）
ⅲ) Doctoral courses（博士課程）
ⅳ) Professional graduate courses（専門職学位課程）

１２）Proposed period of study（渡日時期）

Please check either ⅰ), ⅱ).（希望する渡日時期を次の２つから選択し、チェックを付ける。）

ⅰ) I wish to go to Japan in April.（４月渡日希望）

ⅱ) I wish to go to Japan in October.（１０月渡日希望）

１３）Term you wish to study in Japan（日本における最終的な希望留学期間）

Please check either ⅰ), ⅱ), ⅲ) or ⅳ).（次の４つから選択し、チェックを付ける。）

ⅰ) Only a research student term (18 or 24 months) 研究生のみ（２年間又は１年６か月）

ⅱ) Through to the completion of master’s degree program 修士課程修了まで
ⅲ) Through to the completion of doctoral program 博士課程修了まで
ⅳ) Through to the completion of the professional graduate program 専門職学位課程修了まで

１４－１）Do you currently have a job?（現職の有無）

□Yes, I have （はい） □No, I don’t have（いいえ）

１４－２）If you have a job, please fill in employer’s name（もし現職がある場合は勤務先名を記入すること｡）

※please attach a letter of recommendation by the employer.

１４－３）Employment record: Begin with the most recent employment and exclude part-time work.（職歴：アルバイトは除く。）

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

（勤務先及び所在地） （勤務期間） （役職名） （職務内容）

From
To

From
To

4
１５－１）Japanese language proficiency: Evaluate your ability and fill in with an X where appropriate in the blanks.
（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 Good Fair Poor
（優） （良） （可） （不可）
Reading
（読む能力）
Writing
（書く能力）
Speaking
（話す能力）

※If you have taken the Japanese Language Proficiency Test, specify the level you acquired. 〔 〕Level
(日本語能力試験の級取得者は取得級を記載)

１５－２）Foreign language proficiency: Evaluate your ability and fill in with an X where appropriate in the blanks.
（外国語能力を自己評価のうえ、該当欄に×印を記入すること｡）
Excellent Good Fair Poor
（優） （良） （可） （不可）
English
（英語）
French
（仏語）
German
（独語）
Spanish
（西語）
Others( )
(その他)

※Specify the test results for any English proficiency examinations you may have taken. TOEFL〔 〕points IELTS〔 〕points PTE Academic〔 〕points
Others（ ）〔 〕points (英語能力を示す指標があれば点数を記載)

１６）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 the various difficulties and
great expense that will be involved in finding living quarters for them. Therefore, those who want to accompany their families are well advised to come alone
first and let them come after suitable accommodation has been found.

(
(注) なお、同伴者に必要な経費はすべて採用者の負担であるが、家族用の宿舎を見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
あらかじめ承知しておくこと。このため、採用者はまず単身で来日し、適当な宿舎を見つけた後、家族を呼び寄せること。 )
Name Relationship Age
（氏 名） (続 柄) （年 齢）

5
１７） 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, telephone/facsimile number, and E-mail 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）

１８）Visits or stays in Japan List from your most recent visits. （日本への渡航及び滞在記録）

Date（年月日） Purpose（渡航目的）

From

To

From

To

I understand and accept all the matters stated in the Application Guidelines for Japanese Government

(MONBUKAGAKUSHO:MEXT) Scholarship for FY2017, and hereby apply for this scholarship.

私は 2017 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。

Applicant's signature:
（申請者署名）

Applicant's name
（in Roman capitals letters）：
（申請者氏名、ローマ字）

Date of application:
（申請年月日）
2016
Year(年) month（月） date（日）

6
（別紙）

専攻分野及び研究計画
Field of Study and Study Program

Name in full, in your native language

（姓名（自国語）
） ，

(Family name/Surname) (Given name) (Middle name)

Name in Roman capital letters
，
(姓名（ローマ字）) (Family name/Surname) (Given name) (Middle name)

Nationality
（国 籍）

Proposed study program in Japan (Outline your field of study on this side and the specifics of your study program on the reverse side of this sheet.
This section is one of the most important references for selection. The statement must be typewritten or written in block letters. Additional sheets
of paper may be attached if necessary. If plagiarism or fraud is discovered after selection, the selection will be cancelled retroactively.)
日本での研究計画；この研究計画は、選考及び大学配置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。なお、採用後に不正、盗用等が判明し
た場合は遡って採用を取り消す。

If possible, please write your response 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 Present field of study（現在の専攻分野）

２ Your research topic in Japan: Describe articulately the research you wish to carry out in Japan.
（渡日後の研究テーマ：日本においてどういった研究がしたいかを明確に記入すること）
３ Study program in Japan: (Describe in detail and with specifics — particularly concerning the ultimate goal(s) of your research in Japan)
（研究計画：詳細かつ具体に記入し、特に研究の最終目標について具体的に記入すること。）
 P L A C E M E NT P R E F E R E NC E F OR M F OR JA PA NE S E G O V E R NM E NT (M O NB UK A G A K US HO : M E X T ) S C HO L A R S HI P

日 本 政 府 （文 部 科 学 省 ）奨 学 金 留 学 生 配 置 希 望 大 学 申 請 書

Research Students for FY2017（ 2 0 1 7 年 度 研 究 留 学 生 ）

１) Name in full in Roman capital letters（姓名をローマ字で記入）

，
(Family name/Surname) (Given name) (Middle name)

２) Sex （性別）
□Male（男） □Female（女） Paste your photograph or
digital image taken within
３) Date of birth and Age as of April 1,2016(生年月日及び 2017 年 4 月 1 日現在の年齢）
the past 6 months.
19 Write your name and
Year（年） Month（月） Day（日） Age（年齢） nationality in block letters
(as of April 1,2017) on the back of the photo.
（年齢 2017 年４月１日現在）
４) Nationality（国籍） （photo size:4.5 ㎝×3.5 ㎝）
(写真(4.5cm×3.5cm))

５－１) Field of study in Japan（日本での希望専攻分野）

５－２) Detailed field of study（研究分野（詳細））

６) The university in Japan in which you wish to be enrolled.（希望する大学）

Enter the names of the universities at which you would like to enroll and state whether you have obtained admission to them. (No more than three
universities.) Do not enter the name of any universities you have already been rejected by, as the Ministry of Education, Culture, Sports, Science
and Technology will request your admission only to the universities listed below. Each person who has passed this primary screening is required
to obtain admission or a letter of provisional acceptance.
入学を希望する大学名を必ず記すこと（最大 3 校まで）｡受入拒否された大学名は記載しないこと。文部科学省は以下に記載された大学のみに受
入れの依頼をする。第一次選考合格後、大学受入内諾書・入学許可書を取得すること。

希望 Name of University Name of Graduate School Name of Professor

順位 （大学名） （研究科名） （教員名）

* MEXT will consider your preference, but it may not be met because of university enrollment capacity. Therefore, please note in advance that placement
in preferred universities, especially in Tokyo, Kyoto and Osaka, is extremely difficult, and placement is not limited to your preferred universities.
(注）希望は参考とされるが、受入大学の入学定員等の関係で希望にそえないことがある。特に、東京、京都、大阪にある大学を希望する場合は、希望どおり
配置されるとは限らないので、あらかじめ承知しておくこと｡
 MONBUKAGAKUSHO:MEXT SCHOＬARSHIP RECOMMENDATION FORM

Applicant's Name(Please print):

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

To the Applicant : Please write your full name above. Give this form and one of the envelopes marked “confidential" and addressed to yourself to the
person you have asked to recommend you. Ask this person to place the completed form in the envelope, seal the envelope, sign across the seal, and
send it back to you. Return the unopened envelope with your application.

To the Applicant and the Recommender : This recommendation will be used for admissions purposes only.

To the Recommender : Please respond to the following questions. Please type or print. After completing this form, place it in the envelope provided,
seal the envelope, sign across the seal, and return it to the applicant. This recommendation is a required part of the application process; prompt return
to the candidate is important. We appreciate your assistance and would like to assure you that your comments will be carefully considered.

Recommender's name :

Title and Institution (if work address used) :

Address :

Telephone & Facsimile :

１．During which period of time have you had the most frequent contact with the applicant? From to .

２．What was the nature of your relationship?

３．In what areas does the applicant need improvement or growth?

４．Please comment on the applicant's interpersonal skills. How well does he or she work within a team?

５．How would you describe the applicant's leadership skills?

６．Please comment on the applicant's degree of self-confidence.

７．Please comment on the applicant's personal character.

８．Please indicate your overall evaluation of the applicant.

（ ）Strongly recommend （ ）Recommend （ ）Recommend with reservation （ ）Do not recommended

９．Please make whatever additional comments you wish about the applicant's potential for graduate study in Japan and potential for becoming a
responsible, effective person for your country. Additional pages may be attached, and the back page can also be used for comment.

Signature Date
 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
Name: , □女 Female Date of Birth:
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 Regular

Blood pressure mm/Hg～ mm/Hg Blood TypeA B O RH 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 Normal

Hearing: □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
six months prior
to the certification are NOT valid).

肺 □正常 Normal 心臓 □正常 Normal

Lungs: □異常 Impaired Cardiomegaly: □異常 Impaired
↓
← Date 異常がある場合
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 (Disease )

Disease currently being treated □No

４．既往症
Past history : Please indicate with ＋ or － and fill in the date of recovery
(If the applicant has not contracted any of the disease, please chech “None”.)（いずれも該当しない場合は、なしにチェックすること。）

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

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

None.....□

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．診断医の印象を述べて下さい。（問題がない場合も、その旨ご記入ください。）
Please give your impression of the applicant’s health. (If you do not have a particular opinion, please write as such.)

７．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？
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 □
日付 署名
Date: Signature:

医 師 氏 名
Physician's Name in Print :

検査施設名
Office/Institution:
所在地
Address:
 ２０１７年度 大学受入内諾書
Letter of Acceptance
年 月 日

国 籍(Nationality)(英語併記)

氏 名(Name in full) (英語併記) 殿

大 学 名(英語併記)
(Name of University)
所 属(英語併記)
(Department of Affiliation)
役 職(英語併記)
(Job Title)
所属長名(英語併記) 公印(Official Seal)

(Name of Department Head)

貴殿から提出のあった研究計画書並びに成績証明書等に基づき検討した結果、日本政府（文部科
学省）奨学金留学生（研究留学生）として採用された場合、下記のとおり、本学への研究生等とし
て受入れることを内諾します。
After consideration of the research plan, academic transcripts and other documents you submitted, if you
pass the secondary screening as a government of Japan (Ministry of Education, Culture, Sports, Science and
Technology) Scholarship Student (Research Student), you will be tentatively accepted as a research student
at this university in accordance with the details below.
記(Details)
１ 受入課程(英語併記) ： 課程 研究科
Course of acceptance: Course Graduate school
〔非正規生の区分：研究生・科目等履修生・聴講生・その他（ ）〕
(Types of non-regular students: research student, part-time non-degree student, auditor, etc.)
２ 指導予定教員(英語併記)：所 属 氏 名
Expected academic advisor:

Department of affiliation Full name

３ 渡日時期(Proposed period of study) ４月(April) ・ １０月(October)

４ その他留意事項(Other items to note) (英語併記)

（注１）日本の大学から受入内諾を得る際には、この書類に在外公館への提出書類一式(学歴、出
身大学の成績証明書、出身大学からの推薦状、研究計画書等)及び在外公館の第１次選考合
格証明書を添付して、８月末までに希望する日本の大学の事務局あてに送付すること。
（注２）希望する大学から、この書類が返送されたら速やかに在外公館に提出すること。
（注３）この内諾書は第２次選考合格後の受入大学決定のために使用します。この内諾書をもっ
て、国費外国人留学生の採用が決定するものではありません。
*
When you obtain your letter of acceptance from a Japanese university, you must send, before the end of August, the following
documents to the Japanese university of your choice addressed to the attention of the administrative office that will be in charge of
your education: this Letter of Acceptance accompanied by a set of the same documents as those submitted to the Japanese
Embassy/Consulate General (description of educational background, certified academic records of the university attended, letter of
recommendation from the university attended, and description of the field of study and study program, etc.) as well as a certificate
of preliminary selection issued by the Japanese Embassy/Consulate General.
**
When this letter is returned to you by your selected university, please submit it immediately to the Japanese Embassy/Consulate
General.
***
This Letter of Acceptance will be used solely for determining the university to which you will be accepted after passing the
second screening. This Letter of Acceptance does not certify your acceptance as a Japanese Scholarship Student.
 【受入内諾に至った経緯】
研究課題（
）
研究内容（

に関する研究 ）

注１：研究計画の具体性、学業成績等を踏まえ、受入内諾に至った経緯について簡潔に記載願いたい。
注２：本内諾書の発行が当該留学生の受入を意味するものではなく、文部科学省における選考の結果
等によっては、他に同様の内諾書を発行している大学に配置される場合、不合格や辞退によって
そもそも渡日をしない場合等がありうるため、あらかじめご承知おきいただきたい。
注３：内諾書の発行を受けた留学生について、文部科学省より受入依頼があった場合は、特段の事情
が無い限り、受入を拒否することが無いよう御留意いただきたい。
（日本での指導教員予定者）
大学名
所 属
役 職
氏名(署名)