No. 1

Applicant Personal Information (CV) for Fellowship (Research Assistant) Application

WasedaUniversity “Global Institute for Asian Regional Integration” Global COE Program

* Please use Anno Domini dates only.

Date prepared:
(DD/MM/2007)
Name: / Sex
(Family Name (Surname)) / (Middle Name) / (First Name)
Telephone / (Home): / (Mobile)
Date of Birth: / Age:
(DD/MM/YYYY)
Legal Domicile:
(Name of Prefecture in Japan or Nationality (Country of Citizenship))
Present Address:
E-mail:
Educational
Record / [Please fill in dates of attendance and the names of institutions attended. Please begin with secondary school or level of education equivalent to Japanese high school and include all higher education pursued or completed.]
Check
Secondary school / Enrolled / Date:
Graduated / Date:
Course Completed
(Name of educational institution or JapaneseHigh School) / Withdrew
University / Enrolled / Date:
Transferred
Faculty / Graduated / Date:
Department / Course Completed
Specialty / Withdrew
University / Enrolled / Date:
Transferred
Faculty / Graduated / Date:
Department / Course Completed
Specialty / Withdrew
University / Enrolled / Date:
Transferred
Faculty / Graduated / Date:
Department / Course Completed
Specialty / Withdrew
University / Enrolled / Date:
Transferred
Faculty / Graduated / Date:
Department / Course Completed
Specialty / Withdrew
GraduateSchool;
Master’s Program / Enrolled / Date:
Transferred
Course Completed / Date:
Major / Withdrew
GraduateSchool;
Doctoral Program / Enrolled / Date:
Transferred
Course Completed / Date:
Withdrew
Major / Now attending
Professional Experience
[Please write the name of employer, your position and qualifications for each position, along with beginning and ending dates for each position. Please list from the earliest one to the latest one.]
Date Started:
Date Ended:
Date Started:
Date Ended:
Date Started:
Date Ended:
Date Started:
Date Ended:
Date Started:
Date Ended:
Date Started:
(Present Position)
Project of Choice: Please name the project of your choice.

Full Name: ______

Category [Master Thesis, PhD Thesis, Book, Paper, Presentation at the Society Meeting, Scientific Research Awarded a Grant-in-Aid by Ministry of Education, Culture, Sports, Science and Technology (MEXT), etc.] / Research Achievements
[Please list all your achievements in the following order: Master theses, PhD theses, books, papers, presentations at Society meetings, scientific research awarded grants-in-aid by MEXT, research awarded public funds and others. Specify the title, the date and place of publication, the name of the journal or magazine, etc.]

Full Name: ______

Progress of PhD Thesis
1) Research Theme
2) Please specify the current status and the road map for the completion of your thesis with reference to the above-mentioned achievements.
3) Expected Time for Submission (*Please provide a realistic answer.)
The thesis is to be submitted to ______in______.
(name of research department) (MM/ YYYY)

WasedaUniversity “Global Institute for Asian Regional Integration” Global COE Program