MEXT Undergraduate 2018

Application Form [UNDERGRADUATE 2018] / □ Social Science
□ Natural Science A (Physics)
□ Natural Science B (Biology)

APPLICATION FOR JAPANESE GOVERNMENT (MONBUKAGAKUSHO) SCHOLARSHIP 2018

Undergraduate Students

INSTRUCTIONS

1.  The application should be typewritten if possible, or neatly hand-written in block letters.

2.  Numbers should be in Arabic figures.

3.  Year should be written in the Anno Domini system.

4.  Proper nouns should be written in full, and not abbreviated.

5.  Use our format to help to speed-up the short-listing process.

1.  Name in full, in native language ______,______
(Family name) (First name) (Middle name) / (Sex)
□ Male
□ Female
In Roman block capitals ______, ______
(Family name) (First name) (Middle name) / (Marital Status)
□ Single
□  Married
２．Nationality
______/ 2.2 Japanese nationality
□ Yes □ No

3. Date of birth ______

(Year) (Month) (Day) (Age)

4. Present status with the name of the school attended, or of employer

______

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

______

______

6.  Chosen field of study in Japan

First Priority ______

Second Priority ______

Third Priority ______

7.  Field of study specialized in the past at your high school or university

______

8.  Education background

Name and Address of School / Year and Month of Entrance and Completion / Period of schooling attended / Certificate/ Degree / Major subject
Elementary Education
Elementary School / Name
Location / From
To / yrs
and
mths
Secondary Education
Secondary School / Lower / Name
Location / From
To / yrs
and
mths
Upper / Name
Location / From
To / yrs
and
mths / *-1

Higher Education

Undergraduate Level / Name
Location / From
To /
yrs
and
mths / *-2
1)______
2)______
3)______
Total years of schooling as mentioned above / yrs
and
mths

Notes:

i.  Exclude kindergarten education, nursery school education or remove classes (for secondary school education).

ii.  Include preparatory education for university admission in secondary education.

iii.  If the applicant has passed the qualifying examination to a university, indicate this in the blank with * - 1.

iv.  The applicant who has more than one major at his/her university should list all the majors, including minors, in the blank with * - 2.

v.  For the certificate/degree column, please indicate UPSR, PMR, SPM, STPM or A-Level, etc. accordingly.

9.  Reasons for majoring in the field of study described in item 6.

______

______

10. Description of desired employment to be taken up after returning home.

______

______

11. 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

______

______

iii)  Occupation:

______

iv)  Relationship to applicant:

Date of application :

Applicant’s signature :

______

Applicant’s name

(in Roman block capitals) :

______

======

Have you learnt Japanese Language before?

□ Yes □ No Name of Institute: ______

If you are called to sit for the written examination held by the Embassy, do you want to sit for the Japanese language paper?

□ Yes □ No

Note: Please read our guidelines carefully. Do not leave any column blank, if you do so, your application will strictly NOT be considered.

ASCOJA Recommendation

ASEAN Council of Japan Alumni (ASCOJA) aims to foster human resources that can provide leadership as a bridge between Japan and home country even after returning home. In addition to the specialized field of study in graduate school, ASCOJA members also have a chance to deepen their understanding of Japan by learning Japanese language, culture, and through activities such as experiencing customs and exchange with Japanese people during their stay in Japan.

MEXT Scholarship candidates who fulfill the requirements below are eligible for the ASCOJA Recommendation:

□ Will receive 1 year of Japanese language preparatory education at Tokyo Japanese Language Education Center before enrolling into graduate school.

□ Will apply for a university in Tokyo or around the region (where student can participate in ASCOJA’s activities without hindrance).

If you are interested to join ASCOJA kindly tick ☑in the box below

□ YES

□ NO

1