Joint Japan/World Bank Graduate Scholarship Program (JJ/WBGSP) 2018 Application Documents (September 2018 Enrollment) Document Checklist: (Forms 1, 2

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1 Ritsumeikan University Graduate Admissions Application Procedures (September 2018 Enrollment) 1. Documents to be submitted Please refer to the checklist on the next page and ensure ALL required documents are submitted. Some of the required documents are included in this PDF. * Please fill in all forms electronically in this PDF, where possible, and print single-sided. * Documents 1, 2, 3, 4, 5 and 8 listed on the next page must be original versions. * If you cannot submit your original document, you may submit a copy that is certified by the issuing organization as being a "certified true copy" and identical to the original in all respects. Please note that a certified copy must contain the original signature or seal of the university. Photocopied seals will not be accepted. * All signatures and seals must be original. 2. Important points for application (1) All application documents must be in English and, to the maximum extent possible, should be typed in word processing-type software and printed on A4-sized paper. Documents in any language other than English must be accompanied by a certified English translation. (2) Be sure to enter your name and birth date exactly as it appears in your passport on all forms. (3) All application documents must be sent together, by registered express mail to the address in number 4, Application Mailing Address, below. (4) Once accepted by the university, submitted documents cannot be returned for any reason. (5) If it is determined that your application documents contain any deliberate falsifications or forgeries, your application will not pass the examination In addition to completing this application for Ritsumeikan University Admissions, applicants must also complete a separate application for JJ/WBGSP scholarship with the World Bank. Information can be found at the World Bank s Scholarship Homepage at the URL below Ritsumeikan University Admissions Application Period: Thu, Feb 1 - Mon, Feb 19, All documents must be sent by express post (EMS, FedEx, DHL, etc) - All documents must arrive by the deadline. - Only posted applications will be accepted. - No applications by , fax, or walk-in will be accepted. - * If you are concerned that your application may not arrive by the deadline, you must contact the Ritsumeikan University International Center at BKC by at cger-bkc@st.ritsumei.ac.jp before the application deadline to inform us of your intention to apply. In the , you must include a PDF copy of your entire application along with proof that you delivered your application via express postal mail before the deadline (please provide the tracking number, etc.). Your application may be formally accepted upon the arrival of your original application documents via post, only. 4. Application Mailing Address Ritsumeikan University International Center at BKC Noji-Higashi, Kusatsu, Shiga, Japan Phone: +81 (0) Joint Japan/World Bank Graduate Scholarship Program (JJ/WBGSP) Notification of Results: Friday, March 16, 2018 (via and post)

2 Joint Japan/World Bank Graduate Scholarship Program (JJ/WBGSP) 2018 Application Documents (September 2018 Enrollment) Document Checklist: (Forms 1, 2 and 8 are included in this PDF). Please print all forms single-sided. 1. Ritsumeikan University Graduate Application Sheet (University designated form) 2. Field of Study and Study Program (University-designated JJ/WBGSP Application-use form) *Applicants to the Graduate Schools of Science and Engineering, Information Science and Engineering, or Life Sciences must enter their desired supervising professor's name in this form 3. Letter of Recommendation (optional, freeform) Original documents only 4. Certificate of graduation from most recent academic institution *Only original documents or certified true copies will be accepted 5 Certificate of grades from most recent academic institution. *Certificate must explain grading system: ie. Excellent, Good, Satisfactory, Fail, etc. (Only original documents or certified true copies will be accepted) 6. Copy of photo and personal identification page from passport (for applicants in possession of a valid passport) or copy of birth certificate 7. Copy of documentation showing objective proof of level of linguistic ability Submit a grade certificate from an English Language Ability Test (Score reports must be from one of the following: TOEIC LISTENING AND READING, TOEFL ibt, or IELTS TM. Copies are acceptable). *Document must have been issued no more than 2 years before the application deadline 8. Certificate of Health (University-designated form or form with identical contents) 9. PDF copy of 教育部学歴証書電子注冊備案表 (Graduates of Chinese Universities, only) or PDF copy of 教育部学籍在線験証報告 (Current Students at Chinese Universities, only) (*Students who attended or are attending universities in Taiwan, Hong Kong or Macau need not submit these forms.) 10. Three photographs (must have been taken no more than 3 months prior, be 4.5 cm high by 3.5 cm wide, be taken head-on, and show applicant from the chest up, with no hat. All photos should have the applicant's name and nationality written on the reverse). Application period: Thursday, February 1, Monday, February 19, 2018 All documents must arrive by express mail before the deadline. Please allow sufficient time for delivery.

3 立命館大学大学院入学試験志願票 RITSUMEIKAN UNIVERSITY GRADUATE SCHOOL APPLICATION SHEET * 印記載のところは記入不要 Areas with an * are for university use. 様式 GS 1/3 Form GS 1/3 提出日 Filing Date 年 /Year 月 /Month 日 /Date 受験番号 Application Number 入学年度 Year of Enrollment 入試方式名称 Admission Method * 年 Year 志願受付番号 Registration Number 入学時期 Semester of Enrollment * 写真貼付欄 3cm 2.4cm のカラー写真を貼付してください Attach a photo here (3cm 2.4cm) 学生証番号 ( 本学出身者在籍者のみ ) Student ID Number (Current/former Ritsumeikan University students only) 性別 Sex 生年月日 Date of Birth 19 (YYYY/MM/DD) 年 /Year 月 /Month 日 /Date フリガナ /Name in Katakana 氏名 /Name Last Name (Surname) First Name (Given Name), Middle Name 国籍 /Nationality 日本国 Japan 日本以外 Other 取得 ( 予定 ) 在留資格 * 外国籍の方のみ (Scheduled) Residence Status 留学 Student その他 Other 出願研究科 Intended Graduate School 課程 Intended Degree Level 出願専攻 Major 出願コースプログラム Course/Program 現住所 Current Address Postal Code: 自宅電話番号 /Home Telephone Number 携帯電話番号 /Mobile Telephone Number 保証人氏名 Guarantor's Name 保証人住所 Guarantor's Address 保証人電話番号 Guarantor's Phone Postal Code: 続柄 Relationship with Applicant 自由記述欄 Notes (Ex. Another Address)

4 1 大学学歴 / University (Undergraduate Level) 大学卒業 ( 卒業見込 ) の場合出身大学を記入してください If you have graduated (are going to graduate) university, please enter the name of that university. 学歴区分 /Academic Standing * 大学卒業 / University Graduate 様式 GS 2/3 Form GS 2/3 * 印は記入不要 / Areas with an * are for university use. 終了区分 /Graduation Status 卒業卒業見込その他 Graduated Expected to graduate Other 出身大学名 /University 学部学科名 /College Department 学位名 /Degree 大学卒業 ( 見込 ) 年月 / (Estimated) Graduation Date 年 /Year 月 /Month 日 /Date 2 大学院学歴 / Graduate school 大学院修了 ( 修了見込 ) の場合出身大学院を記入してください If you have completed (are going to complete) graduate school, please enter the name of that graduate school. 学歴区分 /Academic Standing * 大学院修了 / Completed a Graduate school 終了区分 /Graduation Status 卒業卒業見込その他 Graduated Expected to graduate Other 出身大学院名 /Graduate school 研究科専攻課程名 / Department Major Course 学位名 /Degree 大学院修了 ( 見込 ) 年月 / (Estimated) Graduation Date 年 /Year 月 /Month 日 /Date 3 その他学歴 / Other schools attended 大学大学院の学歴が複数ある場合専門学校等を卒業している場合など以下の項目に記入してください If you have attended more than one university or graduate school, or if you have graduated from professional school, please enter below. 学歴区分 /Academic Standing 修了区分 /Graduation Status 出身大学 / 大学院名 University/ Graduate school 研究科専攻課程名 Graduate school Major Course 学位名 /Degree 大学 / 大学院修了 ( 見込 ) 年月 (Estimated) Graduation Date 年 /Year 月 /Month 日 /Date

5 様式 GS 3/3 Form GS 3/3 留学生情報 / International Student Information 氏名 Name(Alphabet) 国籍 Nationality 在留資格 Residence Status in Japan なし留学その他 : None Student Other: 在留期間満了日 Expiry Date 留学費用区分 Financial Aid 来日 ( 予定 ) 日 (Scheduled) Date of Arrival 国費 ( 文部科学省 ) MEXT Scholarship ( 年月日 ) (YYYY/MM/DD) 私費 Privately Financed ( 年月 ) (YYYY/MM) 国費留学生実績情報 / Japanese Government Scholarship History 過去の国費留学生実績 Have You Received Japanese Government Scholarship (MEXT) in the Past なし No ありありの場合以下を入力 / If yes, please answer the following questions. Yes 留学生期間 : 開始 Study Abroad Period : FROM 留学生期間 : 終了 Study Abroad Period : TO ( 年月日 ) (YYYY/MM/DD) ( 年月日 ) (YYYY/MM/DD) 受入大学 University

6 Field of Study and Study Program *Please type responses into this form or handwrite in clear, block letters. (Do not type in block letters) Name: Family Name(s) Given Name(s) - Applicants for this scholarship should, to the maximum extent possible, have a detailed, development-related research plan, based on their professional, development experience and/or the development needs of their country. This section will be one of the most important references for selection. 1. Describe in detail the specific topic or problem you plan to study at Ritsumeikan University as well as a timeline of concrete steps you will take to accomplish your research. (Additional sheets of paper may be attached if necessary.) -1-

7 2. Describe how you will put your studies to use in your home country after graduation. (Please limit answer to one page) -2-

8 健康診断書 CERTIFICATE OF HEALTH ( 医師に記してもらうこと ) (to be completed by the examining physician) 本語は英語により明瞭に記載すること Please fill out (PRINT/TYPE) in Japanese or English. 名 Name 性別 Sex Family name 姓 Given name 名 Middle name ミドルネーム男 Male 年年女 Female Date of Birth Year Month Day 1. 体検査 Physical examination (1) Height (3) 圧 Blood pressure mmhg (5) 脈拍整 Regular Pulse 不整 Irregular 裸眼 ( 右 ) ( 左 ) Without glasses (R) (L) (6) 視 Eyesight 矯正 ( 右 ) ( 左 ) With glasses or contact lenses (R) (L) 2. 胸部聴診及びX 線検査 (6ヶ以内) Physical and X-ray examinations of the chest (within six months) 3. 現在治療中の病気 Disease currently being treated 4. 既往症 Past illness/disorder 該当するものにチェックと完治時期 / 治療中を記いずれも該当しない場合は無しにチェックすること Please check and fill in the date of recovery/under treatment. If NOT contracted any of them in the past, please check None. 無し None 5. 検査 Laboratory tests (1) 尿検査糖 Urinalysis: glucose (2) 貧検査沈 Anemia test ESR (3) 肝機能検査 GPT LFT (ALT) (2) 体重 cm Weight (4) 液型 mmhg Blood type (7) 覚異常の有無 Color blindness (8) 聴 Hearing (9) 語 Speech 無 No 有 Yes : 病名 Disease 完治時期 / 治療中病名 Name Date of recovery /under treatment 結核 Tuberculosis その他感染症 Other communicable disease 腎疾患 Kidney disease 糖尿病 Diabetes 精神疾患 Psychosis 6. 医師の診断意継続的治療投薬その他問題がない場合もその旨ご記ください Physician's impression of the applicant s health Please write if the applicant needs regular medication or treatment. If you do not have a particular opinion, please write as such. 病名 Name 蛋潜 protein occult blood mm/hr 球数 /cmm 素量 gm/dl 貧 WBC count Hemoglobin Anemia (IU/l) GOT (AST) (IU/l) γ-gtp (IU/l) 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 pursue studies in Japan? はいいいえ Yes No 付 Date 検査施設名 Office/Institution 年 Year Month Day 胸部 X 線所 Describe the condition of lungs. 医師署名 Physician's Signature 所在地 Address 撮影年 Date of X-ray フィルム番号 Film No. (1) 肺 Lungs (2) 臓 Cardiomegaly 異常がある場合電図 If impaired Electrocardiograph kg A B AB O RH+ RH- マラリア Malaria てんかん Epilepsy 疾患 Heart disease 薬剤アレルギー Drug allergy 四肢機能障害 Functional disorder in the extremities 年 Year Month Day 完治時期 / 治療中 Date of recovery /under treatment

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Nagasaki University Liaison Center for International Education Japanese Language Program for Exchange Students (NUJALP) APPLICATION PACKAGE (Use this sheet as a cover for your application) Date: (Month)