邢唷> 欹_ 餜bbjbj坶坶箖5\箖5\ 6E^::4hJ,vDxNdddCSCSCSHdJdJdJdJdJdJd$g蟟NndCSF$ CSCSCSnd::dd,[e嘽嘽嘽CS:RddHd嘽CSHd嘽嘽靋"ddP5б]aNd4dqe0 dj玝ujdj4Qj$d CSCS嘽CSCSCSCSCSndnd嘽CSCSCSCSCSCSCSujCSCSCSCSCSCSCSCSCSN :   鉜誰篘0] Vs^*Y齎洊hYf[鉜 The Okazaki Kaheita International Scholarship Foundation  3u紡鴉奺Q Nn0鑜a Instructions for filling in the application form 錯,g瀶K0駛瀶g0,g篘L0奺QY00S0h00 Applicants should fill in Japanese or in English by himself/herself. 錯,g瀶o0000萐o0覟n0000000O(uW0wi鴉g0奺QW00駛瀶o0000Y00S0h00 Japanese should be typed or written in the printed style with a black ball-point pen, English should be typed. peW[o0梴(upeW[  I{ 0(uD00S0h00 Use Arabic numerals only. 鶹 g T^妎0Y0y0f0ck_j0 T饄h0W00NRweuW0j0D0S0h00 Do not abbreviate proper nouns; use full names. (u}-Nn0Y0y0f0n0婲kk0ck簒k0奺QW00r奡_婲楲0j0D04XTo00j0W0h0f奩00S0h00 Each section on the form must be fully and correctly completed. If none applies in the question asked, indicate this by writing NA. 0奺Q N橮0噀W[L0 Nf簒g0B004XTo0鴉^槖0譙Q0豊Q0j0D0S0h0L0B00~0Y00 In case we can not read the handwriting or when the application is not filled in 0completely, the application will be rejected. 000 0鉜誰篘0] Vs^*Y齎洊hYf[鉜0hYf[u3u紡鴉 Application for The Okazaki Kaheita International Scholarship  鉜誰篘0] Vs^*Y齎洊hYf[鉜0-N To: The Okazaki Kaheita International Scholarship Foundation 磳鉜2000t^hYf[u逺茤亯榢0揰D003uW0紡0~0Y00 I have read and agree to the conditions on the Guide to Application for Scholarship Students for the 2000 academic year, and hereby apply for a Scholarship of the Okazaki Kaheita International Scholarship Foundation. l00 T  eq \o\ad(蚹齎瀶,0000) Name in full in native language  000family name 00000given name 000000middle name 000W[ Name in full in Roman block letters, as appears in your passport  000family name 00000given name 000000middle name ut^g錯 t^ g 錯000t^0b0000'`0%R Date of Year Month Day Age Sex %7u0Male  Birth Y M D 000 %sY0Female   eq \o\ad(鶴u0W,0000)0Place of birth (Wn0齎M|0Present nationality M憊Pn0 g!q 00Marital status 00% g0Married 00%!q0Single   eq \o\ad(OO@b,0000)0Present address0-N齎o0"oW[g0奺Q  麞q妀u鱏 %魐0Direct line 00000 000 Telephone No. %|T鶴0Indirect line 00000 000 000000000Ext.0000  錯-Nn0#恆}HQ0Place where you can be contacted during daytime 0 OO @bAddress  麞q妀u鱏 Tel. No. 00000 000 Ext.0000  gox}ju鱏 Fax. No. 00000 000 000000000   E-000 E-mail address: 0000 Name0000000000 0 f[00tk0Educational data 0Ye瞼_jn0 f[!h T eQf[t^g錯 RSmit^g錯 0.z^ 0Type of Name of school Date of entrance Date of graduation 0Institution or completion  0 eq \o\ad(\f[!h,0000) Elementary education Year Month Day Year Month Day t^ g 錯 t^ g 錯 Y M D ^ Y M D  0 eq \o\ad(-Nf[!h,0000) Lower secondary education t^ g 錯 t^ g 錯 Y M D ^ Y M D  0貧I{f[!h Upper secondary education t^ g 錯 t^ g 錯 Y M D ^ Y M D  0'Y00f[ College or university t^ g 錯 t^ g 錯 Y M D ^ Y M D  000f[钀蔛s0f[褃 000Faculty and department  000\R螒s0}0g0M00`0Q0wQSO剉k0 000Field of study specialized (Be as detailed and concrete as possible)   000諷梍f[MO萐o0菍*o( hRHo(jhUmHnHu ho(K(& ( * , . 0 X <  @d$da$d<  " $ V . 0 2 4 4  @dPF@  8!@dG$ $ @da$ @dWD` @d @d@prtvjlvx  ' Z9!@@d 8!' Z@dG$  8!'@dG$ '@d @d LPR6V^( * '-@@d '@d 8!' @@@dG$  8!'@dG$ ' Z9!@@匉d]匉*,08>H ' @@@@d 8!' @@@@dG$ 8!'@@@dG$ '3@@@d '-@@d '| @@d  8!'@dG$ '@d  $&.02&(*FJ&*\^`hj~N P Z \ !!!!,!2!4!!@!!!!!R"z"邡禚椅寅禚椅寅禚禚禚禚禚禚慶晰晰我晰晰我 hCJo(hjhUhmHnHo(u h>*o(jhUmHnHu ho(NdFL 'a "S%@@覽繞覽d $8! 'a "S%@@覽繞覽dG$ 'a "S%@@覽繞覽剳d]剳 '@@@匉d]匉&,Z\^bd $8! 'a "S%@@覽繞覽dG$ 'a "S%@@覽繞覽剳d]剳 '@@@匉d]匉 '@繞@dN \ j !!R!t!v!! $8! 'a "S%@@覽繞覽dG$ 'a "S%@@覽繞覽剳d]剳 '@@@匉d]匉 '@繞@d 'a "S%@@覽繞覽d!!!!L"z""""" ###F#p#t#v## T@@@d @@@d '@@@d '@@d & F '@@@d '@@@剉d^剉 8!'@@@dG$z""""""""" ####0#6#8#@#B#D#p#r### % % %&%(%0%2%4%&&`'b'v'|'~''''((++V-Z-..Z0`00033333&3(3*3N3R344445586:677T8Z8&9(9::r;;;鋌鋌鋏鋌鋌鋏鋌鋌鋏鋌鋌鋏鋌鋌鋏hmHnHo(u h>*o(jhUmHnHuhjhU ho(Q###$$%%%@%p%r%%%%%%%%&&t&& 8!u@@@dG$ '@@@d n@@繞d @@@d T@@@d&Z'\''''''((((>)) ***@++ '@@@d '@@@d 8!u@@@dG$ '@@@d n@@繞d+++x,z,,V-\--..../// ' @繞繞d 8!'@@@dG$ '3@@@d '@@@d ' @繞繞d ' S%@繞繞d 8!'@@@dG$/0Z0b00000D1d12222,3N3T3~33$ !8! 'Zt"%&@@覽@覽剳勬dG$]剳^`勬 8!'@@@勬dG$^`勬 8!'@@@dG$ 8!'{@@@dG$334444445D5F555586<6 '@@@d 8!'@@@勬dG$^`勬 8!'@@@勬dG$^`勬 8!'{@@@勬dG$^`勬 8!'@@@勬dG$^`勬<66F7b7d77778T8\88&9*9,99::<: '@@@d 8!'@@@dG$ 8!'{@@@dG$ 8!'@@@勬dG$^`勬 '@@@d<:n:::;b;j;;;;<:=<=N===== 8!'@@@勬dG$^`勬 8!'@@@dG$ '3@@@d !8! 'A -u@覽覽@@dG$ 8!'A -u@覽覽@dG$;< ===J>L>>>:?b悁杸榾瞼衻磧秲簠紖,2詨謮鎵4銷楮楮楮楮楮楮楮楮邡楮棄鰍鰍鰍楮銎hCJRHo(hmHnHo(u h>*o( h-Ko(UjhUmHnHuh ho(M=>> >">:>d>f>~>>>>??*?T?V?n??????l0l 8!H'@ "@@@dG$ 8!'@@@勬dG$^`勬t^b 0Mother s Name Age OO@b 麞q妀u鱏 Present address Tel. No.  銻賀HQw4X T 0 0Place of employment 0]0n0諲n0禰蟚l T 殅膅 t^b 0Name of another one Relationship Age 銻賀HQ萐o0f[!h T E\OO0W Place of employment or school Place of City  0]0n0諲n0禰蟚l T 殅膅 t^b 0Name of another one Relationship Age  銻賀HQ萐o0f[!h T E\OO0W Place of employment or school Place of City  Name000000000000000 xvz焄>~h0xvz;u 0xvz焄>~0xvz顅j0xvz0000000諷梍W00F0h0Y00f[MO0s0}k0奺QW00奺QkL0 N硩n0 04XT0鸑an0(u}g0%R鹠h0Y000錯,g瀶~0_0o0駛瀶g0奺Q 0Give a detailed explanation of any research you have undertaken (the objectives, progress, results), and research plans (Describe in detail the objectives and schedule of your research and study, Specify also the degree you intend to obtain.) If you need extra writing space, please use another sheet of paper and attach to this page. (Fill in Japanese or in English. English should be typed.)  Name000000000000000 錯,g0Yuf[HQk0x悡0`0t1u錯,g瀶~0_0o0駛瀶g0奺Q 0Give a detailed explanation of your reasons for choosing to study in Japan. 0(Fill in Japanese or in English. English should be typed.)  Name000000000000000 \eg;u 0錯,gg0頞隭矈 zB}哊宊0i0S0n0齎g00i0n00F0j0wmik01\M0_0D0K00奺Q0奺QkL0 N硩n04XT 0鸑an0(u}g0%R鹠h0Y000錯,g瀶~0_0o0駛瀶g0奺Q 0Future plans (Describe what professional field in which country you intend to be engaged in after the completion of master course in Japan.) If you need extra writing space, please use another sheet of paper and attach to this page. (Fill in Japanese or in English. English should be typed.)  Name000000000000000 ╟hYf[u躝逺3u藠鴉k0鹠豊Y00╟n0l T0銻賀HQn0麞q妀u鱏 0Recommender [Indicate the persons who wrote the letters of recommendation, (to be attached 0to the application form) and their office telephone numbers.] 0c\Ye坈l T 麞q妀u鱏 0Name of professor who instructed Tel. No.  0and counseled you in your studies gox}ju鱏 Fax. No.  E-MAIL :  錯,gg0蒖f[0 ^gY00\;e褃顅 0Anticipated major field of study in Japan    錯,gg0eQf[0 ^gY00'Yf[ T'Yf[ z 蔛s0c\0譙Q0_0D0Ye坈 T臺Z0奺Qn0S0h0 0Indicate your preference for the institutions you wish to be admitted to in Japan and also the names of specific professors under whom you would like to study. (You must specify two institutions and two professors.) 0'Yf[ T Ye坈l T 0Institution Professor  0'Yf[ T Ye坈l T 0Institution Professor  0S000n0'Yf[Ye坈0 ^gY00t1u錯,g瀶~0_0o0駛瀶g0奺Q 0Give the reasons for your preferences. (Fill in Japanese or in English. English should be typed.)  搳0}0鴉0 0,%$'%  ] Vs^*Y齎洊hYf[鉜t婲w0縦 0To: The president, The Okazaki Kaheita International Scholarship Foundation 羪o00000t^n0磳鉜hYf[u逺茤亯榢0 廢00_0匭筟0t銐W0_0 Ng03u藠W0~0Y00 I have read and understood the conditions of the scholarship as explained in the GUIDE TO APPLICATION FOR THE 2000ACADEMIC YEAR. 3u藠鴉^榥0 弸N榢0Z唥PL0zv媺U00_04XT0hYf[u逺茤亯10hYf[褢n0\Pbk萐o0胇bk k0 廢00_0婲榢0礲鎵W0_04XT0磳鉜n0hYf[褢n0/ef}0諷0bk000f00 N g03uW0藌f0~0[000 I understand that my scholarship may be suspended or cancelled if any item I have written in the application form proves to be false, or if there is any contravention of any item mentioned in Article 10 of the GUIDE TO APPLICATION FOR THE 2001 ACADEMIC YEAR,  Suspension or Cancellation of Scholarship . 磳鉜n0hYf[uh0W0f0(uU00_04XTo00錯,gn0誰媉0>yO弶膡k0揰D00%R}n0h0J00磳鉜L0歔0_0婲槖0圼c0f00g刄0=\O0W0f0f[0xvzk0盧0S0h00搳}W0~0Y00 If selected as the scholarship student, I will pledge myself to refrain from violating any of laws and regulation in Japan, and to observe the articles provided by the foundation as another paper attached in order to achieve the aims of my studies with my best efforts. 錯0豊 t^ g 錯 Date Year Month Day  3u0藠00r0 T Signature of applicant 3u0藠00l0 T Name of applicant u 圼 婲  !24)#,%304/0/"3%26% 鉜誰篘0] Vs^*Y齎洊hYf[鉜 THE OKAZAKI KAHEITA INTERNATIONAL SCHOLARSHIP FOUNDATION 0S0n0hYf[褢n0顅剉0済_0Y0_00k00f[!h恌[HQn0錯,g瀶f[!h~0_0o0'Yf[b n0弶GRk0揰D00 c\Ye榌n0c\0㏑姃0 \蛻W00陙馷n0蒖f[k0g刄0=\O0Y0S0h00 0To refrain form violating any regulations of your school (Japanese language school or graduate school of university), and to do your best in you studies with respecting for the teaching and advising of your teacher. 0]鉜L0歔0_0弶媉0圼00S_鉜婲賀@\n0c:yk0揰c0f00錯,gn0陙6q0tk騍0噀S0姙妱0 錯,g篘n0u;m豬_I{x0n0胈0ca00g0M00`0Q0錯,g0t銐Y00S0h0k0猂汻Y00S0h00 0To observe the rules decided by the Okazaki foundation, and to make your best efforts to be interested in Japanese nature, history, culture, language and the life style of Japanese people in order to understand  Japan as well as possible, according to our guidance. 0hQ錯zzn0靣珟頪g0u;mY00o00頪n0弶GR0圼0S0h00~0_00頪u;mk0W0f00頪w昁00c:yL0 B00p00]0n0c:yk0揰F0S0h00 0If you dwell at the ANA s dormitory, you should observe the rules of the dormitory. As for your life in the dormitory, if you are instructed by the supervisor of dormitory, you should follow his instructions. 0Yuf[g摃-N0S_鉜n01婏S!qO0鑱Bf碦蚉00000 I{n01Xl憭0梍0誑婲0W0j0D0S0h00 0Never take a side work for gaining money without our permission in the term of your study in Japan. 0S_鉜L0/ef}Y00hYf[褢0厤H0f0臺亯h0Y00褢瓛o00陙Rn0瑢鸑g0/eUbD00錯,gg0爩c0_0陙馷礟賀 o0陙Rn0瑢鸑g0_nY00S0h00 0To accept responsibility for expenses incurred beyond those covered by the scholarship granted by the foundation and for payment of any debts I might incur in Japan. 0hYf[uo00~0Z0XS珟g0eg錯W00\j0O0h00t^摃o0XS珟g0u;mY00S0h000W00eg錯W0f0K00t^錘 NL}N悓_k0禰蟚I{0錯,gk0|Ts0腫[004XT0]0n0禰蟚I{n0 T4Ok0臺亯j0Y0y0f0n0L}粚o00hYf[u,g篘L0爩舃Y00S0h00~0_00Y齎篘L0錯,gg0禰蟚(un0OO匸0媺d0Q00S0h0o0餠銝g0B000禰脤0貧D0n0g00]0n0S0h00圢0b鍂W0殙焋W0f0J0O0S0h00 0To come alone first to Japan, and live alone for more than 1 year. If you want to let your families come after 1 year, all expenses incurred by them must be borne by you. And to take into consideration the various difficulties and great expense that will be involved in finding living guarters for them. 0恌[HQ~0g0n0恌[怟b祂o00烻GRh0W0f0麞蕩0W ND拻0+T0 I{n0lQqQ恄j0)R(uY00S0h00 FOW00lQqQ恄jn0)R縊'`L0猔D0悑N臽L0B00p00S_鉜k0]0n0婲臽0瑠fW0J\000I{g0n0恌[J\ 0衏鶴Y00S0h00]0n04XTo00臺Z0婲MRk0錯,gg0K愨庯S齹j0MQ1婙f0諷梍W00篘鄬QMQ哘錘 Nn0陙誖蕩婲Ee鄬Q瑢鸑軴z杒0燫eQY00S0h00 0As for the way how to go to school from the place of your dwelling, as a rule, you should take only traffic means of public transportation such as train including subway. If the traffic is inconvenient, you have to report to the foundation about the situation with correspondence. In that case, it is necessary for you to obtain a license accepted in Japan, and to apply for driver s accident insurance for more than 100 million Japanese yen against the dead and the injured in advance. 0]0n0諲0錯,gg0n0Yuf[u;m0檥殅Y00 Ng00蛻'Yj0婲Ee00000k0m怗怶0_000a觛Y00舥lk0K0K0c0_00eQb枓0亯Y00*`b0W0_04XTk0o00悇0K0k0S_鉜x0鍂0[00S0h00 00Others; If you encounter with a serious accident or trouble which disturbs in your study in Japan, or if you happen to be injured as heavy as required to enter hospital, you should let us know as soon as possible. 錘 N Over     -  PAGE 1 - 橯 w 鹠 豊 NJS珟1=^虁筫b椦弎_n0 0n00鹠豊Y00S0h00 Attach recent passport size photograph here. t^ Years 0l2lJll唋蔿蘬頻m\m竚糾辪,n0nNn猲畁皀瞡磏秐竛簄 8!H'$$@@凥劯dG$WDp凥`劯黦d-K 8!H'@ "@@@dG$簄糿膎鬾olo猳fp*qbr農鎟鑢 8!H'@ "@@@d$G$If '3@@@d 8!H'@ "@@@dG$ 鑢阹靣顁餽0[kd$$If朿斕&&04 cac 8!H'@ "@@@d$G$If[kd$$If朿斕&&04 cac餽騬魊鰎鴕0[kd$$If朿斕&&04 cac 8!H'@ "@@@d$G$If[kd $$If朿斕&&04 cac鴕鷕黵s0[kd$$If朿斕&&04 cac 8!H'@ "@@@d$G$If[kd$$If朿斕&&04 cacsssss0[kd$$If朿斕&&04 cac 8!H'@ 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