2016 MONBUKAGAKUSHO Scholarship

(Host University Recommendation)

Application Procedures (September 2016 Admission)
1. Documents to be submitted
1) 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.
2) Documents 1, 2, 3, 4, and 11 are included in this PDF. Please fill in all forms electronically in this PDF, where
possible, and print on A4-sized paper.
* Please print all forms SINGLE-sided.
3) Documents 1, 2, 3, 4, 5, 6, 7, and 11 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 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.
4) Please DO NOT staple your application documents.
2. Important points for application
1) All submitted documents should be printed in the language you intend to study, either Japanese or English, on
A4-sized paper using PDF or word-processing software. If your documents such as certificates are in any
language other than Japanese or English, then you must submit the original certificate in addition to a translation
into Japanese or English. Translations will only be accepted if issued and signed by a translation company or a
qualified translator.
2) The name and birthday on all documents must be the same as that on your passport.
3) All application documents must be submitted together and delivered by a traceable international express mail
service to the address below and arrive before the application period ends.
4) Documents such as thesis summaries should be concise summaries of your thesis contents.
5) If it is determined that your application documents contain any deliberate falsifications of forgeries, your
application will not pass the examination.
6) Submitted documents cannot be returned for any reason.
3.

Application Period
Friday, October 30, 2015 Monday, November 30, 2015
- All documents must be sent by express post (EMS, FedEx, DHL, etc)
- We will not send you a notification when we receive your application documents, so please use a
tracking service if you would like to know when your application documents have arrived.
- All documents must arrive by the deadline.
- Only posted applications will be accepted. No applications by email, fax, or walk-in will be accepted.

4.

Application Mailing Address

Ritsumeikan University International Center at BKC
1-1-1 Noji-Higashi, Kusatsu, Shiga, Japan 525-8577
Phone: +81 (0)77-561-3946

Application period: October 30, 2015 Monday, November 30, 2015

All documents must arrive by express mail before the deadline.
Please allow sufficient time for delivery.

2016 MONBUKAGAKUSHO Scholarship

(Host University Recommendation)
Application Documents Checklist (September 2016 Admission)
Forms 1, 2, 3, 4, and 11 are included in this PDF.

1. Ritsumeikan University Application Form (GS A) *3 pages: MUST be printed single-sided

2. APPLICATION FOR JAPANESE GOVERNMENT (MONBUKAGAKUSHO: MEXT) SCHOLARSHIP (4
pages) *MUST be printed single-sided.
This form must be completed in the language in which your program is taught (either English or Japanese).

3. Application Questionnaire (2 pages) *MUST be printed single-sided.

4. Field of Study and Study Program (2 pages) *MUST be printed single-sided.
This form must be completed in the language in which your program is taught (either English or Japanese).
The "Field of Study" should outline your intended field, while "Study Program" should detail your individual
research plans and progression during your degree.

5. Recommendation Letter by the dean, or a person of higher position, at the applicants current university (if
the applicant has graduated, from the most recently attended school)
Letter must be addressed to the "President of Ritsumeikan University, Japan")
Please be sure the appropriate titles of the sender and addressee are included.

6. Original certification of grades achieved

Certificate of grades must show number of credits for each course.
Certificate of grades must show the year/ semester during which each credit was acquired.
Certificate must include or be accompanied by a certificate that shows a clear explanation of all possible levels
used in grading, including the pass/ fail mark.
Certificate must include grades for at least the final two years of courses of the most recently attended
undergraduate or graduate program.

7. Original certificate of graduation (or expected graduation) from most recent degree program
8. Concise summary of graduation thesis for current/most recent degree

If you didnt write a thesis for your most recent degree (if currently enrolled, a thesis towards your current degree),
please submit a summary of your research field instead.

9. Copy of applicants passport, if applicable, or other government-issued family registry or citizenship

registry copy that shows applicant's legal name and birthdate

10. Copies of certificates of language proficiency For English Language:

Submit a score report from one of the following: TOEIC, TOEFL-iBT, TOEFL-PBT, TOEFL-CBT, or
IELTSTM. Copies are acceptable for these score reports.
*Test must have been taken between November 30th, 2013 and November 30th, 2015.
Applicants who cannot submit a score certificate from one of the tests above must submit an original, formal
certificate of English language ability level, or a formal letter stating as much, issued by either their current
university, or, if they have graduated, from their alma mater. Only original documents may be accepted.
*Language ability certifications must have been issued between November 30th, 2013 and November 30th, 2015.
*Applicants who intend to submit this kind of certificate must contact the International Center at BKC in advance.

11. Certificate of Health (Please use the attached form, or one with identical contents)
12. Three (3) photographs of applicant (taken within 6 months, 4.5 cm tall x 3.5 cm wide, full-faced, chest-up, with
no hats or caps).
Write applicants name and nationality on reverse of each photo and attach one each to the Ritsumeikan University
Application Form and the Monbukagakusho: MEXT application form in the designated locations.

13. PDF copy of (Graduates of Chinese Universities, only) or PDF copy of

(Current Students at Chinese Universities, only)

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A P P L I C AT I O N F O R 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 ) S C H O L A R S H I P

Research Students for 2016

Type application, if possible, or write neatly by hand in block letters.)

Use Arabic numerals.)
Write years in the Anno Domini system. )
Write proper nouns in full without abbreviation. )

Personal data entered in this application will only be used for scholarship selection purposes, and contact information such as E-mail 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. E-mail

(Sex)

Name in full in native language

))

(Surname)

In Roman block capitals

(Surname)

Male

(Given name)

(Middle name)

Female

(Given name)

(Middle name)

Single

(Marital Status)

(Please write your name exactly as it appears in your passport.)

-Nationality

Married()

- Japanese nationality
Yes, I have
No, I dont have it.()
Paste a passport sized photograph

Date of birth and age as of April 1, 2016( 2016 4 1

or digital image taken within the

past 6 months. Write your name

19
Month

Day

Year

Age

and nationality in block letters on

the back of the photo.

4.5cm3.5cm photo
Present status with the name of the university attended or employer

((4.5cm3.5cm))

Present address, telephone/facsimile number, and E-mail address

FAX E-mail
(Present address
/FAX (Telephone/facsimile number

E-mail address
If possible, write an email address that can be used continuously before, during and after your stay in Japan.
E-mail

Field of specialization studied in the pastBe as detailed and specific as possible.)

Academic Background:

Name and Address of School

Year and Month

Diploma or Degree Awarded, Major
of Entrance and
Duration of Attendance Subject, kipped Years/Levels
Completion

()

Name
()

From

years

Location
()

To

and
months

Name
()

From

years

Location
()

To

and
months

Name
()

From

years

Location
()

To

and
months

Name
()

From

years

Location
()

To

and
months

Name
()

From

years

Location
()

To

and
months

Primary Education
()
Elementary School

Secondary Education

Middle School

High School

*-1

Tertiary Education

Undergraduate Level

Graduate Level

Total number of years of the aforementioned schooling

*as of April 1, 20162016 4 1

years

Notes:
Exclude kindergarten education and nursery school education. ()
Preparatory education for university admission is included in secondary education.
If the applicant has passed the university entrance qualification examinations, indicate this in the column with *-1.
(-1 )
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.)

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.

. Calculate and write the total number of years studied based on duration as a student. (including extended leave such as summer vacation)

. 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.

State the titles or subjects of books or papers (including graduation thesis authored by the applicant), if any, with the name and address of the publisher and
the date of publication.

Employment Record: Begin with the most recent employment, if applicable.

Name and address of organization

Period of employment

Position

Type of work

From
To

From
To

10Japanese language proficiency: Evaluate your level and insert an X where appropriate in the following blank space.

Excellent

Good

Fair

Poor

Fair

Poor

Reading

Writing

Speaking

11Language ability: Evaluate your level and insert an X where appropriate in the following blank space.

Excellent

Good

English

French

German

Spanish

12Past awarded record

Have you been awarded a Japanese Government (Monbukagakusho) Scholarship in the past? Please check ) or ) below. If so, please specify the
period, the name of the university, etc.

) Yes, I have.

Period:

University:

) No, I have not.

13Accompanying Dependents (Provide the following information if you plan to bring any family members to Japan.)

* All expenses incurred by the presence of dependents must be borne by the grantee. He/She is advised to take into consideration various difficulties and
the great expense that will be involved in finding living quarters. Therefore, those who wish to be accompanied by their families are advised to come alone
first and let their dependents come after suitable accommodation has been found.

Name

Relationship

( )

Age

14. Person to be notified in applicant's home country in case of emergency():

Name in full:

Address with telephone/facsimile number, and email address. E-mail

Present Address(
Telephone/facsimile number(/FAX
E-mail address
Occupation:

Relationship to applicant:

15.Immigration Records to Japan

Date

Purpose

From
To
From
To

I understand and accept all the matters stated in the Application for Japanese Government(MONBUKAGAKUSHO:MEXT) Scholarship for 2016, and hereby
apply for this scholarship.
2016

Date of application:

Applicant's signature:

Applicant's name
(in Roman capital letters)

APPLICATION QUESTIONNAIRE
For students who intend to study in ENGLISH. Please fill in electronically.

1. Name (As appears on your passport):

2. Birthday:

YY

MM

DD

3. Nationality:
4. Do you have Japanese citizenship?

Yes, I do.

No, I dont.

5. Please describe your most recently attended academic institution (current institution if applicable).
University name:
Faculty or Graduate School of:
Major:
6. Most recent Thesis Title: If your current degree is in progress, but you have not yet determined
your thesis topic, please enter the information for your previous degree thesis.
Have you written a thesis?
If yes:

Yes, I have.

No, Ive never written a thesis.

Degree Level:

Title:
*The title should match that of your application document summary of thesis.

7. Please describe your intended study program at Ritsumeikan University.

Field of study in Japan (your desired thesis topic at Ritsumeikan University):

The Graduate School of

Major Field:

Level: Select one

8. If you selected Research Only (Masters Level) or Research Only (Doctoral Level) in
question 7, select your plan following the conclusion of your research term:
a) I only intend to conduct research, so I will return home after completing my research term.
b) I will apply for, and try to gain admissions in order to progress into a Masters Degree Course.
c) I will apply for, and try to gain admissions in order to progress into a Doctoral Degree Course.
*In order to become full-time degree seeking students, research students may, during their research term, take the entrance
examination of the graduate school in which they are enrolled. If this exam is passed, and all appropriate entrance procedures are
completed, it is possible for research students to become degree-seeking student at the same graduate school.

APPLICATION QUESTIONNAIRE
For students who intend to study in ENGLISH. Please fill in electronically.

Notice: It may be possible for research students who have demonstrated exceptional grades and wish to enter into a Ritsumeikan
University Master's or Doctoral course to extend their scholarship award until the completion of their master's program (24 months)
or doctoral program (36 months) if they meet standards for enrollment and pass a rigorous evaluation by Monbukagakusho.
(Scholarship extension in this case is not guaranteed.) In addition, students already enrolled in a master's degree program who wish
to progress to a Doctoral degree program at Ritsumeikan University may be permitted to extend their scholarship award until the
completion of a doctoral program (36 months) if they meet standards for enrollment and pass a rigorous evaluation by
Monbukagakusho. However, handling of extension applications varies based on individual programs.

9. Your desired supervising professor at Ritsumeikan University and your contact status.
Name of Desired Supervising Professor:
Have you contacted him/her?

Yes, I have been in contact with this professor.

No.

*Applicants to the Graduate Schools of Science and Engineering, Information Science and Engineering, or Life
Sciences should make every effort to enter the name of a desired supervising professor (multiple entries OK).

10. Have you applied to other universities for a MEXT scholarship?

Yes.

No.

If yes: Name of University(ies):

11. If you are applying for any other (non-MEXT) scholarships, state the name of the sponsor,
duration, amount, etc.
Scholarship sponsoring Institution:
Scholarship period:

YY

MM -

YY

Release date of scholarship application results:

MM Amount:
YY

MM

DD

12. Name the nearest international airport to your home (must be in your country of nationality):
Name of Airport:

Airport

13. Name the city with the nearest Japanese embassy or consulate to your home where you
could obtain a Japanese visa (must be in your country of nationality):
Name of City:
14. In the event that your application for Monbukagakusho funded studies is not successful,
do you wish to enter Ritsumeikan as a self-financed student? (The student pays for their own
academic fees and tuition)
Yes, I would.
No, I wouldnt.

<<End of Questionnaire>>

Field of Study and Study Program

Full name in native language

(Family name)

(First name)

(Middle name)

Nationality

Proposed study program in Japan (State the outline of your major field of study on this side and the details of your study program on the backside of this
sheet in concreteness. This section will be used as one of the most important references for selection. Statement must be typewritten or written in block
letters. Additional sheets of paper may be attached if necessary.)

If you have Japanese language ability, write in Japanese.

Field of study

Study program in Japan in detail and concreteness


CERTIFICATE OF HEALTH (to be completed by the examining physician)

Please fill out (PRINT/TYPE) in Japanese or English.

Name:

Family name,

First name

Male
Female

Middle name

Date of Birth:

Age:

Physical Examination
(1)
Height

Weight

cm

(2)
Blood pressure

mm/Hg

(3)
Eyesight: (R)
(L)
Without glasses
(4)
Hearing:

kg
mm/Hg

Blood type A B O

(R)
(L)
With glasses or contact lenses

normal
impaired

RH

regular
Pulse irregular

normal

impaired
Color blindness

normal
Speech: impaired

)
Please describe the results of physical and X-ray examinations of the applicant's chest x-rays (X-rays taken more than
6 months prior
to this certification are NOT valid).

normal
Cardiomegaly: impaired

Date

Film No.
Electrocardiograph : normal
impaired
Describe the condition of applicant's lungs.

Lungs:

normal
impaired

Yes (Conditions/particulars:
Under medical treatment at present No

Past history : Please indicate with or and fill in the date of recovery
Tuberculosis......( . .
)
Malaria.......( . . )
Other communicable disease......(
Epilepsy......( . . )
Kidney disease.....( . . )
Heart disease......( . . )
Diabetes......( . . )
Drug allergy......( . . )
Psychosis.....( . . )
Functional disorder in extremities......( . . )
Laboratory tests
Urinalysis: glucose (
ESR:

), protein (

mm/Hr, WBC count:

Hemoglobin:

gm/dl, GPT:

), occult blood (
/cmm

anemia

YesNo

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

Particulars or additional comments:

Date:

Signature:

Physician's Name (Print):

Office/Institution:

Address: