October Enrollment - 名古屋大学 · (10) Certificate of Master’s degree, or Certificate of...

��

��

� � � � ��

Doctoral Program

Application Guidebook and Forms for the Academic Year 2012

��10 ��

October Enrollment

Graduate School of International Development

�GSID�

NAGOYA UNIVERSITY

� � � � � � � �

� � � �

� � ��

� � � � ��

��

�� !"#$��%�&'�()*+

, � ��-.�/0� 1�� , � ��-.�/0� 1��

��234567-89:;6�<=>?@( 7-89:;

A �B<CD6EF��EGHI��J�B<)��-IK6LMIK�6GH�B<NOP*+

A �B<CD6EF��EGHI��J�B<)��-IK6LMIK�*+

Q-R��-�S.�TU�-V Q-R��-�S.�TU�-V

W � � � XYZF�[\�� W � � � XYZF�[\��

] � � � XF^�_�`a� b�� ] � � � XF^�_�`a� b��

, � cd�efg@(-V� ��

� a-hi� b��)Pj5

�klmn�op1�� klmn�op1��

q � q � � � <d�efg@(-V�r��

A � <d�efgstuv�pb��

A � ��-.�wx�p1�� -.�wx�p1��

a-hi� b��y�uv

a-hi� b��y�uvz{|}

~,kl�_�A��A�� ~,kl�_�A��,��

�klmn�o_�� r��p ��p�� klmn�o_�� r��p ��p��

� � � � ��1b�� 1b��

F��GH�3�� b��)Pj5

, � Q-hi)Pj5

A � ��/|��G<�� A � ��/|��G<��

� � , � Q-hi��uv ��

Q-hi��uvz{|}

A � F��GH�3�� b��z{|}

��e.��

F��y��Q-hi��pr��

b � � � ��-.�/0� �� b � � � ��-.�/0� ��6��a-hi��1��

��R��

�� !"#$��%�&'�()*+

, � ��2345

�<=>?@(

A � B<CD6EF��EGHI��J�B<)��-IK�*+ A �B<CD6EF��EGHI��J�B<)��-IK�6GH

�B<NOP*+67-89:;

a-��-�S.�TU�-V a-��-�S.�TU�-V

� � � ��/|��G<�� /|��G<��

p � , � cd�efg@(-V� �� p��

A � M�.��w��p �� A � M�.��w��p ��

��p�� _�� p�� _��

�klmn�op��pr��p_�� klmn�op��pr��p_��

� � � � a-hi��)Pj5 ��

, � M0.�/0�� , � M0.�/0��

<d�efg@(-V� r��

�klmn�o�� b�� klmn�o�� b��

� � � � ��-.�wx� �� -.�wx� ��

<d�efgstuv�r��

, � a-hi��y�uv

a-hi��y�uvz{|}

F��GH�3��)Pj5

� � � � F��GH�3��z{|} ��

, � .�T��CD�p�M Q-��-�6a-��-��*+ , � .�T��CD�p�M Q-��-�6a-��-��*+

A � ��e.��p��

F��y��pr��p_��

��

��

, � ��-.�/067-89:;

A �B<CD6EF��EGHI��J�B<)��-IK6LM

IK�*+

Q-��-�S.�TU�-V

W � � � XYZF�[\��

] � � � XF^

A � a-hi� b��)Pj5

q � A � ��-.�wx

a-hi� b��y�uv

a-hi� b��y�uvz{|}

~,kl�_�A��,��

�� 1b��

F��GH�3�� b��)Pj5

�� A � F��GH�3�� b��z{|}

��e.��

��/|��G<��

F��y��

��

��

�� 24�� 10��

� �� 1

� �� !"� #$�� 11

� � � %&'(!)*%&+,!)

-./012 34567

� � � � � � � �� 8�*��9.:

� � � � � � � ;<:

� � � � � � � =>?*@A?

� � � � � � � BCD:

� � � � � � � EF<DG:

� � � � � � � @AHIJK.

� � � � � � � LMNOPQ

� � � � � � � RS1TU

Table of Contents

Doctoral Program Application Guidebook and Forms for the Academic Year 2012

�October Enrollment�

� �� General Selection ��2

� �� Special Selection for DID� and DICOS�� Applicants with Relevant Work Experience ��12

�Department of International Development

��Department of International Cooperation Studies

Forms

� � Application Form

� � Curriculum Vitae/Resume

� � Photograph Card and Examinee’s Registration Card

� � Receipt Forms

� � Certificate for Research Experience for those without a Master ’s Degree

� � Application for Eligibility Screening for the Examination

� � Contact Address Labels

� � Self-addressed Envelopes

� ��

�General Selection�

�� (10 ��)

� �� 24 (2012) �� (�� ) �� !�"

��

� � #$%&$'�()!�*

� (1)� ��+�,-./�0�$1$+�,23�$�4��567�4�89�:;*<�� 24

(2012) �=> 300?2�89�:�@AB$*

� (2)� CD�EFG3�$�4��567�4�H)!��4�89�:;*<�� 24 (2012) �

=> 300?2�89�:�@AB$*

� (3)� CD$�IJKLMNOP�EQ�8RS�TJD�EFGU3.<3�$�4��567�

4�H)!��4�89�:;*<�� 24 (2012) �=> 300?2�89�:�@AB$*

� (4)� TJD�EFG<CD�+�,$� �V!�-$W.G)(CD$�IOPX��EFG4Y

ZQ[:;OP\]2^_G<à�+bJc�de!�-$$)(� �3f.<3�$�4

��567�4�H)!��4�89�:;*<�� 24 (2012) �=> 300?2�89�:�

@AB$*

� (5)� Dghi+��a�j!�DghiW0�DW$k$le$m\�nLocpYqrst 51 �

quv 72&wvxyvz{�|e!� 1972� 12> 110$Dghi}~��]��:;

Dghi+�$� �3f.<3�$�4�H)!��4�89�:;*<�� 24�r2012w

�=> 300?2�89�:�@AB$*

� (6)� à�+b$de.;* (��à��v 118&)

� � � � 0�$+��R.<��CD�EFG�IOP�EQ� 16�$� �3f.;�<+

�<��EFG<z��.;*2<��EFG<)(��$

��<3�$�4�V!�*W��$��J^�W��;*

� (7) � ��EFG<�c$��3�$�4��567�4�V!�*W��

�$��J^�W��;*2�� 24r2012w�=> 300?2� 24��!�*

��

� � Dg��5 � � � � � � � � � � ¡¢£

� � Dgl�5 � � � � � � � � � � ¡¢£

� � Dg¤¥¦§¨©ª«¬5 � � � ¡¢£

��

� � �� 24 (2012) �> 180 (>) ®> 220 (¯)

� � � � °±=²³[°�´²?2�µ!�"

� � � � ¶·��¸i�¹º¶»W.<> 220(¯)°�´²?2�¼½.;-$�¾��µ!�"

��

� � ��¿��ÀÁ*�#$¹Â��Ã�ÄÅÆ<`ÇOÈ�¿Dg��ÉÊ)^GËÌ!�

ÍW"ÎÏ¬Ð?;�ÑÏÒ�ÓÔ!�ÍW";Õ.<ÌÁ�� (6)<(7) ��ÌÁ!�¸i��

��Ö×Ø��ÍW"

� (1)� ��¿��ÀÁ¹ (�eÔÙ)

� (2)� U� Ú� ¹ (�eÔÙ)

� (3)� Û~ÜW.G$mÈÝ��Ú�j!�Þ�¹ (mÈß��*W.G$Ý��V!�¸

i$B<A´àÔÙ�t` 2,000á��â` 800ã �)

Dg��5 <Dgl�5 �äa<Dg¤¥¦§¨©ª«¬5 �á

��

��

��

��General Selection (October Enrollment) Information on Application for the GSID Doctoral Program for the Academic Year 2012. �� !"#$�%"&" �'� Those who meet one or more of the following qualifications are eligible to apply:

(1)� Hold a Master’s degree or Professional degree from a Japanese University or will receive a Master’s degree or Professional degree from a Japanese University by the end of September, 2012.

(2)� Have received a degree equivalent to a Master’s degree or Professional degree in a country other than Japan or will receive one by the end of September, 2012.

(3)� Have received a degree equivalent to a Master’s degree or Professional degree in Japan through correspondence education managed by a foreign school or other recognized educational institution or will receive one by the end of September, 2012.

(4)� Have received a Master’s degree or Professional degree from a university in Japan that is recognized as a university belonging to the system of higher education of a foreign country and is approved by the Japanese Minister of Education, Culture, Sports, Science and Technology or will receive one by the end of September, 2012.

(5)� Have completed the course of the United Nations University and have received a degree equivalent to a Master’s degree, or will have completed the course of the United Nations University and will have received a degree equivalent to a Master’s degree by the end of September, 2012. The United Nations University refers the university established by the United Nations General Assembly’s resolution of December 11, 1972. The university is provided for under Paragraph 2 of Article 1 of the Act on Special Measures (Law No.72, 1976) concerning the Implementation of the Agreement between the United Nations and Japan relating of the Headquarters of the United Nations University.

(6)� Have been approved by the Japanese Minister of Education, Culture, Sports, Science and Technology (Ministry notice No.118 of 1989).

� � � Those who meet the following two qualifications: å� Have at least 2 years of research experience at a university or a research

institute after graduation from a Japanese university or after 16 years of formal education outside Japan, and

æ� Have been recognized by GSID, on the basis of the research achievement, as having academic ability equal to or exceeding those who holds Master’s degree.

(7)� Have been recognized by GSID based on individual eligibility screening for the examination as having academic abilities equal to those who have a Master’s degree or Professional degree, and of an age not less than 24 by the end of September, 2012.

��(&�''�� )�" � *'� Department of International Development (DID) � � � � � � � A limited number Department of International Cooperation Studies (DICOS) A limited number

Department of International Communication (DICOM) A limited number � �+�� *�,"%��(� Applications will be accepted from 9:00 to 16:00 during the week of June 18 (Monday) to

June 22 (Friday), 2012 at the Educational Affairs Division for the Schools of Humanities and Social Sciences (GSID administrative office). For those sending applications by (registered) mail, applications MUST reach the office by 16:00 on June 22, 2012. ANY applications received after this date and time will not be considered for processing.

��!"#$�%"(�-��$&" �'� Applicants must fill out and send in the following items. Please type or write clearly

using black ink. Those who fall under category (6) or (7) in the Application Requirements must refer to note (1) or (2) of section 5, Application Procedures. (1)� Application Form (Form provided) (2)� Curriculum Vitae/Resume (Form provided) (3)� On a separate piece of paper (A4) please state your previous working and/or research

experience, if any, relevant to the field of international development. The length should be either 2,000 characters in Japanese or 800 words in English. DID/DICOS applicants should submit 3 copies and DICOM applicants should submit 4 copies.

��

� (4)� çèé¿��é (�eÔÙ"çè�<�êëìí2îïç.<³ðä³>�ñ�òó.;-$�

çèé�ô�ÍW")

� � � õö÷¹ (�eÔÙ"ø£��!�ÍW")

� (5)� ùNÔúû (�� ü{�ýAB$-$zM��Ü$¶»�QÃ�Ôþ�<¶»�&<ø£��

�.<Ä:�:��360��ôZ)

� (6)� ^G£ª© (�eÔÙ"þ�<¶»�&<ø£�zW-��!�ÍW")

� (7)� �� ¹ ( �Ìë+�,$d�O�<��j$��-$2<��*��ú

.;-$";Õ.ËÌ��)

� (8)� �� ¹ (;Õ.Dgl�5 $ÀÁ*$B"Dg��5 ��Dg¤¥¦§¨©ª«¬5

$ÀÁ*$ËÌ��)

� (9)� ��÷�¹ ( �Ìë+�,�K$-$)

� (10)� 3��4÷�¹��Ã�@A÷�¹

� (11)� �� ¹ (A´àÔÙ�t` 4,000á<��â` 1,600ã �)

� � � Dg��5 <Dgl�5 �äa<Dg¤¥¦§¨©ª«¬5 �´a

� (12)� 3��4!` (��Ä:�H)!��!`) $ç<��!`ü" (t`��â`)

� � � Dg��5 <Dgl�5 �äa<Dg¤¥¦§¨©ª«¬5 �´a

� � å��$3��4!`ËÌ#�0$]e��<ÌÁ²�3��4!`J$%�$¸i�<

ÌÁ²�t` 4,000 á��â` 1,600ã �$!`ü"��&^�F�d�O��

3��4!`ËÌ#�0�÷�!�¹Â�ËÌ.<%��;3��4!`$ç.��!`ü"�

'/W-(>0r¯w?2�ËÌ!�ÍW"

� � æËÌ!�3��4!`JÀ)5 �*�C$¸i<?;�<3��4!`�C�À)5 �*$

��R�J^�¸i<)(3��4!`�+ÆG<À)5 �*�jh!��!`�$ç��!

`ü"�ËÌ!�ÍWJ2��"

� (13)� 0�D,�-_GF�F*�<./0©1$2çè$3�4©5$ç.r¤6©w�ËÌ!�

ÍW"�E<0�Dñ7þ*�<CDÜ89÷$:ï$ç.(¤6©)-ËÌ!�ÍW"

� (14)� âã¿0�ã;�É�$��M<¹$ç (;Õ.ËÌ��)

� � � �E<i�*$L=<V7*�ðFG��>�²��&$?@¹?;�<?@¹�AB�

�CD��E�.;¹Â$ËÌ�F��"

� � � ?;<Ä$1G��H��IJ~!�ÍW"

��

� � ÌÁ*�±{(1)³[(14)$¹Â�KeL (30,000 �$¶»MMNOW.<ø£�P-��.�FÍ

W) �QÆ<��ËÌ$ÍW"�£RS+�+�,��$±�� (3�� ) �� 24(2012)

� 9 >�3f@AB$*��DTCDÜº��KeL�UüW.�F"�E<1+�+�,³[�

�!�DTCDÜº��VDTCDÜº��÷�¹W�ËÌ!�ÍW"�

Ö×Ø

� (1)� ÌÁ��(6)��ÌÁ!�-$�ðFG�<^[³X�#$¹Â�� 24(2012)�Y> 23 0

(Z)�U½�?2�`ÇOÈ�¿Dg��ÉÊ)�ËÌ.<��Q�ÍW"

� � � ��[��<�� 24(2012)�Y> 310(\)?2��Ü^GM<!�"

� � å� ÌÁ��(6)��Á (�eÔÙ)

��

� (4)� Photograph Card, Examinee’s Registration Card and Receipt Forms: Attach photo (4 ��5��taken within the last 3 months. Please write your name on the two Receipt Forms (Forms Provided).

� (5)� Self-addressed Envelopes: Please use the two envelopes provided in this pamphlet, with stamps worth 360 yen attached to each. If Japanese stamps are not available, please send instead 6 International Return Coupons which are available at post offices.

� (6)� Contact Address Labels: Please fill out these forms, marked ��, with your contact address (Labels Provided).

� (7)� Letter of Recommendation (submission is optional): Must be written and sealed by the applicant’s academic advisor from the university s/he attended. A letter from applicant’s present supervisor is also acceptable.

� (8)� Letter of Self-Recommendation: Must be written by DICOS applicants. Could be voluntarily submitted by DID and DICOM applicants.

� (9)� Official transcripts from your previous/present graduate school. � (10)� Certificate of Master’s degree, or Certificate of Prospective Master’s degree issued by your

present graduate school. � (11)� Research Proposal: Written in Japanese (4,000 Characters) or in English (1,600 Words), on

A4 sized paper. 3 copies for DID/DICOS applicants and 4 copies for DICOM applicants. � (12)� Master’s Thesis/Research Thesis and its Summary: 3 copies for DID/DICOS applicants and

4 copies for DICOM applicants. �� If at the time of application you have not yet completed your Master’s thesis, send a

summary of your thesis instead (either 4,000 characters in Japanese or 1,600 words in English), together with a letter from the Dean of your graduate school or from your academic supervisor which states the deadline of the thesis. Afterwards, you need to submit your completed thesis and its summary by July 6 (Friday) at the latest.

�� If your Master’s degree is from a field other than your proposed field of study, or if you have published papers which are related to the field, you can submit copies of your published papers in addition to copies of your Master’s Thesis.

� (13)� Applicants without Japanese nationality must submit a photocopy of the page of their valid passport showing the passport number and the applicant’s photograph. Those applicants who are currently residing in Japan must also submit a photocopy of their Alien Registration Card (both sides).

� (14)� A photocopy of certificate of English or Japanese language proficiency (submission is optional).

If you are an employee of an organization, you are requested to submit a letter of consent from

the head of your organization or, in place of that, a letter of self-responsibility after you have passed the examination.

If you have questions regarding any of the information above, please contact the Educational Affairs Division for the Schools of Humanities and Social Sciences (GSID administrative office).

��

� Items (1)-(14) should be completed and submitted to the Educational Affairs Division for the Schools of Humanities and Social Sciences (GSID administrative office). In addition to these documents an examination fee of 30,000 yen is required (non-refundable�. In Japan, please use a Japanese Postal Money Order but Do Not fill in anything.

� Those who will receive a Master’s degree in September, 2012 from Nagoya University and wish to apply to the GSID Doctoral Program do not need to pay this fee.

The students funded by the Japanese government (�Monbukagakusho scholarship students�) do not need to pay the examination fee either. Such students need to submit the certificate of their scholarship unless they are currently enrolled in Nagoya University.

��

� (1)� For those who fall under category (6) in the Application Requirements, the following documents MUST reach the Educational Affairs Division for the Schools of Humanities and Social Sciences (GSID administrative office) by May 23, 2012 (Wednesday) in order to receive an eligibility screening for the examination. Results of the eligibility screening for the examination will be sent to applicants by May 31, 2012 (Thursday).

� � � Application for Eligibility Screening for the Examination: Category(6)(Form provided)

��

( )

( )

( )

(

)

( 4,000 1,600 )

( 2,000 800

)

( 12 23.5 360

)

(1)

(4) (6) (13) (14)

(2) (7) 24(2012) 23 ( )

24(2012) 31 ( )

(7) ( )

( )

(

)

(

)

( )

( 4,000 1,600 )

(

2,000 800 )

( )

( )

( 12 23.5 360

)

(1)

(4) (6) (13) (14)

��

� � �� Curriculum Vitae/Resume (Form provided)

� � � � Certificate for Research Experience Form filled out by the head of the institution where

you conducted your research.

� � � � Letter of Recommendation (submission is optional): Must be written and sealed by the

applicant’s academic advisor from the university s/he attended. A letter from your present

supervisor is also acceptable.

�� Letter of Self-Recommendation: Must be written by DICOS applicants. Submission for

DID and DICOM applicants is voluntary.

� � � Certificate of Graduation and Official Transcripts from your previous school(s).

� � � � Academic Papers and/or Books written by you: 3 copies for DID/DICOS applicants and 4

copies for DICOM applicants.

� � � � Research Proposal: Written in Japanese (4,000 Characters) or in English (1,600 Words),

on A4 sized paper. 3 copies for DID/DICOS applicants and 4 copies for DICOM applicants.

� � � � Statement concerning applicant’s previous working and/or research experience. Please

write or type 2,000 Characters in Japanese or 800 Words in English on a separate sheet of

A4 sized paper. 3 copies for DID/DICOS applicants and 4 copies for DICOM applicants.

� � � Self-addressed Envelope: To inform you of the results of the eligibility screening for the

examination, send an envelope 12cm23.5cm in size, self-addressed, with stamps worth 360

yen attached. Do not use the envelopes in this pamphlet for that purpose.

� � �Those who passed the eligibility screening for the examination must send items (1), (4)-(6),

(13), (14), as specified in the Required Documents section as well as the 30,000 yen fee (non-

refundable).

� (2)� For those who fall under category (7) in the Application Requirements, the following

documents MUST reach the Educational Affairs Division for the Schools of Humanities and

Social Sciences (GSID administrative office) by May 23, 2012 (Wednesday) in order to receive

the eligibility screening for the examination. Results of the eligibility screening for the

examination will be sent to applicants by May 31, 2012 (Thursday).

� � � � Application for Eligibility Screening for the Examination: Category(7) (Form provided)

� � � � Curriculum Vitae/Resume (Form provided)

� � � � Letter of Recommendation (submission is optional): Must be written and sealed by the

applicant’s academic advisor from the university s/he attended. A letter from your present

supervisor is also acceptable.

�� Letter of Self-Recommendation: Must be written by DICOS applicants. Submission for

DID and DICOM applicants is voluntary.� �

�� Official transcripts from the last school(s) in which you were registered.

� � � � Research Proposal: Written in Japanese (4,000 Characters) or in English (1,600 Words),

on A4 sized paper. 3 copies for DID/DICOS applicants and 4 copies for DICOM applicants.

� � � � Statement concerning applicant’s previous working and/or research experience, if any,

relevant to the field of international development. Please write or type 2,000 Characters in

Japanese or 800 Words in English on a separate sheet of A4 sized paper. 3 copies for

DID/DICOS applicants and 4 copies for DICOM applicants.

� � � � Papers or reports from your research work and/or professional experience equivalent to a

Master’s Thesis: 3 copies for DID/DICOS applicants and 4 copies for DICOM applicants.

� � � � Certificate of Research Experience Form, if available.(Form provided)

� � � Self-addressed Envelope: To inform you of the results of the eligibility screening for the

examination, send an envelope 12cm23.5cm in size, self-addressed, with stamps worth 360

yen attached. Do not use the envelopes in this pamphlet for that purpose.

� � �Those who passed the eligibility screening for the examination must send items (1), (4)-(6),

(13), (14), as specified in the Required Documents section as well as the examination fee of

30,000 yen (non-refundable).

��

��

� � ��

� (1)� �� 24 (2012) �� 25� (�)� ��30��50��

!� � � " #� � $� � � % � � � � �

& ' ( ) & ' * + �,- .-��/�

&'� ��

01 10#23 ,45�

�,-��/��

��

��

� (1)� �� #� � �� 24 (2012) �� 30 � (�) �� (��)

� (2)� $� %� � &'()45��6

� (3)� 7� �� )��)8��

��

� � ��9�:�;�7��

� (1)� <�� 24 (2012) �� 26� (�)

� (2)� =�#�>��?��@

� � � � �� =�� 282,000A

� � � � � BC� D!�EF�� 24� 10�"�� 25�G�H 267,900A (�# 535I800A)

� (J)� =�#$%&�'�BC�(KL��MN$O��I(P#23)BC�L*QRM��

��

��

There will be no written examination. Applicants will be examined only by the oral examination.�

� �� : July 25, 2012 (Wednesday)

Please come to the reception desk in the morning between 9:30 and 9:50.

Proposed Dept. of Study Time Location Remarks

International Development International Cooperation Studies English and Japanese

International Communication

from 10:00 GSID

Japanese�

� Applicants might be asked questions to check language proficiency for research in the field.

��

� (1)� Date: July 30, 2012 (Monday), 14:00. NO TELEPHONE INQUIRIES.

� (2)� Location: Entrance hall of the GSID building.

� (3)� Notification: Official letters of admission will be sent out by postal mail after the

announcement.

�

�� !� ��

� � Detailed information will be sent out at a later date.

� (1)� Entrance Registration Day: September 26, 2012 (Wednesday)

� (2)� Required Fees:

� � �� Entrance Fee 282,000 yen

� � �� Tuition Fee (6 months: October 2012 –March 2013)

267,900 yen (535,800 yen per year)

� �� Please note that if the fees change before your entrance to the university or during your stay

at Nagoya University, you will need to pay the revised amount.

��

"�#� � $� � %

� (1)� ��

� (2)� �� !�"#$%�&�'( )*+,-�-�./012� !3456789 ��

!:;<=;> (http://www.gsid.nagoya-u.ac.jp/) ?@ABCDE�

� (3)� FG#H��345678�IJ?KLBCM��NOPQ (RSTU VW 32cmX24cmY $

Z�V390 [\Y?]��^&*?_`�ab�) ?cP�&�defghi/012� !�

jkl$m�noDE� �p�IJBCPQ$ )qr 24stuhvFG#H (10w��) ��

345678xy9 Ez�BCDE�

� (4)� ��$^a{&|}~�a�*��M��2��

��g�g$p�C��ir��?��a�$�O��B� ��a��Z$

��O�� $¡O�a��¢£�

��

� � �� !��"#�$�� %�&�'()

*(+��,-./�0�123�4�3%5�6789:;<=�

��>� ?@A�BCD'()*(+�

EFG� HIIJKLLMMMNOPQRNSTOUVTWXNTYNZJL�

¤464¥8601� *+,¦§¨©ª«¬

*+,-�defgh� � � � � �

(de�®¯°) � � � � � � � �

/012� !�jkl

± ² 052 (789) 4957� � � � � �

FA X 052 (789) 4921� � � �

E³;´ : [email protected]

��

��

� (1)� After applications are filed, changes in submitted documents are not permitted. The fee of

30,000 yen is non-refundable.

� (2)� Please refer to the GSID brochure or our website (http://www. gsid.nagoya-u.ac.jp/) for details

of the GSID.

� (3)� To obtain the Application Guidebook and Forms and the GSID brochure, please send an

envelope 32cm�24cm in size, self-addressed with a 390 yen stamp attached (or, for applicants

living outside Japan, 7 International Return Coupons) and a letter requesting the 2012 Doctoral

Program Application Guidebook and Forms (October Enrollment) and the GSID brochure.

� (4)� Applicant’s name, mailing address and other personal information included in application

documents will be used only for the purpose of grading and registering during the entrance

examination selection process, announcement of examination results, entrance registration

procedures and educational affairs after admission. Personal information will be used

appropriately and will not be used for purposes unrelated to your application.

< How to confirm the latest information in case of unforeseen circumstances>

The examination schedule and selection measures mentioned may change in case of the spread

of infectious diseases or other unforeseen circumstances. Please check the website regularly for

the latest information, especially before application and examination dates.

� Graduated School of International Development Website

http://www.gsid.nagoya-u.ac.jp/

Integrated Research Building

Educational Affairs Division for the Schools of Humanities

and Social Sciences (GSID administrative office)

Nagoya University� � � � � � � � � � � �

Furo-cho, Chikusa-ku, Nagoya� � � � � � �

464�8601� Japan� � � � � � � � � �

Tel� 81-52-789-4957� � � � � � �

Fax� 81-52-789-4921� � � � �

Mail_to: [email protected]

��

� ��

��

(Special Selection for DID* and DICOS** Applicants

with Relevant Work Experience)

*DID: Department of International Development

**DICOS: Department of International Cooperation Studies

��

� � ��

�� !"�#$%&'()* �+,- (./) 0�1* �2�#$%&'�34%5

64�7-(89�+:;��<=>? (@A>?) B��:;�CDEFG"(HI�+J

��

� K��L��MN/OP:�� (HI* �+7M�Q.R (S.R�T�(UV) �WX�

YZ[\�.O#$()* �X�]^_7M�`��+abc()*�de� ��fg

h��fgijk(lm*�nop%* TOEFL-iBT 79q[\�rstuv�()*(�

��wxy�z)�{|}~�V%T�q�r��:��6�()�+y��_^

�+y

� (1)� e��T*V��e��=��h��.��(��:y

� (2)� �� =��h��.��^�+��(��:y

� (3)� ��i��f��+�/��(�i�� *��=��h��.�

��^�+��(��:y

� (4)� �i�� >?()�+T�%* ^_��f�G"��

��:f�I �W¡ ��¢��£iD�j¤�+T��^_>?(�¥*��=��

h��.��^�+��(��:y

(5) �N¦��e¢�M�+�N¦%�e�%�§��¤�HI�¨�CD©�ª«¬ 51Zª

®¯ 72�°̄ �±¯²³�´¤�+ 1972Z 12µ 11��N¦¶-·¸�¹º» ¼��:�

N¦��>?(�¥*��=��^�+��(��:y

(6) �¢��£�j¤*:y (½¾¿Z�¢ÀÁÂ¯ 118�)

�e��(Ã/*�h�� f��+ 16 Z�>?(�¥*:@�

�� ÄÅ�� ²Z[\� �ÆÇ*:y��e� �� ^_�

�¾È��X��=��()�+y%ÉÅ[\��iW+%Ê;:y

� (7)� e� �� ËD�Ì$ÍÎÏÐ��X�=��h��.��()�+y%ÉÅ[\

��iW+%Ê;:y�½¾ 24«2012°ZÑµ 30�P�� 25Ò�Ó�+y

� :Ô*�e� �<=>? (@A>?) �ÕBÖ%�×x�Ê;��J

� Ø� TOEFL-iBT (TOEFL Internet-Based Test) ��¦Ùqi 79q[\�TOEFL-PBT(Paper- Based

Test) ��¦Ùqi 550 q[\�TOEIC ��¦Ùqi 750 q[\�W+Ú%�IELTS ��¦ 6.0

[\�W+Ú% (:Ô* Academic Reading% Academic Writing(ÛÜtuv�Ý+)JtuvÞ

�ßàáiâã�� X�äå��:Ö$�iæxç{�è¡ ²Z[é�T�()ê%�+J

Institutional test�tuv�Ì��J

��

� � �� ëì�

� � �� ëì�

��

� � ½¾ 24 (2012) Zíµ 18� (µ)îíµ 22� (ï)

� � ðñÑç{�ð@òçP�Ì5�+J

� � óô��+�¦�õöó÷%*�íµ 22� (ï) ð@òçP��øù*:T��ÝXÌ5�+J

��

��

��

��Special Selection Enrollment Program for DID and DICOS Applicants with Relevant Work Experience (October Enrollment)

In order to provide persons with substantial work experience in the field of international development/cooperation an opportunity to deepen and systematize their knowledge, the Department of International Development (DID) and the Department of International Cooperation Studies (DICOS) of the Graduate School of International Development (GSID), Nagoya University offer a special selection option for enrollment in the doctoral program.

�� Those who meet all of the following qualifications are eligible to apply: � Currently employed

(excluding those currently on leave) at an organization which conducts international development or cooperation focused activities and/or research, and have three or more years of work experience in such an organization, � Have received a recommendation from the applicant’s current employer, � Have received written acceptance from a professor in the Department of International Development (DID) or the Department of International Cooperation (DICOS) to supervise the applicant’s research, � Have desirably acquired an official TOEFL-iBT score� of 79 points or more(only DICOS applicants), � Have published at least one academic article, and meet one of the following conditions:

� (1)� Hold a Master’s degree or Professional degree from a Japanese University. � (2)� Have received a degree equivalent to a Master’s degree or Professional degree in a country other

than Japan. � (3)� Have received a degree equivalent to a Master’s degree or Professional degree in Japan through

correspondence education managed by a foreign school or other recognized educational institution. � (4)� Have received a Master’s degree or Professional degree from a university in Japan that is

recognized as a university belonging to the system of higher education of a foreign country and is approved by the Japanese Minister of Education, Culture, Sports, Science and Technology.

(5)� Have completed the course of the United Nations University and have received a degree equivalent to a Master’s degree. The United Nations University refers the university established by the United Nations General Assembly’s resolution of December 11, 1972. The university is provided for under Paragraph 2 of Article 1 of the Act on Special Measures (Law No.72, 1976) concerning the Implementation of the Agreement between the United Nations and Japan relating of the Headquarters of the United Nations University.

� (6)� Have been approved by the Japanese Minister of Education, Culture, Sports, Science and Technology (Ministry Notice No. 118 of 1989)

� � � Those who meet the following two qualifications: ��Have at least 2 years of research experience at a university or a research

institute after graduation from a Japanese university or after 16 years of formal education outside Japan, and

��Have been recognized by GSID, on the basis of the research achievement, as having academic ability equal to or exceeding those who holds Master’s degree.

� (7)� Have been recognized by GSID, based on individual eligibility screening for the examination, as having academic ability equal to or exceeding those holding a Master’s degree, and are aged not less than 25 years by the end of September 2012.

Applicants for the special selection program are not allowed to simultaneously apply for the General

Selection.

� � � TOEFL-iBT (Internet-Based Test) minimum score requirement is 79 points, and TOEFL-PBT(Paper-Based Test) minimum score requirement is 550 points. For TOEIC the requirement is 750 points or more. For IELTS the requirement is 6.0 or more (and should include Academic Reading and Academic Writing). Only scores from tests taken within two years prior to the application are valid. An official test score sheet must include ID photo. Institutional test scores are unacceptable for submission.

��

Department of International Development: A limited number Department of International Cooperation Studies: A limited number

��

Applications will be accepted from 9:00 to 16:00 from Monday, June 18, 2012 to Friday, June 22, 2012 at the Educational Affairs Division for the Schools of Humanities and Social Sciences (GSID administrative office).

� Applications sent by (registered) mail, MUST ARRIVE at the Educational Affairs Division for the Schools of Humanities and Social Sciences (GSID administrative office) by 4:00pm Friday, June 22, 2012. ANY applications received after this date and time will not be considered.

��

��

� � �� !"#$%&'()*+,-

./012�3.4 56()*+,278�'�9: (6)�(7);<�'�()=>��?@ABC9:

DE;FG%;<)*+,

� (1)� �� (HI6J)

� (2)� K� L� (HI6J)

� (3)� ��MN;OP()Q�;RSTUVW8%G)*+ X()9Y�Z[\�]C;O()

^_R` (abc6J;d� 3,000ef�g� 1,200hij)

� (4)� klm�BCm (HI6J,kl��Unopqrstk8�uFRuvTw;xy82z k

lm;{)*+,)

� � � |}X (HI6J,~� ��()*+,)

� (5)� ��6�� (��;��z��;��B��6�H��~�

��8��360�� {�)

� (6)� $%�� ¡�¢ (HI6J,�H��~� �¢+z��()*+,)

� (7)� H£¤;<)¥¦ (§¨©ªz«�*+,¥¦�;<�¬�82z)

� (8)� �� ®�¯f��MN®�¯;<)°± �82²³ (²³�¯;<�¬�

82z)

� (9)� TOEFL�TOEIC12� IELTS´µ¶·¸mk8¹·º »¹��MN®��»

� � � ¶·¸m;¼kl½¾¿À�%Á��ÂÀ�2!CÃ½'�ÄuÅÆÇ%�STwz ÈÉ

+(),Institutional test ¶·¸�B��ÊG,

� (10)� ËÌX« (ÍÎ'oÏ�Ð�Ñz)

� (11)� ÒÓ�ÔX«

� (12)� ��ÕÖR` (abc6J;d� 4,000ef�g� 1,600hij)

� (13)� ÒÓ�Ô×�k8f��;Ø#()��×�k8�Z[�×��Ù (d�f�g�)�Ú

[;´Û×�k8 (´Û X()ÜJ� �()*+,) ÝR`

� (14)� Ã��Þ ßÇ%GÊG��à¶á â¼klÂ)ã äk8¹·º » &'()*

+,ÊÁ�Ã��wå��æ��çèXétk8(·º )z&'()*+,

� ÊÁ��êë«Êì�� íîï()*+,

��

� � '��ð�(1)uÅ(14)�;ñIY (30,000��ò�óô+8�~��õz��8ÊG*+)

ö�� ;&'*+,

��

� ��

� � � $Åu÷ø�� Ë 24(2012)S�v 23Ã (�) �� 1r;��

�!"#;&'8�BC9:DE B�)*+,

� � � BC9:DE;<)��Ë 24(2012)S�v 31Ã (�) 1r;��$%�(),

��

��

� Applicants must complete and send in the items listed below. Please type or write clearly using black ink. Further, applicants who do NOT hold a Master’s degree and/or who fall under categories (6) and (7) of the Application Requirements listed above must also refer to the NOTE on eligibility screening for the examination, in section 5. Application Procedures.

� (1)� Application Form (Form provided) � (2)� Curriculum Vitae/Resume (Form provided) � (3)� Documents (e.g. letter[s]with the official seal of your organization[s]) proving a total of at

least three years�work experience in the field of international development and/or cooperation, AND 3 copies of a report on your work experience. The report must be in Japanese (3,000 characters) or in English (1,200 words), on A4 size paper.

� (4)� Photograph Card, Examinee’s Registration Card and Receipt Forms: Attach passport-style photo taken within the last 3 months, showing the head and shoulders from a frontal view, with no hat (4cm�5cm). Please fill in your name on the receipt forms. (Forms provided)

� (5)� Self-addressed Envelopes: Please use the two envelopes provided in this pamphlet, with stamps worth 360 yen attached to each. (If you do not have access to Japanese stamps, please send instead 6 International Return Coupons, which are available at post offices)

� (6)� Contact Address Labels: Please fill in your name and contact address on the forms marked ��. (Labels provided)

� (7)� Letter of Recommendation written and sealed by your employer, stating the period of your employment.

� (8)� Letter of Acceptance from the GSID DID or DICOS faculty member who intends to serve as your academic advisor, explaining the reason. The letter must be sealed by the faculty member.

� (9)� A photocopy of official score sheet of TOEFL, TOEIC or IELTS (only DICOS applicants) Only scores from tests taken within two years prior to the application are valid. An official

test score sheet must include ID photo. Institutional test scores are unacceptable for submission.

� (10)� Official transcripts from your previous graduate school. � (11)� Master’s degree certificate � (12)� 3 copies of your Research Proposal: In Japanese (4,000 characters) or in English (1,600

words), on A4 size paper. � (13)� 3 copies of Master’s Thesis/Research Thesis and its Summary, and 3 copies of a published

article including the cover page of the publication. � (14)� Applicants without Japanese nationality must submit a photocopy the page of their

valid passport showing the passport number and the applicant’s photograph. Those applicants who are currently residing in Japan must also submit a photocopy of their Alien Registration Card (both sides).

If you have questions regarding any of the information above, please contact the Educational Affairs Division for the Schools of Humanities and Social Sciences (GSID administrative office).

��

Items (1) to (14) listed above must be completed and submitted to the Educational Affairs Division for the Schools of Humanities and Social Sciences (GSID administrative office) during the specified filing period. In addition to these documents an application fee of 30,000 yen is required (non-refundable). In Japan, please use a Japanese Postal Money Order but Do Not fill in anything).

NOTE: Eligibility Screening for the Examination � (1)� For applicants who fall under category(6) in the Application Requirements: The following documents MUST reach the Educational Affairs Division for the Schools of

Humanities and Social Sciences (GSID administrative office) office by Wednesday, May 23, 2012 in order to receive eligibility screening for the examination. Results of the Screening will be sent to applicants by Thursday, May 31, 2012.

��

� � ù� '�9:(6);<)BC9:DE� (HI6J)

� � ú� K� L� (HI6J)

� � û� ��LX« (HI6J,H£O¤�½X«82z)

� � ü� ¥� ¦� (H£¤;<)z,�§¨©ªz«�*+,¥¦�;<�¬�82z�)

� � ý� TOEFL�TOEIC12� IELTS´µ¶·¸mk8¹·º »¹��MN®��»

� � � Ï��QX«Z[ËÌX«

� � �� ×��k8 (�Ê�+z×��ì�´ÛÀ�%G)zr�´Û X()ÜJ�

�()*+,) R`

� � �� ÕÖR` (abc6J;d� 4,000ef�g� 1,600hij)

� � �� MN;OP()Q�;RSTUVW8%G)*+ X()9Y�Z[\�]C;O

()^_R` (abc6J;d� 3,000ef�g� 1,200hij)

� � �� 6�� (BC9:DE��6�¤�R�� 12��23.5��;��360��

{�82z, ��;�÷��z�568ÊG*+,)

� � �� BC9:DE��'�9: È()+�IÀ�2�'��(1)�

(4)�(6)�(8)�(14)Z[ñIY (30,000��ò�óô+8�~��õz��8ÊG*+,) +(

),

� ��

� � � $Åu÷ø�� Ë 24(2012)S�v 23Ã (�) ��1r;��

�!"#;&'8�BC9:DE B�)*+, BC9:DE;<)��Ë 24(2012)S 5

v 31Ã(�)1r;��$%�(),

� � ù� '�9:(7);<)BC9:DE� (HI6J)

� � ú� K� L� (HI6J)

� � û� ¥� ¦� (H£¤;<)z,�§¨©ªz«�*+, ¥¦�;<�¬�82z�)

� � ü� TOEFL�TOEIC12� IELTS´µ¶·¸mk8¹·º »¹��MN®��»

� � ý� ËÌX« (ÍÎ'o��Ñz)

� � � ��ÕÖR` (abc6J;d� 4,000ef�g� 1,600hij)

� � �� MN;OP()Q�;RSTUVW8%G)*+ X()9Y�Z[\�]C;O

()^_R` (abc6J;d� 3,000ef�g� 1,200hij)

� � �� ÒÓ�Ô×�; !)��"\�]CË� (��×�Z[#á â�,�Ê�+z�ì�´

ÛÀ�%G)zr�´Û X()ÜJ� �()*+,) R`

� � �� LX« (HI6J,&'$%Ê�)

� � �� 6�� (BC9:DE��6�¤�R�� 12��23.5��;��360��

{�82z,��;�÷��z�568ÊG*+,)

� � �� BC9:DE��'�9: È()+�IÀ�2�'��(1)�

(4)�(6)�(8)�(14)Z[ñIY (30,000��ò�óô+8�~��õz��8ÊG*+,) +(

),

��

� � ù Application for Eligibility Screening for the Examination: Category(6) (Form provided) � � ú Curriculum Vitae/Resume (Form provided) � � û Certificate of Research Experience filled out by the head of the institution where you

conducted your research (Form provided) � � ü Letter of Recommendation written and sealed by your employer, stating the period of your

employment. � � ý A photocopy of official score sheet of TOEFL, TOEIC or IELTS (only DICOS applicants) � � University diploma or certificate of graduation and official transcripts from your previous

school(s). � � � 3 copies of academic papers and/or books written by the applicant. At least one of the

papers submitted must be a published work. With your copy, include the cover page of the publication.

� � � 3 copies of your Research Proposal: Written in Japanese (4,000 characters) or in English (1,600 words), on A4 size paper.

� � � Documents (e.g. letter[s] with the official seal of your organization[s]) proving a total of at least three years&work experience in the field of international development and/or cooperation, AND 3 copies of a report on your work experience. The report must be in Japanese (3,000 characters) or in English (1,200 words), on A4 size paper.

� � � Self-addressed Envelope: To inform you of the results of the eligibility screening for the examination. Enclose a self-addressed 12cm�23.5cm envelope, with stamps to the value of 360 yen attached. (Or, if you live outside Japan, 6 International Return Coupons, available at post offices). Do NOT use the envelopes in this pamphlet for this purpose.

� � þOf the items specified in the �� !"�#�$%& section, applicants who passed the eligibility

screening for the examination above must send items (1), (4)'(6), (8), and (14), in addition to the 30,000 yen application fee (non-refundable). Please use a Japanese Postal Money Order but Do Not fill in anything.

� (2)� For applicants who fall under category(7) in the Application Requirements. � � � The following documents MUST arrive at the Educational Affairs Division for the Schools of

Humanities and Social Sciences (GSID administrative office) by Wednesday, May 23, 2012 in order to receive eligibility screening for the examination. Results of the eligibility screening for the examination will be sent to applicants by Thursday, May 31, 2012.

� � ù Application for Eligibility Screening for the Examination: Category(7) (Form provided) � � ú Curriculum Vitae/Resume (Form provided) � � û Letter of Recommendation written and sealed by your employer, stating the period of your

employment. � � ü A photocopy of official score sheet of TOEFL, TOEIC or IELTS (only DICOS applicants) � � ý Official transcripts from the last school(s) in which you were enrolled � � 3 copies of your Research Proposal: Written in Japanese (4,000 characters) or in English

(1,600 words) on A4 size paper. � � � Documents (e.g. letter[s] with the official seal of your organization[s]) proving a total of at

least three years&work experience in the field of international development and/or cooperation, AND 3 copies of a report on your work experience. The report must be in Japanese (3,000 characters) or in English (1,200 words), on A4 size paper.

� � � 3 copies of papers or reports from your research work and/or professional experience, equivalent to a Master’s Thesis. At least one of the papers submitted must be a published work. With your copy, include the cover page of the publication.

� � � Certificate of Research Experience, if available(Form provided) � � � Self-addressed Envelope: To inform you of the results of the eligibility screening for the

examination. Enclose a self-addressed 12cm�23.5cm envelope, with stamps worth 360 yen attached. (Or, if you live outside Japan, 6 International Return Coupons, available at post offices). Do NOT use the envelopes in this pamphlet for this purpose.

þOf the items specified in the Required Documents section, applicants who passed the eligibility screening for the examination above must send items (1), (4)'(6), (8), and (14), in addition to the 30,000 yen application fee (non-refundable). Please use a Japanese Postal Money Order but Do Not fill in anything.

��

��

� � ��

��

� (1)� �� 24 (2012) �� 30 � (�) �� (�� )

� (2)� ��

� (3)� ��

��

� � � !"#$�%&��

� (1)� '()� � � � � � � � � *+ 24 (2012) ,-. 26� (/)

� (2)� 01 !213456

� � � � 7� 018� � � � � � 282,0009

� � � � :� ;<8 =>.?@*+ 24, 10.A*+ 25,B.C� � 267,9009 (,D 535,8009)

� (E)� 01 FGH1I!;<8�JKLMNOP�Q!��JR STU;<8LVWXO�

��

� (1)� YZ'([��\]FG01^K8�_5�`a#�

� (2)� b��c2!"#$��%defghi1i1j��klmnopqFGb��

�rstusv (http://www.gsid.nagoya-u.ac.jp/) wxyz��

� (3)� {|2}FGklmnop�~�w��_�W�� (�� 32cm�24cm� !

�'�390 9?�w�5`��$fw��`P��) w��`$��0

��!�`��z�� a �~��!e*+ 24,¡[¢�£{|2} (10.01) FG

klmnop¤¥q�¦�z��

� (4)� YZ!�P§$¨©XOPªf�«�¬�®¯°±��01��²�Q³��01'()F

G01[�1�<�! ´1µ�+¶·¸wM¹Pº!»W`¼�½¾`P®¯°±�V�!

·¸`�»W¿ÀÁÂ!ÃW#P`¼ÄÅ�

Æ464A8601� fghÇÈÉÊËÌÍ

fghi1��

(��ÎQÏÐÑ)

��0��

Ò Ó 052 (789) 4957

F A X 052 (789) 4921

EÔsÕ : [email protected]

��

��

Selection will be carried out on the basis of documents submitted.

�� !"��"��#��

� (1)� Date: Monday, July 30, 2012, 14:00. NO TELEPHONE INQUIRIES.

� (2)� Location: Entrance hall of the GSID building.

� (3)� Notification: Official letters of admission will also be sent out by postal mail after the announcement.

�� $��

Details will be sent out at a later date.

� (1)� Entrance Registration Day: Wednesday, September 26, 2012

� (2)� Required Fees:

� � 7� Entrance Fee� � � � � � � � � � 282,000 yen

� � :� Tuition Fee (6 months: October 2012 –March 2013)

267,900 yen (535,800 yen per year)

� � Ö� Please note that if the fees change before your entrance to the university or during your stay at

Nagoya University, you will be charged the revised amount.

��#��"��$�%��"��

� (1)� After applications are filed, no changes in submitted documents are permitted. The application fee

of 30,000 yen is non-refundable.

� (2)� Please refer to the GSID brochure or our website (http://www.gsid.nagoya-u.ac.jp/) for the details

of the GSID.

� (3)� To obtain the Application Guidebook and Forms and GSID brochure, please send a letter to the

Educational Affairs Division for the Schools of Humanities and Social Sciences (GSID administrative

office) requesting the 2012 Doctoral Program Application Guidebook and Guidebook and Forms

(October Enrollment) and the GSID brochure. Please enclose a self-addressed 32cm�24cm envelope,

with a 390 yen stamp attached (or, for applicants living outside Japan, 7 International Return

Coupons).

� (4)� Applicant’s name, mailing address and other personal information included in application

documents will be used only for the purpose of grading and registering during the entrance

examination selection process, announcement of examination results, entrance registration

procedures and educational affairs after admission. Personal information will be used appropriately

and will not be used for purposes unrelated to your application.

Integrated Research Building

Educational Affairs Division for the Schools of Humanities and

Social Sciences (GSID administrative office)

Nagoya University� � � � � � � � � � � � �

Furo-cho, Chikusa-ku, Nagoya� � �

464A8601� Japan� � � � � � � � �

Tel� 81-52-789-4957� � Fax� 81-52-789-4921

Mail_to: [email protected]

��

�� 24�2012��

� � � � � � � � � � �

�Graduate� School� of� International� Development�

�� 10 �� Doctoral Program Application Form for the Academic Year 2012 October Enrollment�

� � � � �Examinee’s No.�

��

�Proposed Department of Study�

�� DID (1) �� General Selection (2)� �� Special Selection for Applicants with

� � Relevant Work Experiences � � �� DICOS

(1) �� General Selection (2) �� Special Selection for Applicants with

Relevant Work Experiences � � �� !��DICOM

��

� �� (Proposed Academic Advisor(s))

��Family�� First�� Middle� ��

(Sex) ��

�� Name�

��

" # $ %� � � 19� � &'()*� � #� � � $� � %� � � � +

Date of Birth� � � � � � � � ,� - �� Age� �

�(�) � �(�)

!" �#� !� �Nationality�

� � � � � � � � � � � � � � � � � � � � #$%�&�'�(

)� � *� � + �Present Address�

�,� � -� � � ��

� � � � � � � � � � � � � E-mail:

� � � � � � � � � � � � � � � � � � � � � TEL: �� -

)*+./0123 �Other Address�

�,� � -� � � ��

� � � � � � � � � � � � � � � � � � � � � TEL: �� -

� � � � � � � � � � 456� � � � � � � � � 789� � � � � � � � � � � � � � � � � � � � � Graduate� � � � � � � Faculty/ � � � � � � � Major School � � � � � � Department

:;<=456 �Last University

Attended� � � #� � � $� � � ./� 01 � � � � ,� - � Completed/expected

�GSID�MC��

2 3 4 5

>

GSID6789:;<= Desired Research

Topic in GSID

) ? 0 = @ �Present Position�

2012ABC456DEFG./0HIJKLMNOPQ �Fill in this blank if you are not expected to graduate from graduate school in September 2012.

R� � � � � S �Remarks�

>?@AB7CDEFDGHIJKLMN O7PQERSTJUVW �TOEFL score or some other official evidence showing English proficiency, if any

� � �� Name of Test � �� Test Date� � � � � � �� Score

� � � � � � � ��

� � � � � � � �� X2"6%Y?Z�CDEFDGHIJKLMO7PQERSTJUVW �JLPT�Japanese Language Proficiency Test�grade for Foreign Applicant, if any

JLPT :� � � � � �� Score� � � � � �

[\]�� ^�_`9��BEa6bcUV Please circle the number of your choice. � � � �� ^�_RSGdIUV DO NOT FILL IN THIS ITEM. � � � �� GSID(MC�#"72"MN 2345EefgRSTJUVW � � � � � GSID MC2 students must write their student ID No. inheibox.

� � ��Curriculum Vitae/Resume�

� � � � � � � � � � � � � � � � � � � � � � � � � ��Date�� Y�� M� � ��D�

�� Examinee’s No.�

�

�� Do not fill in.�

�� Graduate School of International Development�

�� Educational Background�

�� Classification�

� � � � � �Name of School�

� � �� Required Years of Study

�� Year & Month of Entrance & Completion

�/�� Diploma or Degree awarded

�� Elementary School�

�

�yrs�

From�� (Y)� � (M)

To�� (Y) � � (M)

�� (Junior High School)

�

�yrs�

From�� (Y)� � (M)

To�� (Y)� � (M)

�� (Senior High School)

�

�yrs�

From�� (Y)� � (M)

To�� (Y)� � (M)

� � � � � (Undergraduate Level)

�

�yrs�

From�� (Y)� � (M)

To�� (Y)� � (M)

� � � � ! �Graduate Level�

�

�yrs�

From�� (Y) � � (M)

To�� (Y)� � (M)

"� #� $� % �Research Student�

�

�yrs�

From�� (Y)� � (M)

To�� (Y)� � (M)

&� � �� ' �Others�

�

�yrs�

From�� (Y)� � (M)

To�� (Y)� � (M)

�� Employment Record. Begin with the most recent one.�

��Name of Company� ��(Period of Employment) � �Position� ��Type of Work�

From � � ��Y�� M�

To � � ��Y�� M�

From � � ��Y�� M�

To � � ��Y�� M�

� � � �

(� � � � �Name�

� �Family�� First�� Middle�

$ � � ) �Date of Birth�

*+�,-./� �Nationality�

0� 1� 2 �Present Address�

�3� � � 4� � � �� 56�Home� TEL7�� 4 � � � � � � � � � � � � � � � � 89�Mobile� TEL7�� 4

��

�Photograph Card�

��

(Graduate School of International Development)

� ��

�Examinee’s Registration Card�

��

�� Bring this form to the exam and keep it until

September 26, 2012.

��

(Graduate School of International Development) �� Do not fill in�

��

1

2

3

� � � �

(Proposed Department

� � � � of Study)

�� !"#DID$

%�� &'#DICOS$

(�� )*+,-./01#DICOM$

� �

(Examinee’s No.)

2

� � � � � � � ��Family�� First�� Middle�

� � � �

�� (Name)

� ��

(Date of Birth) � � � �Y� �M� �D� �Age�

� �

(Examinee’s No.)

2

� � � � � � � ��Family�� First�� Middle�

� � � �

�� (Name)

� ��

(Date of Birth) � � � �Y� �M� �D� �Age�

� � � �

(Proposed Department

� � � � of Study)

�� !"#DID$

%�� &'#DICOS$

(�� )*+,-./01#DICOM$

��

�Attach your portrait here�

��

�� !"#

$�%� &'(��)

*+,-%./0

��

��

��

��

��

��

��

��

� � � ��RECEIPT�

� � 2 4 � � � � ��

� � � � � � � � � � � � � � � � � � � � � � � �

� � � �

� � �

�

�

�

�

�

�

�

�

�

�

�

��

��

�� !"#$� %&�'�Write your name.(

��(�) (FOR OFFICE USE ONLY�

� � 2 4 � � � � ��

� � � � � � � � � � � � � � � � � � � � � � � �

� � � �

� � �

�

�

�

�

�

�

�

�

�

�

�

��

��

�� !"#$� %&�'�Write your name.(

( )*+��%& ) ( D o n ot se p a r a t e )

�� (For application for Eligibility Screening for the Examination)

�� (Certificate for Research Experience)

��

Date�� (�)� � (�)� � (�)

�(Certifier)� � � � � � � � � � � � � �

� � � �� (Organization) (Designation) � (Name) � �

� � � � � � � � � � � � � � � � � � � � � � (Signature)

�� (1)� ��

� � � � �This should be written by your supervisor or organizational head.

� � (2)� !"��2012! 10#$%&'()*��

� � � � �Please write the age you will be as of October 1, 2012.

+� , �Sex�

� � � �

�� Name�

��

�Date of Birth�

$-� � !� � #� � %.�� /

� � � � � � � � �0 �1 �2 � �Age

3(1) 4 5(6)

&78(��97:8) (Present Position)

&� ; � � (Present Address)

�<� =� �

!(0) #(1) >� ?� @� A� B �Details of Research Experience

C� D� E� @

(Final Educational Background)

� � � !(0)� � #(1)

� � � � � � � � FE � � � � � EG� � � � � � � � EHIJ (University) (Faculty) (Dept.) (Graduation)

From :� � � � � � � � � !(0)� #(1)

To :� � � � � � � !(0)� #(1)

From :� � � � � � � � � !(0)� #(1)

To :� � � � � � � !(0)� #(1)

From :� � � � � � � � � !(0)� #(1)

To :� � � � � � � !(0)� #(1)

From :� � � � � � � � � !(0)� #(1)

To :� � � � � � � !(0)� #(1)

K� L�Remarks

��(6)�� (Application for Eligibility Screening for the Examination: category (6))

� �� 24(2012)�� (��) ��(6)�

�� !"#$%&'(��)*+,�#!-./

0 As my educational qualification falls under the category (6) of Application Requirement, I

would like to request an eligibility screening for the examination.

0 0 0 0 0 0 0 0 �0 0 0 10 0 0 2

0 Date30 0 0 (4)0 0 (5)0 0 (6)

0 0 70 ��Name�� Signature�

89:;<=> (Present Address, Telephone Number)

(?0 0 @0 0 )

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 A (0 0 )0 0 @0 0 0

BCDE� (Proposed Department of Study)

BCDEF+G%HIJK/(Please circle the number of your choice.)

0 0 0 0 LM�� DE (DID)

0 0 0 0 0 (1)0 NOPQ (General Selection)

0 0 0 0 0 (2)0 �� (Special Selection for Applicants with Relevant Work Experience)

0 0 0 0 RM��STDE (DICOS)

0 0 0 0 0 (1)0 NOPQ (General Selection)

(2) �� (Special Selection for Applicants with Relevant Work Experience)

0 0 0 UM��VWXYZ[\]^DE (DICO�)

0 0 0 0 _`�:a:�� (Last University Attended)

0 0 0 0 b0 0 0 0 0 0 0 0 0 0 �0 0 0 0 0 0 0 0 0 0 a0 0 0 0 0 0 0 0 0 0 �c

� � � � � � � � � � � � � (University)� � � � � (Faculty) � � � � � (Department)

0 0 0 0 _`�12 (Date of Graduation)

0 0 0 0 b0 0 0 0 0 0 0 0 0 0 �0 0 0 0 0 0 10 0 0 0 0 0 20 _`c

0 0 0 0 0 0 0 0 0 0 0 0 0 0 (4)0 0 0 0 0 (5)0 0 0 0 0 (6)

0 0 0 0 deF (9fgh:ai:e�F) (Present Position (Organization, Designation))

ejklF:�m (Occupational Duties and Period)

��(7)�� (Application for Eligibility Screening for the Examination: category (7))

� �� 24(2012)�� (��) ��(7)�

�� !"#$%&'(��)*+,�#!-./

0 As my educational qualification falls under the category (7) of Application Requirement,

I would like to request an eligibility screening for the examination.

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 �0 0 0 10 0 0 2

0 0 0 0 0 0 0 0 Date30 0 0 (4)0 0 (5)0 0 (6)

0 0 0 0 70 ��Name�� Signature�

0 0 BCDEF+G%HIJK/ (Please circle the number of your choice.)

0 0 LM�� DE (DID)

0 0 0 (1)0 NOPQ (General Selection)

0 0 (2)0 nopqrPQ (Special Selection for Applicants with Relevant Work Experience)

0 0 0 RM��STDE (DICOS)

0 0 0 0 (1)0 NOPQ (General Selection)

0 0 0 0 (2)0 nopqrPQ (Special Selection for Applicants with Relevant Work Experience)

0 0 0 UM��VWXYZ[\]^DE (DICO�)

��

��

��

��

��

��

��

��

��

��

�464-8601� ��

��

F A X��

October Enrollment - 名古屋大学 · (10) Certificate of Master’s degree, or Certificate of...

Documents

Transcript of October Enrollment - 名古屋大学 · (10) Certificate of Master’s degree, or Certificate of...