2015 Master’s Program
受験番号 / ＊
Application Form
Foreign Service Sub-Program (Global Governance)
（Full Name） / （Date of Birth）/ /
（Month /Day /Year） / Please attach here a recent photograph showing your full face
(3cm x 4cm)
（Family and given name. Please write in Japanese or Chinese characters（kanji）, if used)）
，
Family Given Middle / （Gender）
□ Male
□ Female
（Current Home Address）
（Home telephone）
（E-mail address） / (Nationality/Citizenship)
Educational Background（from primary record）
Level / Name of Institution / Location / Period / Number of years
From(mo/yr) / To(mo/yr)
Elementary Education/ Elementary School
Secondary Education/LowerSchool
Secondary Education/ UpperSchool
Higher Education/ Undergraduate Level
Higher Education/ Graduate Level
Undergraduate field of study / (Total)
Undergraduate degree earned
Graduate field of study
Graduate degree earned
Work Experience(from most recent employer)
Organization/Company / Department / Job Title / Period / Number of years
From(mo/yr) / From(mo/yr)
(Total)
Note：Please attach another sheet if necessary.
2015 Master’s Program
受 験番 号 / *
Copy of the Bank Transfer Receipt
(Evidence of Application Fee - Payment)
Foreign Service Sub-program (Global Governance)Applicant’s Name / (Pronunciation in kana)
Paste a copy of the bank transfer receipt evidencing payment of the application fee here.
Note: Do not write anything in the column marked with '*'.
2015Master’s Program
受 験番 号 / *
Research Proposal
Foreign Service Sub-program (Global Governance)Applicant’s Name / Research Theme
Notes:
1. Use A-4 size sheet(s).
2. Write your study plan within about 2,000 words in English, describing your practical experience so far, study subjects in the Sub-program, and how you will use what you learn at the School after graduation.If you have already presented a similar document to the JICA when applying for the JDS, you may present a copy of the document instead.
3. Make three copies (one original and two duplicates)and put the cover (this page) on each copy and staple each it at the top left corner.
2015Master’s Program
受 験番 号 / *
Essay on Practical Experience and Capabilities
Foreign Service Sub-program (Global Governance)Applicants are requested to briefly describe their practical experience and capabilities.
Paste your essay written with a word processor, etc. at this space. Although there is no limit to the number of words you may use, you should write your essay on a single sheet of paper.
Note: Do not write anything in the column marked with '*'.