邢唷>? ?欹g 餜jbjbj6鴞z\鴞z\#%^ ^ 8\ngYBBBBB|||闣霿霿霿霿霿霿$[裖tX||||XBB!Y???|0BB闣?|闣??jBR@zWBp鴠黇斦2諻7Y0gY0TJE^d>韄dzWE^蒧$zW\||?|||||XX?|||gY||||韄|||||||||^ N : APPLICATION FOR ADMISSIONTOTHE COLLEGE OF HUMANITIES AND SCIENCES, NIHON UNIVERSITY AS EXCHANGE STUDENT  Financial CertificateCollege of Humanities and Sciences Nihon University Name Mr. / Ms. Address 3. Date of Entrance 4. Academic Level undergraduate or graduate You will be required to submit this financial certificate with the official evidence that you will have available the sum of yen as your own expenses at the College of Humanities and Sciences, Nihon University.SOURCE OF SUPPORTI Personal Resources: If you personally or a member of your family will provide the financial resources for educational and living expenses, you must (1) complete the section below, and (2) attach verification by means of a bank statement or other official evidence.I certify that the amount of $ is available from for the expenses of the above named party. Signature Date Name ( Please print ) Relationship to applicant Address II Other Resources: If you will be sponsored by a0government, business, agency or private grant scholarship, the sponsor or official designee must complete the section below. Please attach the official contract or agreement when returning this form. The information must include the exact or minimum amount of U.S. dollars which will be provided for the entire term. Source Signature of Sponsor Date Name of Sponsor Address of Sponsor I, , certify that the total amount of money that I have available for my first academic year at the College of Humanities and Sciences, Nihon University is Japanese yen, further, I certify that the above information provided is correct and complete and that I shall notify the College of Humanities and Sciences Nihon University of any change in my financial circumstances. I am fully aware that any false or misleading statement may result in an automatic denial of my admission request or eventual dismissal from the university. Signature of Applicant Date # IMPORTANT: This form must be signed and submitted before your admission will be finalized. To be returned when completely filled out, to the Academic Affairs Section, the College of Humanities and Sciences Nihon University, via the International Office of your university with a bank statement or other official evidence.The evidence of financial resources we are requesting you to present is frequently required by Consulate officials before a visa is granted. You are advised to make and maintain for your personal use copies of all documents submitted.Applicationfor the Certificate of Eligibility for Status of Residenceto the Ministry of JusticeThe College of Humanities and Sciences, Nihon University applies for the Certificate of Eligibility for Status of Residence issued by the Ministry of Justice in Japan, to facilitate obtaining your visa to come to Japan. We need the following information. Please fill out this form and send it back with 1) four photos of yourself (4 X 3 cm), 2) your Curriculum Vitae form and 3) a photocopy of your passport (date pages containing your name and photo) to Academic Affairs Section of the College of Humanities and Sciences, Nihon University as soon as possible.PLEASE USE BLOCK LETTERS1. Name: 2. Nationality:0000 Sex: Male / Female 4. Date of Birth: Place of Birth: 6. Marital Status: Married / Single City State7. Intended Length of Stay: Passport: 1) Number : 2) Date of Issue : 3) Date of Expiration : 4) Issuing Authority :Location (City) of Japanese Consulate or Embassy where you intend to apply for the VISA 10. Past Entry into/Stay in Japan: YES / NO If yes, describe the number of times and the date of the last entry. 11. If any of your family (Father, Mother, Spouse, Son, Daughter, etc) live(s) in Japan, write the name, relationship, address and phone number. CURRICULUM VITAEI, have applied to the College of Humanities and Sciences, Nihon University as an exchange student under the exchange program with the university I attend. In order to enter Japan, I declare the following:Name : 2. Nationality : 0 Date of Birth: Current Address : Marital Status: Married / SingleEducation: List ALL the schools attended (attend in) from elementary school. Name of School Location of School Date of entered Date of graduated Professional Experience: Name of company Position Location of company Period Plan after completing the course at the College of Humanities and Sciences, Nihon University.Return to and attend  Country Name of UniversityOtherCriminal Record (if any)I, certify that the above statements are correct and true to the best of my knowledge. Signature: Date: ARRIVAL SCHEDULEName: Mr. / Ms. Address: Date of Birth: Flight No.: Port of Embarkation: Departure Date: Departure Time: Arrival Date: Arrival Time: Do you plan to come alone? If no, who will come with you? Intended date of return: Signature: Date: 1. Name Mr. / Ms.00000000000000000000000000000000000000000000 00000000000Last00000000000First000000000Middle2. Permanent Home Address: 3. Mailing Address: Phone:0000000000000000 Fax: e-mail: 4. Country of Citizenship 5. Sex 6. Date of Birth 7. Place of Birth Male / Female Month Day Year8. Name and Address of parents or Guardian 9. Name and Addresses of any close relatives or friends in Japan (Indicate relationship) 10. Are you physically sound and well? If not, give complete information 11. School honors received 12. Societies, student organizations and activities 13. Occupation or practical experience 14. Financial data. Indicate funds available during the period you wish to study at the College of Humanities and Sciences, Nihon University.Estimate total funds in Japanese Yen that will be available for your entire stay. (See estimated expenses) Yen b. Source of Support All exchange students must complete the enclose the enclosed Financial Certificate Form and return it to this office with the official documentation regardless of whether or not you are applying for financial aid.15.Experiences of Japanese StudyName of SchoolDuration of StudyCompleted00ExpectedYearMonth0^ YearMonth0(Year0months)000000 ^0000000(000000)00Completed?00ExpectedYearMonth0^ YearMonth0(Year0months)000000 ^0000000(000000)Completed?00Expected 16. If you have passed Japanese-Language Proficiency Test(J.L.P.T.), please tick the level. & N5 & N4 & N3 & N2 & N1 Test Date:17. Rate yourself in the use of the Japanese Language Use 揋ood? Fair? or 揚oor Reading Writing Speaking Hearing 19. List every school and college you have attended or are now attending. OFFICIAL NAME OF SCHOOL DATE OF ENTRANCE DATE OF LEAVING DIPLOMAS, CERTIFICATESElementary (Primary) School Secondary Schools College and/or Universities000000 Academic Year (1st, 2nd, 3rd etc)000000000000000Expected date of graduation and degreeDepartment: Field of Study: Photo18.List every school and college you have attended or are now attending. OFFICIAL NAME OF SCHOOL DATE OF ENTRANCE DATE OF LEANING DIPLOMAS.CERTIFICATESElementary(Primary)School Secondary Schools l$ % v C i ! c { 翳厥惰东棲拫拃s玣玣玣玣玣玔玀h9<5丆JOJQJ\乷(h9<CJOJQJo(h9<>*CJOJQJo(h9<>*CJOJQJo(h9<5?乗乚乷(h9<CJo( h9<o(&jh耝CJOJQJUmHnHuh9<CJOJQJo(&jh9<CJOJQJUmHnHuh9<5丆JOJQJ\乷(h9<5?*CJOJQJ\乷(h9<5丱JQJ\乷(h9<CJOJQJo(Fld Md$da$d         d                   ! " # $ & ' ) * dd* + , - . / 0 1 2 3 4 5 6 7 8 9 : ; < = > ? @ A B C D E F dF G H I J K L M N O P Q R S T U V W X Y Z [ \ ] ^ _ ` a b db c d e f g h i j k l m n o p q r s t u v C D E F ddF G V ! 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What would you like to focus on in your studies in Japan? 20. Period of Exchange & Spring 2020(One semester only) & Spring 2020 and Fall 2020(Two semesters) & Fall 2020 (One semester only) & Fall 2020 and Spring 2021 (Two semesters) *Spring : April  August / Fall : September  February ▽瑢皩磳笇0l|獚膷Xj垘妿寧|~倧鼜€亼儜厬槕4>NPR`剴 聯龛龛龛狒梏蓁狒佤嵊匚属急潡悅w潳q h辪PaJh%+|CJOJQJo(h辪Ph%+|CJOJQJo(h%+|aJo( h%+|aJh辪PaJo( hd aJhd aJo(h辪PCJOJQJo(h辪Ph辪PCJOJQJo(h稶 h稶o( h?o( h辪Po(h9< h9<>*o( h耝o( h耝>*o( h9<o( h9<H*o()聯6@BDPRT啍垟袛詳鈹陼a€仏龞 HFJL &Z\fh嶂纤木乃横窒壕旱旱旱撕锼ⅶ毀枾弳弳彇hh9<>*CJo(h9<CJo(h9<h?h9<o( h辪Po( h9<o(U h9<>*o( h%+|o(h%+| h%+|aJh%+|aJo(h辪Phd aJo(h%+|CJOJQJo(h辪Ph%+|CJOJQJo(h辪Ph9<>*o( h辪P>*o(/當皵仏FHBDFHFHJLN殽\^`bdfh; ;  ;gd%+|0 21. Hobbies or favorite pastime 000I agree that if I am admitted by the College of Humanities and Sciences, Nihon University I will adhere to and be bound by the Agreement between my university and the College of Humanities and Sciences, Nihon University.I understand that withholding information requested on this application or giving false information may make me ineligible for admission to the university or subject to dismissal. 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