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Application Form2025

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26 views

Application Form2025

Uploaded by

raheldan6
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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THE MATSUMAE INTERNATIONAL FOUNDATION

#1 Application Form for the MIF Research Fellowship Program 2025

1. Fellowship Period ID Photo


It should be taken
Please indicate the commencing and ending month. within the past three
months. Please resize
6 months from ( m) ( y) to ( m) ( y). it if it is more than 1
MB in size.

2. Full Name as in passport


Surname ( ) Given Name ( )

3. Sex: Male / Female 4. Date of Birth ( d/ m/ y) Age: ( )years old

5. Nationality ( ) 6. Place of Birth ( )

7. Marital Status: Married / Single 8. Children: Yes Age ( ) years old / No

9. Your contact Information to be used by the MIF


Mailing Address: （ ）
E-mail: （ ） Tel: （ ）

10. Name of the Nearest International Airport to Your Domicile


（ ）

11. Institutional Affiliation (Current Employment)


Please precisely write it down, including the department and faculty.
（ ）

12. Title/Position （ ）

13. Research Field （ ）

14. Education History


Period (From-To) Institution Country Major Degree

( m) ( y) ( m) ( y)

( m) ( y) ( m) ( y)

( m) ( y) ( m) ( y)

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THE MATSUMAE INTERNATIONAL FOUNDATION
#1 Application Form for the MIF Research Fellowship Program 2025

15. Title (Subject) of Ph.D.


（ ）

16. List major awards or fellowships that you have received.


Name of Award Organization Period Type of Award

17. Research Project in Japan


<Title>
( )
<Brief Summary>
Please write the abstract of your research project in Japan in around 200 words and enclose the
details in “Document #3.”

18. Host Professor/Scholar in Japan


Name:
Title/Position:
Institution:

19. Please explain why you selected the host professor/scholar in around 300 words.

20. Future Professional Plan


Please describe your future professional plan in around 200 words.

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THE MATSUMAE INTERNATIONAL FOUNDATION
#1 Application Form for the MIF Research Fellowship Program 2025

21. List other fellowships to which you are currently applying or planning to apply.
Name of Fellowship Organization Period Type of Fellowship

22. English Level


Please rate your English level by Excellent, Good, Fair, or Poor.
 Writing ( )

 Reading ( )

 Speaking ( )

23. Previous stay in Japan


Have you ever been to Japan before?
 No

 Yes → fill in the following table.


Period Place Purpose Financed by

24. Date & Signature


“I fully understand and agree with the Fellowship Announcement, and I hereby certify that all the
descriptions above are true.”

Date: Signature:

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