Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
2--(1) Instructions
lmPortant Notice
to etpply
- refer the General lnformation and make sure you are qualified
"Documents you need to submit"
- prepare the necessary document(s) described below
- confirm the applicatioh procedure stipulated by JICA office, and
JICA office'
- submit the original application form with the necessary document(s)to
irle.'ess also referto "2-i3) ilr:rr'ract lnfi:rmaticli" illl clir Fi:nal\Vebsite belcw
particular
j-!ri* F,<.:rlal *lri*b:rite fiii,*s':rctt tire infornraiilir siiiit as clue ejate o{submi*slon or
u.uaiif tcai:icll i eii'Jll.ld {i'r' eauit country'
*
ti ttSr :lled ucatx s n -j apa n "o nglaf ri cali r"l dex. htrn I
yourself
There is no forms for other documents to submit. Please prepare by
- University Diploma (Ceftificate)
- Academic TranscriPt
- Copy of PassPort (lD)
*other than the photo attached on Application Form
- 6 piece of color photos (3x4cm)
- Doctor's Letter (only for those applicable)
Howtocomp|etetheApp|icationForm
1. Handwritten form is not acceptable
2. fill in the form in English
3. lt is a MUST to fillJ the yELLow columns (Please write "N/A" if not applicable)
4. Wrtte years in western calendar
5. Write proper nouns in full wrthout abbreviation
6. Sign all paqes on the bottom of right-hand corne after printinsl
'T. Check your application form using the check list at the bottom of this application
form
*Any costs incurred during the selection procedures including travel expenses, documents
preparation (photos, offlcial notification etc.) and any other personal expenses will NOT
BE
bOVEnf O by JICfuJICE but should be covered by an applicant.
ABE lnitiative 5th Batcn
2-(1") InstrucLiurrs
7, Personal I
C0NFli)f:l'il
i lri't .i lh Be l cl r 'AL.
;iot:lica lio n Forr-'i
r', il i,tr lrtt
l\4.lstor's Degree arrd Inte,nship Progrlnr of ihe Africnr, [Jusitress Education Ini(iative ior Youth
(ABE Initiativ€) 5ih Bi)ich
APP| ICATION FORI'4 Leave empty
tsqrl,Ng---- .-- -:: ---*
Inrtruct.icrr
1 lirrrilrritlr:rr fe(I: irt i:fi1 Jrtcillrtnlilc
2 i:ilj;r: iirt lorttt ii Er:9lir,ir
3 tri:;rl,.lijslaolillnllllr(i'F*tl.Ov\rcltrrrrrl*iirlg,rrerqrilt'll;'A'iIn0lrFl)iiIi,t)!*l
4 \jvtil(,9r:tr:, in !/tsl(1,! carl(irtlill
li l#riiI i)f ilr-1.:r'rcl$. rr lU l1'.'.'ilhili ll rlli!l'iriiir'!.'rl
6 -9!-g.4-if.l-.II].'1q.,c...I cr il:t bJllf,l:: i-it r:'--:iri IInr! l (rrirc' :ritv: ;:tii:i;t'tt
:: :. ilr-!r\.{ri)' irlli,lir:lli;il j(:r: !i.. r',1 i.'P :jl,:':1.. iiSi r,: ::r+ l,Jlil,r':1.1 ll r', ,ili) i-r!lcll i(rjir
! P0rsotliil Inlo(r)illon
I : rll,
j D,tilirc ai)d lrr;i!il\l:rJi ifu!jtirr:l ui llltiAftjt;rll ilugillds$
!,lir:tlL'r [:L,Llc;liiLlil Attach your photo
(:rlcr Pfrrtc
Iriil':rlu, irir Yrrrllt (i.EF. tr'l:altvel
[4cmx3(aU which taken within 6
| 2 l,lrif)b.r (Nol Dse{i lo llil In .llCA wll infurttr a[',cr stle(;li0t, Prr,{;edulE:;i
iask !.i I ir:oit months.
latJn rrll En
f riraqth.' Beside this, please
-l
bring 6 more photos.
Black/Whit'e photo is
Fa1 il,; ldir,.* jtl:rai:ir:r Ei $ryer: not acceptable.
r''(l \I(i, l;11r,::r 'l
Please write all the
ilf ar:yi
names written in
passport/lD as
explained below.
l5
Do not abbreviate
any name.
S [o I r,'[-'i i) !, l:
L
ac (..221i \2 r23 12 34
Pnssplrt
YFs
possecilorl
o rnlrncr{Jofl{y
Ptc;vn[c &
(r;171i1?lil3l?.99
(;oLlniry llat{oi Tfi Enir
I |
l.Jzt nl[, .)] iii:t rl r:.:|)i .,\1111;1;,J !i.,r ;111i,1i f i :rlt1'rri Do not forget to sign
on all pages (only
:ii.jn;rtr;!.
handwritten
signature is accepted)
Ij-i {) F i.ir
lf vou have a passport.
please refer to the bottom part of passport (photo paeel
!
)
i
I
I
ABE Initiative Stn Batch
2-(1) Instructions
iloNi:i06Nl-ii l^
ljl:li.]Fl-ll,..}nis:1lii.;.|lj!r.:d:os[].:cL|\'1|jris.:c,i)!:!ji:::ij:|.|i|ih.]|'t)
rDta.::1aa'^ i. ''1li:'.il :-: : i':_':::ri.r:i t'_- p:il ;r:'1i::-t:!:: 'lii'i'\il)i: lrlilislj\'(:'/!*lll1e'
l:l1Jl,i!*,':.,' edijc;l:L:11 ;11-';11 r:r9'zfrlculstafall'l
fi$.ns il Sel*tier rF:jsr..rt f' -.9,r r, .tr'.i I t J'P Sr*r..'Sl t! Cxe,Ce
n'rJ {,ir3drte S.::tai Select the Course
Code
.J,f::c{i ! :i :'t .r:iil:. f".*rr'u,,, \
I I jtir,: I:':rt':i:.:
'i !.:l;ra) i
..
I
_-t
r-
i Copy the name of I
f '''-",\l
-Choose ONE
research field
l(grern :.chi:rlrtir:s 6nil a<jirrrr'sian {-iif,drlri's +1 :liS{lli':ilfsll/ correspond most to
t,. casa t;.;rL :,'cii cE,-:cc: arlrRa) ahctr :lrle tatlle iils lo\q{ftasors :t:ch a: ilrirnle<1 ieave dlrr?licl) ill'#trkrnS 0lrl(e
your interest.
oJi;ase, rliE rlttr 5'na1 ag;rlli:io;r
How to Find the Best tJniversity/Graduote School ond Supervisor lor You
4, Read wellthe information appealed in each university Po9€, and pick 3 universities
you are most interested.
Prisr lnquirY
,,9. Prior lnquiry Frorn Applicant$" *olumn of universities you selected'
5. Cheek
,,ycu r*ust,, means that you MUST coNTAcr the professors before the deadline or they
will be disqualified by 3'o selection (document screening in Japanese university)'
,,y*u are recommended to" means your prior contact is ideal.
uoYor.!
can" means your prior contact is not mandatory'
,,s,&ot
al{owed,, mejns you are NoT ALLoWED to contact professors.
No Inquiry button is
shown.
iri'';1;a-16*r;;Urlw:r{'r:iild! L':t t''iJ<t!r?KFa:t ! !*Gt:du?"*x_-r;g;:E
'
t
lCand
Write the
prcfesscr narne
rrut'*c* yetl have
e l'essen
I
ABE lnitiative 5th Batch
2-(1) Instructions
Put year/month of
your entrance and
graduation of each
school.
It will be
automatically
calculated.
1 year 5 months
recognize as '1 year.
1 year 6 months
recognize as 2 years
For Higher
Education,
graduation
year/month have to
be matched with the
date which
described in your
Certificate.
C0f.lFlDENTlAL
ALiE init:ati,i€ 5th ilalch Appjjcation Fornl
00roaa
cfiered by Jl+A?
4) rlA\a \'g
Do NOT
abbreviate the
position andior
organization
name.
ABE Initiative 5th Batch
2-(J-) Instructiutts
5, Work Exqerience
CONFI.D[N TIAI-
/,,giE Inrtiailve 5th Baiah .qpptrcalLon Forll
(rri
i:iO:-irile ina: !tllCaIrliiliOlr t:r \i'lia i-,.j.i, I i] ri)6ir!i?ncr, i!;iioi'.'ir i! ll le oii::;: il ller ii
il':':; :'?:li ae lri1e(i;illall!atlceliy il 4 I l5 f:liit{
. ir; ii:rt rt1 iltnil rlii:i! ''clre''ii/
Please refer to
'.nJatcr !iSsNLl(tl
I cl EfitrtlY tltd
t^laia!
l.lt-iartcn)i)li1 Categorize of
Organization on
page 5
(4. Present
Organtzation
and Nomination)
liEgrslril Englf!ct
,1 \,earsaud i0 lllcrllh-r
IDla; \,!)rrs of ilr!l'l:F]c !ai) e:rp!-a!!l11io
-tt] lllofllils
-i+!ai yr:ars at
F€.: lil:1t icir ('xperieilc€ 4 tcari ill{l
6, Medical HistorY
coi'liriDcNl llii
z:.ij: :nriul!\,4 Siii Lliliti) Aci:ii:cat:irl I irln
6 lr'ledical l-listorY
ens lvitl disiii,'ilil:/ !rct)r llte pro(,rd11" ll"!';'?var uocu ti)* siL!laltou
irtlt, be Clfer:il), ifiili!it*ij ft.; the JiCA $iil[iai in chtlue ior ;: ma'!e dtlailel iiiccuril
,.,orr Dl liur aoi:dilior]
itil ever lra:gll a liari): !r! a mor:la, i:lirli: or iJ?eil lieaif d It il ll\
:,iratiirl:r.(:
ABE lnitiative 5th Batch
2-(J-) Instructlons
7, Declaration
coNl'IDEN I lAl'
ABE Inrttairve 5th Eatch Applicatloll Fornl
7. Opslaratron
i -.,:i s 1a:1,::t::.-.!
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"i'r.: rs {r:4jta*
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l. :i ;:n ..
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ABE lnitiative 5th Batch
2-(l-) Instructlons
University students including ABE Initiative applicants and fellows arer members of the academic
field,
t3thenryise, you may be
and must avoid the plagiarism in making a research plan and thesis.
c.!iscluallfierJ fiom the selection, or evefl be clischargecl from the university, once the plagiarism is
forirt<J ;tt your resoafull piait. or academic work in t
Here are some weosites for more explanation on those matters. Applicants must prepare research
plan carefully to avoid plagiarism.
Copy of Pass,port(lD)
Passport copy to check nationality, name, sex, and date of birth'
NationallD and birth certificate are acceptable if you do not have Passport'
spanish.
certified English translation must be attached if lD is not written in English, French, Portuguese or
'We.st,ffiha'
Ins t i.tut e of''Ib cfino {ngy
, tf Vou are recommended bythe organization located inJapan, you can submitthe copytoJlCAoverseas i
.l 4