Comparative Studies in Politics and Administration in Asia (CSPA)
No.

Application Form
1. Basic Information
Photograph1) Name:photograph(size: 4.5cm x 3.5cm)-Bare-headed,full-faced-Displaying upper body-Taken within the past
6 months.

2) Address:

Tel:
E-mail:* Please indicate the most accessible number as this will be used for your interview.
3) Nationality:
4) Date of birth & age:5) Sex :MaleFemale6) Current Affiliation/Position
2. Educational Background (Please write from your elementary school)
Month/Year ofName of school

SubjectDegreeenrolment andgraduation
FromtoFromtoFromtoFromtoFromto1----Comparative Studies in Politics and Administration in Asia (CSPA)
FromtoFromtoTotal year of schooling:years（as of October 1, 2021）

3. Employment record
Month/Year andName and Place of

Period ofemployment

PositionJob description

employment
FromtoFromtoFromto

4. English Ability (Please indicate your English score)

5. Research Proposal (Two A4 pages, Separate sheet)
Topic:

6. Financial Plan during you study

7. References (Indicate two persons with name, position, institution and the relationship with theapplicant. Please use the prescribed form)
2Comparative Studies in Politics and Administration in Asia (CSPA)
1)

2)

8. Emergency Contact in Your Home Country
Name:
Address:
Tel/Fax:
Email:
Relationship with the Applicant:I certify that my answers are true and complete to the best of my knowledge.
If this application leads to my enrolling at Kyushu University, I understand that false or misleading
information in this application may result in my enrollment at Kyushu University being terminated.

Signature:

Date:

3

Comparative Studies in Politics and Administration in Asia (CSPA)
Reference letter (1)To: President of Kyushu University*Please write a statement concerning the applicant, stating how long and in what capacity you have
known him/her, your evaluation of his/her intellectual capability and personal character, yourappraisal of the applicants’s promise of completing the graduate program in English.
Name:
Affliation:
Intellectual capacity:
Reading and writing skills:
Presentation skills:
Overall potential:□□□□□
excellent □excellent □excellent □excellent

good
good
goodgood□ average□ average□ average□ average

□□□□

below
below
below
below

We appreciate the time and effort that you have taken to provide us with these comments.
Please return this letter directly to Kyushu University OR place in sealed envelope and return to the candidate.

Address: Admission Office of International Programs
Faculty of Law, Kyushu University 744 Motooka, Nishi-ku, Fukuoka, 819-0395 JAPAN4

Comparative Studies in Politics and Administration in Asia (CSPA)
Reference letter (2)To: President of Kyushu University*Please write a statement concerning the applicant, stating how long and in what capacity you have
known him/her, your evaluation of his/her intellectual capability and personal character, yourappraisal of the applicants’s promise of completing the graduate program in English.
Name:
Affliation:
Intellectual capacity:
Reading and writing skills:
Presentation skills:
Overall potential:

□□
□
□

□
excellent □excellent □excellent □excellent

good
good
good
good

□ average□ average□ average□ average

□□
□
□

below
below
below
below

We appreciate the time and effort that you have taken to provide us with these comments.
Please return this letter directly to Kyushu University OR place in sealed envelope and return to the candidate.

Address: Admission Office of International Programs
Faculty of Law, Kyushu University 744 Motooka, Nishi-ku, Fukuoka, 819-0395 JAPAN5