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Master’s Degree and Internship Programof the African Business Education Initiative for Youth(ABE Initiative)
Participation Agreement for Internship Program with the Japan International CooperationAgency
Please carefully read every item provided below and place a check mark in each of thecorresponding boxes to indicate your understanding and agreement to such item.
Please write date, your name and your signature at the end of this document.
To: Japan International Cooperation Agency (hereinafter referred to as “JICA”)□ I fully understand the objectives of this Internship Program and intend to devote myself topromotion of mutual understanding and to learning of the technologies/knowledge provided by
a company at which I will participate in the program (hereinafter referred to as “Company”).
□ I shall maintain the confidentiality of confidential information disclosed by the Company during
the internship and shall not disclose or divulge the information to a third party during theinternship period and even after that. In case I pronounce a thesis which includes the confidential
information, I will inform the Company of it in advance and will obtain officially written consent
from the Company.
□ The personal information that I receive from the Company will be used only within the scope of
the purposes that are set forth below, and, therefore, I will not, except when the disclosure of suchinformation is required by law, or unless there are other legitimate reasons, use such information
for purposes other than those for which it was originally intended:(1) To be used for the distribution of program and examination related documents andmaterials as well as related communications, and to be used for contacting the applicant;(2) To be used for the operation and management of programs and examinations that weconduct; and(3) To be used, aside from the above, for a specific purpose for which the applicant has given
prior consent.
□The personal information that I receive from the Company may, from time to time, be disclosed
to an extent that is deemed necessary in order to enable a seminar instructor, outsourcing
service provider, or other such parties to carry out a program or examination, provided that I
have entered into a confidentiality agreement with them.

□ During my stay as a trainee on the Internship Program, I shall not participate or engage in any
other program or work unrelated to this Internship Program.

□ During the Internship Program, I shall obey the laws and regulations in Japan and will not
engage in criminal activities or take any immoral behavior. I understand that the Company will
not bear any responsibility in cases where any crime or other problem that I could essentiallyhave avoided occurs as the result of illegal action or negligence on my part.
□ I shall observe the rules and regulations of the Company during my program. If special
attention must be paid so as not to cause damage to the Company’s properties, facilities orequipment, I shall follow the instructions provided by the Company.
□ After I complete my training at the Company, I shall submit a Report of Completion ofInternship Program to both the Company and JICA.

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□ I agree that, in cases where I cause damage to the Company intentionally or due to my beingheavily intoxicated, my program will be canceled automatically and I shall be subject todisciplinary punishment, and may result in the case that I shall leave Japan to return to mycountry immediately.
□ I shall not request monetary assistance from the Company in any circumstances.
□ During my stay at the offered accommodation facility, I shall respect the rules and customs ofsuch facility as well as the other residents in the same manner as they do. I am aware that mystaying and living in Japan, and my devoting myself to promotion of mutual understanding,
based on a deep understanding of the spirit of global fraternity as well as on good intentions, is
one of the prime objectives of this Internship Program.
□ The Company shall not be under any legal liability in the event that the continuous
implementation of the program becomes impossible due to any cause not within its control,including, without limitation, factory lockouts, strikes or other industrial disputes, riots, civilcommotion, epidemics, wars, confiscation of assets for public needs, embargoes, or naturaldisaster.
□ I will not bring my spouse or my family members to the place where the Internship Program isimplemented during the program.
□ My supervisor agreed that I participate in this Internship Program.
□ I declare that I am healthy enough to complete this Internship Program, and I do not have any
health issues such as severe allergies, physical disabilities and serious diseases.
□ The confidentiality pledge, which I may enter into with the Company shall not be affected by
the provisions of the preceding paragraphs.
□ If I cause damages or losses to the Company or any third party intentionally or negligently, I
shall be liable to compensate such damage or losses.
□ I hereby testify that I have read and given my consent to the terms and conditions of thiswritten oath. If I violate any of the provisions above, I consent to my being required to leave
Japan promptly.

Date：
Name of the participant (in Block Letters)：
Name of University：__________________________________________________________(Nationality： ______________________________________)

Signature：
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