長崎大学大学院医歯薬学総合研究科特別コース

Nagasaki University Priority Graduate Programs (NUPGP)
for Foreign Students in Biomedical Sciences

Graduate School of Biomedical Sciences
NAGASAKI UNIVERSITY2012http://www.ph.nagasaki-u.ac.jp/indexe.html

Contents
Japanese Government (Monbukagakusho) Scholarship・ Master Course

1・ Ph.D. Course

4

Private-Exchange Foreign Students
・ Master Course

7・ Ph.D. Course

9

Academic Staffs（Master Course）

11

Major Teaching and Research Fields（Master Course）

12

Academic Staffs（Ph.D. Course）

15

Major Teaching and Research Fields（Ph.D. Course）

16

Application Form For NUPGP

18

Application for Japanese Government (Monbukagakusho:MEXT) Scholarship

20

Field of Study and Study Program

24

Application Form Private Expense Foreign Students

26

Field of Study and Study Program

29

CERTIFICATE OF HEALTH

31

GUIDE FOR THE APPLICATION OF THE JAPANESEGOVERNMENT (MONBUKAGAKUSHO) SCHOLARSHIPFOR FOREIGN POSTGRADUATE MASTER COURSE STUDENTS
The Nagasaki University Priority Graduate Programs (NUPGP) is a special course in the Graduate
School of Biomedical Sciences, Nagasaki University, started in October 2007. The NUPGP provides
opportunities for qualified graduates from overseas to study on Biological and Medicinal Sciences ofinfectious diseases, pain, drug addiction, environmental pollutants, anticancer target molecules andmedicinal natural products.
The objectives of the NUPGP are to produce competent persons in frontier of those fields as wellas impact knowledge of national policy planning in those fields when students go back to theirmother countries.
To efficiently meet the goals of the NUPGP, intensive training of a wide scope is provided to
students by Professors of Pharmaceutical Sciences in the Graduate School of Biomedical Sciences.
Lectures and Instructions of NUPGP are given in English.
This is a call for application to a two-year Master Course for the academic year of 2012 sponsoredby the Scholarship Program of Monbukagakusho (The Ministry of Education, Culture, Sports,
Science and Technology of Japanese Government).
For deciding the field and the topic of research, applicants choose the appropriate supervisor(s)appearing on the List of Academic Staffs.

Qualifications
1. Nationality: Non-Japanese citizens from foreign countries can apply for the program.
2. Academic carrier: The following candidates may apply for admission.
a. Those who have Bachelor’s Degree from Japanese University as of September 30, 2012.
b. Those who have a Degree equivalent, to Bachelor’s Degree of Japanese Universities as of
September 30, 2012.
c. Those who have been designated by the Ministry of Education, Culture, Sports, Science, andTechnology of Japanese Government.
d. Those who are 22 years old or more as of September 30, 2012, and less than 35 years old asof April 1, 2012 (Date of birth is after April 2, 1977), and are admitted as that theiracademic abilities are equivalent to or higher than Bachelor’s Degree of Japanese
Universities upon reviewing the submitted materials.
3. Health: Applicants should be in good health both mentally and physically.
4. Language proficiency: A good working level of English is required.
5. Arrival in Japan: Applicants should arrive in Japan on the designated period, if admitted.

Remarks
1) Military personnel and civilian employees of the armed forces are not eligible.
2) Admission shall be canceled if the applicant fails to arrive in Japan on the designated period.
3) Admission shall be canceled if the applicant fails to receive the Bachelor’s Degree on or
before September 30, 2012.
4) Applicants, who will receive scholarship money from an institution (including government
institutions of the student’s country of origin) other than the Japanese Government(Monbukagakusho), shall not be eligible for the scholarship.
5) Applicants, who is applying to other Japanese university, shall not be eligible for thescholarship. Applicants, who are applying for the other Japanese government scholarshipand the Japan Student Services Organization scholarship, shall not be eligible for thescholarship. Applicants can not apply for any other scholarship, coincidentally.
6）Admission shall be canceled if the applicant lives in Japan before starting NUPGP.

The scholarship includes the followings.
1. Amount of scholarshipA student will receive a monthly scholarship of 152,000 yen. (This amount may change.)
2. Travel expenses
Travel to Japan
Travel expenses will be paid, in the form of economy class air tickets, from the international1airport nearest to the student’s city of residence in their country to one of the international
airports nearest to Nagasaki University.
Travel from Japan
Upon completing the scholarship tenure and returning to their country by the designated date,travel expenses will be paid, in the form of economy class air tickets, from one of theinternational airports nearest to Nagasaki University to the international airport nearest to theircity of residence in their country.
3. Scholarship tenure
For 2 years, from October, 2012 to September, 2014.

Enrollment and Tuition expenses
1. Monbukagakusho scholarship recipients are exempted from entrance examination fee andentrance fee and tuition fee.
2. Date of enrollment: October 1, 2012.

Selection and Admission
1.

2.
3.
4.
5.

The applicants should be a degree holder of higher grade (preferably A grade or First classhonors) in her/his field. Official documents to certify this should be attached together with theapplication forms (see Application 1.-⑫). The applicants shall be interviewed directly by thehost Professor or interviewed via Internet on some subjects proposed by at least three
Professors of the Pharmaceutical Sciences in the Graduate School of Biomedical Sciences.
Only those who have a solid academic background, research capability and commitment are
selected. The final decision of Monbukagakusho scholarship will be informed to the candidates
through Nagasaki University at the end of June, 2012.
The number to be admitted is three per academic year.
Application deadline: January 27, 2012.
Selection of Applicants: by the middle of February, 2012.
Notification Date: August 9, 2012.

Application
1. Applicants should prepare the following documents to be forwarded to the Dean of the Graduate
School of Biomedical Sciences, Nagasaki University through the head of the universities or the
institutions with which the applicants are affiliated. Applicants who presently have no formal
affiliation should send the prepared documents through the Dean of the University from which
he/she graduated.
① Application Form For NUPGP (page18～19).
② Application for Japanese Government (Monbukagakusho:MEXT) Scholarship (ANNEX)(page20～23) .
③ Field of Study and Study Program (page24～25).
④ Certificate of Health (page31).
⑤ Copy of Bachelor’s Degree or Certificate that the applicant will get Bachelor’s Degree
before September 30, 2012 if you are a student, now.
⑥ Transcripts of Academic Record issued by university authorities and its English translation.
⑦ English summary of Graduation Thesis or its equivalent if available, not exceeding four
sheets of A4 size paper typed in double space. When a Graduation Thesis is not required by
the university from which the applicant graduated, prepare a statement to that effect.
⑧ Certificate of Citizenship issued by appropriate authorities.
⑨ A letter of Recommendation and Certification from the head of the applicant’s affiliatedinstitution. Letter(s) of reference from those who know the applicant’s research/study
capability addressed to the President of Nagasaki University. The letters of recommendation
and reference(s) should indicate the English proficiency of the applicant. Enclose, therein, acertificate indicating the scores of TOEFL or a corresponding English Ability Test, if any.
⑩ A letter of Recommendation from applicant’s supervisor with signature.
⑪ Four Photographs (hatless portrait) 4.5 cm x 3.5 cm in size, taken within six months ofapplication date. One copy should be attached to the application for MEXT scholarship(page20). Another copy should be attached to the application of NUPGP(page19). Two
extra copies should be enclosed therein, with the applicants name and nationality on thereverse side of the copies.
⑫ Academic achievement to prove applicant’s excellence. (e.g. GPA score, rank in the course,2

index that clearly shows the applicant’s academic performance at the last university theapplicant graduated from). Applicant should attach academic record of the last two school
years.
2. All documents should be sent by registered airmail, and must arrive at the Entrance Examination
Office by January 27, 2012.

Remarks
1) The above documents should be type-written in English on double-sided A4 size paper.
2) Incomplete documents are not acceptable.
3) Applicants are advised to choose their desired fields and supervisor of whose name is listed
in the table on pages 11 and write the supervisor’s name on the application form.
4) None of the documents submitted will be returned to the applicant.

Notes
1. An applicant will be deprived of entrance under the following cases:
a. False statements on the documents.
b. Violation of the pledge.
c. Violation of school regulations, and no satisfactory academic achievement.
2. Applicants are recommended to be well acquainted with the Japanese language, culture, customs
etc. Knowledge of the Japanese language is necessary in daily life.
3. Applicants are expected to complete their Master Course Program within two years.

Correspondence
Any inquiry relating to the application for the NUPGP should correspond to each professor listed inAcademic staffs (page11) by e-mail.

Entrance Examination Office
Nagasaki University
1-14 Bunkyo-machi
Nagasaki 852-8521, Japan

3

GUIDE FOR THE APPLICATION OF THE JAPANESEGOVERNMENT (MONBUKAGAKUSHO) SCHOLARSHIPFOR FOREIGN POSTGRADUATE DOCTOR COURSE STUDENTS
The Nagasaki University Priority Graduate Programs (NUPGP) is a special course in the Graduate
School of Biomedical Sciences, Nagasaki University, started in October 2007. The NUPGP provides
opportunities for qualified graduates from overseas to study on Biological and Medicinal Sciences ofinfectious diseases, pain, drug addiction, environmental pollutants, anticancer target molecules andmedicinal natural products.
The objectives of the NUPGP are to produce competent persons in frontier of those fields as wellas impact knowledge of national policy planning in those fields when students go back to theirmother countries.
To efficiently meet the goals of the NUPGP, intensive training of a wide scope is provided to
students by Professors of Pharmaceutical Sciences in the Graduate School of Biomedical Sciences.
Lectures and Instructions of NUPGP are given in English.
This is a call for application to a three-year Ph.D. Course for the academic year of 2012 sponsoredby the Scholarship Program of Monbukagakusho (The Ministry of Education, Culture, Sports,
Science and Technology of Japanese Government).
For deciding the field and the topic of research, applicants choose the appropriate supervisor(s)appearing on the List of Academic Staffs.

Qualifications
1. Nationality: Non-Japanese citizens from foreign countries can apply for the program.
2. Academic carrier: The following candidates may apply for admission.
a. Those who have Master’s Degree from Japanese University as of September 30, 2012.
b. Those who have a Degree equivalent, to Master’s Degree of Japanese Universities as of
September 30, 2012.
c. Those who have been designated by the Ministry of Education, Culture, Sports, Science, andTechnology of Japanese Government.
d. Those who are 24 years old or more as of September 30, 2012, and less than 35 years old asof April 1, 2012 (Date of birth is after April 2, 1977), and are admitted as that theiracademic abilities are equivalent to or higher than Master’s Degree of Japanese Universities
upon reviewing the submitted materials.
3. Health: Applicants should be in good health both mentally and physically.
4. Language proficiency: A good working level of English is required.
5. Arrival in Japan: Applicants should arrive in Japan on the designated period, if admitted.

Remarks
1) Military personnels and civilian employees of the armed forces are not eligible.
2) Admission shall be canceled if the applicant fails to arrive in Japan on the designated period.
3) Admission shall be canceled if the applicant fails to receive the Master’s Degree on or before
September 30, 2012.
4) Applicants, who will receive scholarship money from an institution (including government
institutions of the student’s country of origin) other than the Japanese Government(Monbukagakusho), shall not be eligible for the scholarship.
5) Applicants, who is applying to other Japanese university, shall not be eligible for thescholarship. Applicants, who are applying for the other Japanese government scholarshipand the Japan Student Services Organization scholarship, shall not be eligible for thescholarship. Applicants can not apply for any other scholarship, coincidentally.
6）Admission shall be canceled if the applicant lives in Japan before starting NUPGP.

The scholarship includes the followings.
1. Amount of scholarshipA student will receive a monthly scholarship of 153,000 yen. (This amount may change.)
2. Travel expenses
Travel to Japan
Travel expenses will be paid, in the form of economy class air tickets, from the international4

airport nearest to the student’s city of residence in their country to one of the international
airports nearest to Nagasaki University.
Travel from Japan
Upon completing the scholarship tenure and returning to their country by the designated date,travel expenses will be paid, in the form of economy class air tickets, from one of theinternational airports nearest to Nagasaki University to the international airport nearest to theircity of residence in their country.
3. Scholarship tenure
For 3 years, from October, 2012 to September, 2015.

Enrollment and Tuition expenses
1. Monbukagakusho scholarship recipients are exempted from entrance examination fee andentrance fee and tuition fee.
2. Date of enrollment: October 1, 2012.

Selection and Admission
1.

2.
3.
4.
5.

The applicants should be a degree holder of higher grade (preferably A grade or First classhonors) in her/his field. Official documents to certify this should be attached together with theapplication forms (see Application 1.-⑫). The applicants shall be interviewed directly by thehost Professor or interviewed via Internet on some subjects proposed by at least three
Professors of the Pharmaceutical Sciences in the Graduate School of Biomedical Sciences.
Only those who have a solid academic background, research capability and commitment are
selected. The final decision of Monbukagakusho scholarship will be informed to the candidates
through Nagasaki University at the end of June, 2012.
The number to be admitted is four per academic year.
Application deadline: January 27, 2012.
Selection of Applicants: by the middle of February, 2012.
Notification Date: August 9, 2012.

Application
1. Applicants should prepare the following documents to be forwarded to the Dean of the Graduate
School of Biomedical Sciences, Nagasaki University through the head of the universities or the
institutions with which the applicants are affiliated. Applicants who presently have no formal
affiliation should send the prepared documents through the Dean of the University from which
he/she graduated.
① Application Form Form NUPGP (page18～19).
② Application for Japanese Government (Monbukagakusho:MEXT) Scholarship (ANNEX)(page20～23).
③ Field of Study and Study Program (page24～25).
④ Certificate of Health (Page31).
⑤ Copy of Master’s Degree or Certificate that the applicant will get Master’s Degree before
September 30, 2012 if you are a student, now.
⑥ Transcripts of Academic Record issued by university authorities and its English translation.
⑦ English summary of Master Thesis or its equivalent if available, not exceeding four sheetsof A4 size paper typed in double space. When a Master Thesis is not required by theuniversity from which the applicant graduated, prepare a statement to that effect.
⑧ Certificate of Citizenship issued by appropriate authorities.
⑨ A letter of Recommendation and Certification from the head of the applicant’s affiliatedinstitution. Letter(s) of reference from those who know the applicant’s research/study
capability addressed to the President of Nagasaki University. The letters of recommendation
and reference(s) should indicate the English proficiency of the applicant. Enclose, therein, acertificate indicating the scores of TOEFL or a corresponding English Ability Test, if any.
⑩ A letter of Recommendation from applicant’s supervisor with signature.
⑪ Four Photographs (hatless portrait) 4.5 cm x 3.5 cm in size, taken within six months ofapplication date. One copy should be attached to the application for MEXT scholarship(page20). Another copy should be attached to the application of NUPGP (page19). Two
extra copies should be enclosed therein, with the applicants name and nationality on thereverse side of the copies.
⑫ Academic achievement to prove applicant’s excellence. (e.g. GPA score, rank in the course,
5index that clearly shows the applicant’s academic performance at the last university theapplicant graduated from). Applicant should attach academic record of the last two school
years.
2. All documents should be sent by registered airmail, and must arrive at the Entrance Examination
Office by January 27, 2012.

Remarks
1) The above documents should be type-written in English on double-sided A4 size paper.
2) Incomplete documents are not acceptable.
3) Applicants are advised to choose their desired fields and supervisor of whose name is listed
in the table on pages 15 and write the supervisor's name on the application form.
4) None of the documents submitted will be returned to the applicant.

Notes
1. An applicant will be deprived of entrance under the following cases:
a. False statements on the documents.
b. Violation of the pledge.
c. Violation of school regulations, and no satisfactory academic achievement.
2. Applicants are recommended to be well acquainted with the Japanese language, culture, customs
etc. Knowledge of the Japanese language is necessary in daily life.
3. Applicants are expected to complete their Ph.D. Course Program within three years.

Correspondence
Any inquiry relating to the application for the NUPGP should correspond to each professor listed inAcademic staffs (page15) by e-mail.

Entrance Examination Office
Nagasaki University
1-14 Bunkyo-machi
Nagasaki 852-8521, Japan

6

GUIDE FOR THE APPLICATION OF PRIVATE-EXPENSEFOREIGN POSTGRADUATE MASTER COURSE STUDENTS
The Nagasaki University Priority Graduate Programs (NUPGP) is a special course in the Graduate
School of Biomedical Sciences, Nagasaki University, started in October 2007. The NUPGP provides
opportunities for qualified graduates from overseas to study on Biological and Medicinal Sciences ofinfectious diseases, pain, drug addiction, environmental pollutants, anticancer target molecules andmedicinal natural products.
The objectives of the NUPGP are to produce competent persons in frontier of those fields as wellas impact knowledge of national policy planning in those fields when students go back to theirmother countries.
To efficiently meet the goals of the NUPGP, intensive training of a wide scope is provided to
students by Professors of Pharmaceutical Sciences in the Graduate School of Biomedical Sciences.
Lectures and Instructions of NUPGP are given in English.
This is a call for application to a two-year Master Course for the academic year of 2012For deciding the field and the topic of research, applicants choose the appropriate supervisor(s)appearing on the List of Academic Staffs.

Qualifications
1. Nationality: Non-Japanese citizens can apply for the program.
2. Academic carrier: The following candidates may apply for admission.
a. Those who have Bachelor’s Degree from Japanese University as of September 30, 2012.
b. Those who have a Degree equivalent, to Bachelor’s Degree of Japanese Universities as of
September 30, 2012.
c. Those who have been designated by the Ministry of Education, Culture, Sports, Science, andTechnology of Japanese Government.
d. Those who are 22 years old or more as of September 30, 2012, and less than 35 years old asof April 1, 2012, and are admitted as that their academic abilities are equivalent to or higher
than Bachelor’s Degree of Japanese Universities upon reviewing the submitted materials.
3. Health: Applicants should be in good health both mentally and physically.
4. Language proficiency: A good working level of English is required.
5. Arrival in Japan: Applicants should arrive in Japan on the designated period, if admitted.

Remarks
1) Military personnels and civilian employees of the armed forces are not eligible.
2) Admission shall be canceled if the applicant fails to arrive in Japan on the designated period.
3) Admission shall be canceled if the applicant fails to receive the Bachelor’s Degree on or
before September 30, 2012

Enrollment and Tuition expenses
1. Entrance examination fee: 30,000 Yen.
2. Entrance fee: 282,000 Yen.
3. Tuition fee: 535,800 Yen per academic year. Tuition fees may be subject to change.
4. Date of enrollment: October 1, 2012.

Selection and Admission
1.

2.
3.
4.
5.

The applicants should be a degree holder of higher grade (preferably A grade or First classhonors) in her/his field. Official documents to certify this should be attached together with theapplication forms. The applicants shall be interviewed directly by the host Professor orinterviewed via Internet on some subjects proposed by at least three Professors of thePharmaceutical Sciences in the Graduate School of Biomedical Sciences. Only those who havea solid academic background, research capability and commitment are selected.
The number to be admitted is two per academic year.
Application deadline: April 27, 2012.
Selection of Applicants: May 28, 2012.
Notification Date: August 9, 2012.
7

Application
1. Applicants should prepare the following documents to be forwarded to the Dean of the Graduate
School of Biomedical Sciences, Nagasaki University through the head of the universities orthe institutions with which the applicants are affiliated. Applicants who presently have noformal affiliation should send the prepared documents through the Dean of the University
from which he/she graduated.
① Application Form For NUPGP (page18～19).
② Application Form for Private Expense Foreign Students (page26～28).
③ Field of Study and Study Program (page29～30).
④ Certificate of Health (Page31).
⑤ Copy of Bachelor’s Degree or Certificate that the applicant will get Bachelor’s Degree before
September 30, 2012 if you are a student, now.
⑥ Transcripts of Academic Record issued by university authorities and its English translation.
⑦ English summary of Graduation Thesis or its equivalent if available, not exceeding four sheetsof A4 size paper typed in double space. When a Graduation Thesis is not required by theuniversity from which the applicant graduated, prepare a statement to that effect.
⑧ Certificate of Citizenship issued by appropriate authorities.
⑨ A letter of Recommendation from applicant’s supervisor with signature.
⑩ Four Photographs (hatless portrait) 4.5cm x 3.5cm in size, taken within six months ofapplication date. One copy should be attached to the Application Form private expense
foreign students (page26). Another copy should be attached to the application form for
NUPGP (page19). Two extra copies should be enclosed therein, with the applicants name andnationality on the reverse side of the copies.
⑪ Entrance Examination Fee: 30,000 Yen.
2. All documents should be sent by registered airmail, and must arrive at the Entrance Examination
Office by April 27, 2012.

Remarks
1) The above documents should be type-written in English on double-sided A4 size paper.
2) Incomplete documents are not acceptable.
3) Applicants are advised to choose their desired fields and supervisor of whose name is listed
in the table on pages 11 and write the supervisor’s name on the application form.
4) None of the documents submitted will be returned to the applicant.

Notes
1. An applicant will be deprived of entrance under the following cases:
a. False statements on the documents.
b. Violation of the pledge.
c. Violation of school regulations, and no satisfactory academic achievement.
2. Applicants are recommended to be well acquainted with the Japanese language, culture, customs
etc. Knowledge of the Japanese language is necessary in daily life.
3. Applicants are expected to complete their Master Course Program within two years.
.

Correspondence
Any inquiry relating to the application for the NUPGP should correspond to each professor listed inAcademic staffs (page11) by e-mail.

Entrance Examination Office
Nagasaki University
1-14 Bunkyo-machi
Nagasaki 852-8521, Japan

8

GUIDE FOR THE APPLICATION OF PRIVATE-EXPENSEFOREIGN POSTGRADUATE DOCTOR COURSE STUDENTS
The Nagasaki University Priority Graduate Programs (NUPGP) is a special course in the Graduate
School of Biomedical Sciences, Nagasaki University, started in October 2007. The NUPGP provides
opportunities for qualified graduates from overseas to study on Biological and Medicinal Sciences ofinfectious diseases, pain, drug addiction, environmental pollutants, anticancer target molecules andmedicinal natural products.
The objectives of the NUPGP are to produce competent persons in frontier of those fields as wellas impact knowledge of national policy planning in those fields when students go back to theirmother countries.
To efficiently meet the goals of the NUPGP, intensive training of a wide scope is provided to
students by Professors of Pharmaceutical Sciences in the Graduate School of Biomedical Sciences.
Lectures and Instructions of NUPGP are given in English.
This is a call for application to a three-year Ph.D. Course for the academic year of 2012.
For deciding the field and the topic of research, applicants choose the appropriate supervisor(s)appearing on the List of Academic Staffs.

Qualifications
1. Nationality: Non-Japanese citizens can apply for the program.
2. Academic carrier: The following candidates may apply for admission.
a. Those who have Master’s Degree from Japanese University as of September 30, 2012.
b. Those who have a Degree equivalent, to Master’s Degree of Japanese Universities as of
September 30, 2012.
c. Those who have been designated by the Ministry of Education, Culture, Sports, Science, andTechnology of Japanese Government.
d. Those who are 24 years old or more as of September 30, 2012, and less than 35 years old asof April 1, 2012, and are admitted as that their academic abilities are equivalent to or higher
than Master’s Degree of Japanese Universities upon reviewing the submitted materials.
3. Health: Applicants should be in good health both mentally and physically.
4. Language proficiency: A good working level of English is required.
5. Arrival in Japan: Applicants should arrive or be here in Japan on the designated period, if
admitted.

Remarks
1) Military personnels and civilian employees of the armed forces are not eligible.
2) Admission shall be canceled if the applicant fails to arrive in Japan on the designated period.
3) Admission shall be canceled if the applicant fails to receive the Master’s Degree on or before
September 30, 2012.

Enrollment and Tuition expenses
1. Entrance examination fee: 30,000 Yen.
2. Entrance fee: 282,000 Yen.
3. Tuition fee: 535,800 Yen per academic year. Tuition fees may be subject to change.
4. Date of enrollment: October 1, 2012.

Selection and Admission
1.

2.
3.
4.

The applicants should be a degree holder of higher grade (preferably A grade or First classhonors) in her/his field. Official documents to certify this should be attached together with theapplication forms. The applicants shall be interviewed directly by the host Professor orinterviewed via Internet on some subjects proposed by at least three Professors of thePharmaceutical Sciences in the Graduate School of Biomedical Sciences. Only those who havea solid academic background, research capability and commitment are selected.
The number to be admitted is one per academic year.
Application deadline: April 27, 2012.
Selection of Applicants: May 28, 2012.
95.

Notification Date: August 9, 2012.

Application
1. Applicants should prepare the following documents to be forwarded to the Dean of the Graduate
School of Biomedical Sciences, Nagasaki University through the head of the universities orthe institutions with which the applicants are affiliated. Applicants who presently have noformal affiliation should send the prepared documents through the Dean of the University
from which he/she graduated.
① Application Form for NUPGP (page18-19).
② Application Form Private Expense Foreign Students (page26-28).
③ Field of Study and Study Program (page29-30).
④ Certificate of Health (Page31)⑤ Copy of Master Degree or Certificate that the applicant will get Master’s Degree before
September 30, 2012 if you are a student, now.
⑥ Transcripts of Academic Record issued by university authorities and its English translation.
⑦ English summary of Master Thesis or its equivalent if available, not exceeding four sheets of
A4 size paper typed in double space. When a Master Thesis is not required by the university
from which the applicant graduated, prepare a statement to that effect.
⑧ Certificate of Citizenship issued by appropriate authorities.
⑨ A letter of Recommendation from applicant’s supervisor with signature.
⑩ Four Photographs (hatless portrait) 4.5 cm x 3.5 cm in size, taken within six months ofapplication date. One copy should be attached to the Application Form private expense
foreign students (page26). Another copy should be attached to the application form for
NUPGP (page19). Two extra copies should be enclosed therein, with the applicants nameand nationality on the reverse side of the copies.
⑪ Entrance Examination Fee: 30,000 Yen.
2. All documents should be sent by registered airmail, and must arrive at the Entrance Examination
Office by April 27, 2012.

Remarks
1) The above documents should be type-written in English on double-sided A4 size paper.
2) Incomplete documents are not acceptable.
3) Applicants are advised to choose their desired fields and supervisor of whose name is listed
in the table on pages 15 and write the supervisor’s name on the application form (Form A).
4) None of the documents submitted will be returned to the applicant.

Notes
1. An applicant will be deprived of entrance under the following cases:
a. False statements on the documents.
b. Violation of the pledge.
c. Violation of school regulations, and no satisfactory academic achievement.
2. Applicants are recommended to be well acquainted with the Japanese language, culture, customs
etc. Knowledge of the Japanese language is necessary in daily life.
3. Applicants are expected to complete their Ph.D. Course Program within three years.

Correspondence
Any inquiry relating to the application for the NUPGP should correspond to each professor listed inAcademic staffs (page15) by e-mail.

Entrance Examination Office
Nagasaki University
1-14 Bunkyo-machi
Nagasaki 852-8521, Japan10

Academic Staff Members for Graduate School of Biomedical Sciences,
Course of Pharmaceutical Sciences（Master Course）
Academic Staff

Major Teaching and Research Field (Subject)

Department of Molecular Medicinal Sciences
M. Tanaka and M.Oba(matanaka@nagasaki-u.ac.jp)
K. Ozaki(kozak@nagasaki-u.ac.jp)
H. Ueda and H. Kurosu(ueda@nagasaki-u.ac.jp)
S. Hatakeyama and J. Ishihara(susumi@nagasaki-u.ac.jp)
O. Onomura and M. Kuriyama(onomura@nagasaki-u.ac.jp)
N. Iwata and K. Ito(iwata-n@nagasaki-u.ac.jp)
N. Kobayashi and K. Kitazato(nobnob@nagasaki-u.ac.jp)

Pharmaceutical Chemistry(Bioorganic Chemistry for Environmental Science)
Cell Regulation(Cell Biology for Health Science)
Molecular Pharmacology and Neuroscience(Pharmacology of Pain and Drug Abuse)
Pharmaceutical Organic Chemistry(Pharmaceutical Organic Chemistry for Infectious Diseases)
Synthetic Chemistry for Pharmaceuticals(Synthesis of Drugs for Infectious Diseases)
Molecular Biology & Biotechnology(Molecular Mechanism of Alzheimer’s Disease,
Biotechnology for Infectious Diseases)
Molecular Pharmacology of Infectious Agents(Molecular Biology of Infectious Agents)

Department of Medicinal Natural Product Chemistry
T. Tanaka(t-tanaka@nagasaki-u.ac.jp)
K. Yamada(kyamada@nagasaki-u.ac.jp)
T. Maki(maki@nagasaki-u.ac.jp)

Natural Product Chemistry(Natural Product Chemistry for Infectious Diseases)
Medical Plants Biochemistry(Resources of Marine Natural Medicines for Infectious
Diseases)
Instrumental Analysis for Molecular Structure(Resources of Natural Medicines for Infectious Diseases)

Department of Pharmaceutical Health Sciences
M. Kai and T. Kabashima(ms-kai@nagasaki-u.ac.jp)
M. Nakayama and M. Haratake(morio@nagasaki-u.ac.jp)
N. Kuroda and N. Kishikawa(n-kuro@nagasaki-u.ac.jp)

Chemistry of Biofunctional Molecules(Chemistry of Biofunctional Molecules for Infectious
Diseases)Hygienic Chemistry(Inorganic Chemistry in Health and Environmental Sciences)
Analytical Chemistry(Analytical Chemistry in Health and Environmental Sciences)

Department of Clinical Pharmacy
K. Tsukamoto and S. Kondo(ktsuka@nagasaki-u.ac.jp)
M. Wada(m-wada@nagasaki-u.ac.jp)
K. Nishida and S. Fumoto(koyo-n@nagasaki-u.ac.jp)

Pharmacotherapeutics
Analytical Research for Pharmacoinformatics(Analytical Chemistry in Health and Environmental Sciences)
Pharmaceutics(Pharmcokinetics in Health and Environmental Sciences)

11

MAJOR TEACHING AND RESERCH FIELDS
Graduate School of Biomedical Sciences (Master Course）

Department of Molecular Medicinal Sciences
Division of Pharmaceutical Chemistry
Research Fields:
・Design and synthesis of non-proteinogenic amino acids and their utilizations
・Studies on bio-inspired molecules
Division of Cell Regulation
Research Fields:･Physiological role of the ERK-MAP kinase signaling pathway in the regulation ofdiverse cellular processes
・Development of new chemotherapeutic strategies against cancer via specific blockadeof the ERK-MAP kinase pathway or the PI3 kinase/Akt pathway
Division of Molecular Pharmacology and Neuroscience
Research Fields:
・Molecular and cellular biology of neuronal protection
・Molecular, cellular and behavioral sciences of opioids and their receptors
・Molecular and behavioral sciences of pain・Molecular and cellular biology of neurosteroids and endocrine disruptors
Division of Pharmaceutical Organic Chemistry
Research Fields:
・Development of a new methodology for the construction of complex molecules
・Development of a new synthetic reagent and reaction
・Synthesis of biologically active compounds
・Chemical biology based on natural products
Division of Synthetic Chemistry for Pharmaceuticals
Research Fields:
・New synthetic methods using optically active α-amino acids
・Synthesis of drugs utilizing electrochemical oxidation
・Asymmetric synthesis using new chiral ligands
・Recognition of polyols
Division of Molecular Biology & Biotechnology
Research Fields:
・Analysis of Alzheimer’s disease pathogenesis and development of new therapeutic
methods, e.g. gene therapy etc.
・Application of induced pluripotent stem (iPS) cell technology to Alzheimer’s diseaseresearch・Gene therapy for neurodegenerative diseases
・X-ray crystallographic analysis of enzymes toward design of specific enzyme inhibitors
・Application of genetically modified-microbial enzymes for diagnostic tools
Division of Molecular Pharmacology of Infectious Agents
Research Fields:
・Virus infections and apoptosis
・Development of anti-virus drugs
・Development of an AIDS vaccine using influenza virus as a vector
・Screening of a new toxin-producing marine microorganism
12・Analysis of signal transduction mechanisms involving cytokines in various
types of diseases

Department of Medicinal Natural Product Chemistry
Division of Natural Product Chemistry
Research Fields:
・Studies on the toxic constituents from Chinese and Japanese Illicium plants
・Chemical investigation on the constituents from Chinese and Malaysian medicinal plants
・Studies on structure and function of polyphenols
・Studies on oxidation mechanism of catechins and related polyphenols
Division of Medical Plants Biochemistry
Research Fields:
・Studies on marine natural product chemistry
Division of Instrumental Analysis for Molecular Structure
Research Fields:
・Design and synthesis of molecular probe for drug discovery

Department of Pharmaceutical Health Sciences
Division of Chemistry of Biofunctional Molecules
Research Fields:
・Molecular recognition of peptides and their new sequence analysis
・Super-sensitive optical detection of nucleic acids and proteins・Studies on transcription factors and cell regulation
・Development of novel functional nucleic acids
Division of Hygienic Chemistry
Research Fields:
・An assessment of Niboshi (a processed Japanese anchovy) as an effective food source ofselenium・Selenium metabolic pathways in biological systems
・Blood glucose-lowering efficacy of vanadium (IV, V)-hydroxamate complexes in diabetic
mellitus
・In vivo Aβ-aggregate imaging agents for early diagnosis of Alzheimer’s disease
・Development of a generator system for PET imaging agents not using cyclotron facility
Division of Analytical Chemistry
Research Fields:
・Development of luminescence reagents for biomedical analyses
・Development of functional packing materials for HPLC and CEC separation
・Development of analytical method for environmental pollutants
・Study on novel chemilinescence reactions for analytical chemistry

Department of Clinical Pharmacy
Division of Pharmacotherapeutics
Research Fields:
・Identification of the susceptibility genes for diseases
13

・Identification of the responsibility genes for drugs , adverse effects, and prognosis
・Establishment of DNA-based diagnosis for personalized medicine
・Elucidation of molecular mechanisms of resistance to anticancer drugs

Division of Analytical Reseach for Pharmacoinformatics
Research Fields:
・Analytical research for rational use of medicaments
・Study on clinical analysis of drugs of abuse
・Clinical pharmaceutical studies on drug-drug interaction
・Clinical pharmaceutical studies on functional foods
Division of Pharmaceutics
Research Fields:
・Organ- and site-selective delivery of drugs following the organ surface application
・Organ- and site-selective gene transfection following the application of naked plasmid
DNA to the organ surface
・Changes in pharmacokinetics of drugs during hypothermia

14

Academic Staff Members for Graduate School of Biomedical Sciences,
Course of Pharmaceutical Sciences (Doctor Course)
Academic Staff

Major Teaching and Research Field (Subject)

Department of Molecular Medicinal Sciences
M. Tanaka and M.Oba(matanaka@nagasaki-u.ac.jp)
K. Ozaki(kozak@nagasaki-u.ac.jp)
H. Ueda and H. Kurosu(ueda@nagasaki-u.ac.jp)
S. Hatakeyama and J. Ishihara(susumi@nagasaki-u.ac.jp)
O. Onomura and M. Kuriyama(onomura@nagasaki-u.ac.jp)
N. Iwata and K. Ito(iwata-n@nagasaki-u.ac.jp)

Pharmaceutical Chemistry(Bioorganic Chemistry for Environmental Science)
Cell Regulation(Cell Biology for Health Science)
Molecular Pharmacology and Neuroscience(Pharmacology of Pain and Drug Abuse)
Pharmaceutical Organic Chemistry(Pharmaceutical Organic Chemistry for Infectious Diseases)
Synthetic Chemistry for Pharmaceuticals(Synthesis of Drugs for Infectious Diseases)
Molecular Biology & Biotechnology(Molecular Mechanism of Alzheimer’s Disease,
Biotechnology for Infectious Diseases)

Department of Medicinal Natural Product Chemistry
T. Tanaka(t-tanaka@nagasaki-u.ac.jp)
K. Yamada(kyamada@nagasaki-u.ac.jp)
T. Maki(maki@nagasaki-u.ac.jp)

Natural Product Chemistry(Natural Product Chemistry for Infectious Diseases)
Medical Plants Biochemistry(Resources of Marine Natural Medicines for Infectious
Diseases)
Instrumental Analysis for Molecular Structure(Resources of Natural Medicines for Infectious Diseases)

Department of Pharmaceutical Health Sciences
M. Kai and T. Kabashima(ms-kai@nagasaki-u.ac.jp)
M. Nakayama and M. Haratake(morio@nagasaki-u.ac.jp)
N. Kuroda and N. Kishikawa(n-kuro@nagasaki-u.ac.jp)

Chemistry of Biofunctional Molecules(Chemistry of Biofunctional Molecules for Infectious
Diseases)Hygienic Chemistry(Inorganic Chemistry in Health and Environmental Sciences)
Analytical Chemistry(Analytical Chemistry in Health and Environmental Sciences)

15

MAJOR TEACHING AND RESERCH FIELDS
Graduate School of Biomedical Sciences (Doctor Course)

Department of Molecular Medicinal Sciences
Division of Pharmaceutical Chemistry
Research Fields:
・Design and synthesis of non-proteinogenic amino acids and their utilizations
・Studies on bio-inspired molecules
Division of Cell Regulation
Research Fields:･Physiological role of the ERK-MAP kinase signaling pathway in the regulation ofdiverse cellular processes
・Development of new chemotherapeutic strategies against cancer via specific blockadeof the ERK-MAP kinase pathway or the PI3 kinase/Akt pathway
Division of Molecular Pharmacology and Neuroscience
Research Fields:
・Molecular and cellular biology of neuronal protection
・Molecular, cellular and behavioral sciences of opioids and their receptors
・Molecular and behavioral sciences of pain・Molecular and cellular biology of neurosteroids and endocrine disruptors
Division of Pharmaceutical Organic Chemistry
Research Fields:
・Development of a new methodology for the construction of complex molecules
・Development of a new synthetic reagent and reaction
・Synthesis of biologically active compounds
・Chemical biology based on natural products
Division of Synthetic Chemistry for Pharmaceuticals
Research Fields:
・New synthetic methods using optically active α-amino acids
・Synthesis of drugs utilizing electrochemical oxidation
・Asymmetric synthesis using new chiral ligands
・Recognition of polyols
Division of Molecular Biology & Biotechnology
Research Fields:
・Analysis of Alzheimer’s disease pathogenesis and development of new therapeutic
methods, e.g. gene therapy etc.
・Application of induced pluripotent stem (iPS) cell technology to Alzheimer’s diseaseresearch・Gene therapy for neurodegenerative diseases
・X-ray crystallographic analysis of enzymes toward design of specific enzyme inhibitors
・Application of genetically modified-microbial enzymes for diagnostic tools

Department of Medicinal Natural Product Chemistry
Division of Natural Product Chemistry
Research Fields:
・Studies on the toxic constituents from Chinese and Japanese Illicium plants
16

・Chemical investigation on the constituents from Chinese and Malaysian medicinal plants
・Studies on structure and function of polyphenols
・Studies on oxidation mechanism of catechins and related polyphenols
Division of Medical Plants Biochemistry
Research Fields:
・Studies on marine natural product chemistry
Division of Instrumental Analysis for Molecular Structure
Research Fields:
・Design and synthesis of molecular probe for drug discovery

Department of Pharmaceutical Health Sciences
Division of Chemistry of Biofunctional Molecules
Research Fields:
・Molecular recognition of peptides and their new sequence analysis
・Super-sensitive optical detection of nucleic acids and proteins・Studies on transcription factors and cell regulation
・Development of novel functional nucleic acids
Division of Hygienic Chemistry
Research Fields:
・An assessment of Niboshi (a processed Japanese anchovy) as an effective food source ofselenium・Selenium metabolic pathways in biological systems
・Blood glucose-lowering efficacy of vanadium (IV, V)-hydroxamate complexes in diabetic
mellitus
・In vivo Aβ-aggregate imaging agents for early diagnosis of Alzheimer’s disease
・Development of a generator system for PET imaging agents not using cyclotron facility
Division of Analytical Chemistry
Research Fields:
・Development of luminescence reagents for biomedical analyses
・Development of functional packing materials for HPLC and CEC separation
・Development of analytical method for environmental pollutants
・Study on novel chemilinescence reactions for analytical chemistry17

APPLICATION FORM FOR NUPGPINSTRUCTION (記入上の注意)
1. Application should be typewritten or written in Roman block capitals.
(記入は楷書又はローマ字体を用いること。)
2. Numbers should be in Arabic figures.
(数字は算用数字を用いること。)
3. Year should be written in the Anno Domini system.
(年号はすべて西暦とすること。)
4. Proper nouns should be written in full, and not be abbreviated.
(固有名詞はすべて正式な名称とし、一切省略しないこと。)
5. Examination fee of 30,000 Yen should be enclosed, if application isfor the private-expense student.
(私費で出願する場合は、検定料30,000円を添えること。)
6. Enter the address below for notifying the result of the selection.
(合格通知書等の送付先を下記欄に記入のこと。)*Personal data entered in this application will only be used for scholarship selection purposes, and contact
information such as e-mail addresses will only be used for forming related human networks after the student
returns home and for sending of information by the Japanese Government.)(本申請書に記載された個人情報については，本奨学金の選考のために使用するほかは，特に E-mail アドレス等の連絡先については、帰国後における関係者のネットワークを作ること及び必要に応じ日本政府より各種情報を送信する以外には使用しない。
）
To ：Name ：
Present address：18

*受験番号
第号

NUPGP PROGRAM FOR □MASTER or □DOCTOR COURSE (please check)
長崎大学大学院医歯薬学総合研究科特別コース(博士前期・博士後期)入学申請書

Department

Field

Paste a passport sized photographor digital image taken within the

Laboratory

past 6 months. Write your nameand nationality in block letters on

Name of the desired supervisor

the back of the photo.

(指導を希望する主指導教官名をかならず記入すること)（4.5cm×3.5cm
photo）(写真(4.5cm×3.5cm))

1. Name in full, in native language (姓名(自国語)),(Family name)(First name)(Middle name)(Sex)□Male (男)□Female (女)In Roman block capitals (ローマ字),(Family name)(First name)(Middle name)(Marital Status)□Single (未婚)
□Married (既婚)□
2. Nationality (国籍)
3. Date of birth (生年月日)

Year 19, Month, Date
, Age
(年)
（月）
（日）
（年齢）
4. Present status : with the name of the university attended, or of the employer.
(現職(在学大学名又は勤務先名まで記入すること))(As of April 1, 2012)

5. Present address and telephone number, facsimile number or E-mail address(現住所、電話及びファクス番号又は電子メールアドレス)
Present address (現住所):
Telephone/Facsimile number (電話及びファクス番号)
E-mail address＊if possible, write an e-mail address that can be used for periods including the time before you come to Japan, yourstay in Japan and the period after you return home.
(可能な限り、渡日前～日本留学中～帰国後にわたり使い続けることが予想されるE-mail アドレスを記入すること。)
6. Field of specialization studied in the past (Be as detailed and concrete as possible)(過去に専攻した専門分野(できるだけ具体的に詳細に書くこと))

19

A P P L I C AT I O N F O R J A PA N E S E G O V E R N M E N T ( M O N B U K A G A K U S H O : M Ｅ Ｘ Ｔ ) S C H O L A R S H I P

日本政府（文部科学省）奨学金留学生申請書
Research Students for 2012（ 研 究 留 学 生 ）ＩＮＳＴＲＵＣＴＩＯＮＳ（記入上の注意）
１．The application should be typed if possible, or neatly handwritten in block letters. （明瞭に記入すること｡)
２．Numbers should be in Arabic numerals.（数字は算用数字を用いること｡)
３．Years should be written using the Anno Domini system. （年号はすべて西暦とすること｡)
４．Proper nouns should be written in full and not abbreviated. （固有名詞はすべて正式な名称とし，一切省略しないこと｡)* Personal data entered in this application will only be used for scholarship selection purposes, and contact information such as e-mail addresses
will only be used for forming related human networks after the student returns home and for sending of information by the Japanese Government.)(本申請書に記載された個人情報については，本奨学金の選考のために使用するほかは，特に E-mail アドレス等の連絡先については，
帰国後における関係者のネットワークを作ること及び必要に応じ日本政府より各種情報を送信する以外には使用しない。）(Sex)
１．Name in full in native language（姓名（自国語))(Family name)

In Roman block capitals（ローマ字）(Family name)□Male（男），(First name)(Middle name)□Female（女）(First name)(Middle name)□Single（未婚）(Marital Status)，（Write your name exactly same as is printed in your passport）

２．Nationality※ Possesion of Japanese nationality（国 籍）□Married(既婚)□Yes, I have.（はい）□No, I don’t have it.(いいえ)Paste a passport sized photograph

３．Date of birth(生年月日）

or digital image taken within the

19
Year（年）

past 6 months. Write your nameMonth（月）Day（日）

Age(as of April 1,2012)年齢(2012 年４月１日現在）

and nationality in block letters on
the back of the photo.

（4.5cm×3.5cm photo）
４．Present status with the name of the university attended or employer(写真(4.5cm×3.5cm))（現職（在学大学名又は勤務先名まで記入すること｡））

５．Present address and telephone number, facsimile number, e-mail address（現住所及び電話，ファックス番号，E-mail アドレス）
現住所(Present address）：
電話番号/FAX 番号(Telephone/facsimile number）：
E-mail address：* If possible, write an e-mail address that can be used for periods including the time before you come to Japan, your stay in Japan and the period after
you return home.
（可能な限り、渡日前～日本留学中～帰国後にわたり使い続けることが予想される E-mail アドレスを記入すること。）

６．Field of specialization studied in the past（Be as detailed and specific as possible.)（過去に専攻した専門分野（できるだけ具体的に詳細に書くこと｡））－20－

７．Educational background （学歴）Name and Address of School（学校名及び所在地）

Year and Monthof Entrance andCompletion(入学及び卒業年月)

Amount of timespent at theschool attended（修学年数）

Name
(学校名)

From
（入学）

years
（年）

Location
(所在地)

To
（卒業）

and
months
（月）

Name
(学校名)

From
（入学）

years
（年）

Location
(所在地)

To
（卒業）

and
months
（月）

Name
(学校名)

From
（入学）

years
（年）

Location
(所在地)

To
（卒業）

and
months
（月）

Name
(学校名)

From
（入学）

years
（年）

Location
(所在地)

To
（卒業）

and
months
（月）

Name
(学校名)

From
（入学）

years
（年）

Location
(所在地)

To
（卒業）

and
months（月）

Diploma or Degree awarded,
Major subject（学位・資格，専攻科目）
When taking leave of absence, theperiod and reason.
（休学した場合はその期間・理由）

Elementary Education(初等教育)
Elementary School（小学校）

Secondary Education（中等教育）
Lower Secondary School（中学）

Upper Secondary School（高校）

Higher Education（高等教育）
Undergraduate Level（大学）

Graduate Level（大学院）

Total years of schooling mentioned above（以上を通算した全学校教育修学年数）
as of April 1,2012（2012 年４月１日現在）

years
（年）

* If the blank spaces above are not sufficient for the information required, please attach a separate sheet．
((注) 上欄に書ききれない場合には，適当な別紙に記入して添付すること｡)
８．State the titles or subjects of books or papers (including graduation thesis authored by the applicant), if any, with the name and address of the publisher andthe date of publication.（著書，論文（卒業論文を含む｡）があればその題名，出版社名，出版年月日，出版場所を記すこと｡）－21－

９．Employment Record: Begin with the most recent employment, if applicable.（職歴）
Name and address of organization

Period of employment

Position

Type of work

（勤務先及び所在地）（勤務期間）（役職名）（職務内容）

From
To

From
To

10．Japanese language proficiency: Evaluate your level and insert an X where appropriate in the following blank space.
（日本語能力を自己評価のうえ，該当欄に×印を記入すること｡）
Excellent
（優）

Good
（良）

Fair
（可）

Poor
（不可）

Fair
（可）

Poor
（不可）

Reading（読む能力）
Writing（書く能力）
Speaking（話す能力）

11．Foreign language proficiency: Evaluate your level and insert an X where appropriate in the following blank space.
（外国語能力を自己評価のうえ，該当欄に×印を記入すること｡）
Excellent
（優）

Good
（良）

English（英語）
French（仏語）
German（独語）
Spanish（西語）

12．Have you been awarded a Japanese Government (Monbukagakusho) Scholarship in the past? If so, please specify the period, the name of the university, etc.
（過去に国費留学生に採用されたことがあるか。あるならば，その期間・受入大学名等を記入のこと。）
ⅰ) Yes, I have.
（ある）

Period:University:ⅱ) No, I have not.
（ない）
13．Accompanying Dependents (Provide the following information if you plan to bring any family members to Japan.)
同伴家族欄（渡日する場合，同伴予定の家族がいる場合に記入すること。）* All expenses incurred by the presence of dependents must be borne by the grantee. He/She is advised to take into consideration various difficulties andthe great expense that will be involved in finding living quarters. Therefore, those who wish to be accompanied by their families are advised to come alone
first and let their dependents come after suitable accommodation has been found.

(（注）なお同伴者に必要な経費はすべて留学生の負担であるが，家族用の宿舎をみつけることは相当困難であり賃貸料も非常に割高になるのであらかじめ承知されたい。このため，留学生はまず単身で来日し，適当な宿舎をみつけた後，家族を呼び寄せること。
Name（氏

Relationship

名）

(続 柄)

－22－

Age
（年

齢）

)

14. Person to be notified in applicant's home country in case of emergency:(緊急の際の母国の連絡先)
ⅰ） Name in full:（氏名）ⅱ） Address: with telephone number, facsimile number, e-mail address（住所：電話番号，ファックス番号及び E-mail アドレスを記入のこと｡）

現住所(Present address)：
電話番号/FAX 番号(Telephone/Facsimile number）：
E-mail address：ⅲ） Occupation:（職業）

ⅳ） Relationship:（本人との関係）

15.Immigration Records to Japan（日本への渡航記録）
Date（日付）

Purpose（渡航目的）

From
To
From
To

（I understand and accept all the matters stated in the Application for Japanese Government(MONBUKAGAKUSHO:MEXT) Scholarship for 2012, andhereby apply for this scholarship。
（私は 2012 年度日本政府（文部科学省）奨学金留学生募集要項に記載されている事項をすべて了解して申請します）

Date of application:（申請年月日）Applicant's signature:（申請者署名）Applicant's name（in Roman block capitals）：（申請者氏名）

－23－

（別紙）

専攻分野及び研究計画
Field of Study and Study Program

Full name in native language（姓名（自国語））(Family name)，(First name)(Middle name)Nationality（国

籍）

Proposed study program in Japan (State the outline of your major field of study on this side and the details of your study program on the backside of thissheet in concreteness. This section will be used as one of the most important references for selection. Statement must be typewritten or written in block
letters. Additional sheets of paper may be attached if necessary.)()

日本での研究計画；この研究計画は，選考の重要な参考となるので，表面に専攻分野の概要を，裏面に研究計画の詳細を具体に記入すること。
記入はタイプ又は楷書によるものとし，必要な場合は別紙を追加してもよい。

If you have Japanese language ability, write in Japanese.
（相当の日本語能力を有する者は，日本語により記入すること｡）
１

Field of study（専攻分野）

-24-

２

Study program in Japan in detail and concreteness（研究計画：詳細かつ具体に記入すること｡）-25-

Application Form Private Expense Foreign Students（私費外国人留学生用）
長崎大学大学院医歯薬学総合研究科特別コース(博士前期・博士後期)入学申請書
ＩＮＳＴＲＵＣＴＩＯＮＳ（記入上の注意）
１．The application should be typed if possible, or neatly handwritten in block letters. （明瞭に記入すること｡)
２．Numbers should be in Arabic numerals.（数字は算用数字を用いること｡)
３．Years should be written using the Anno Domini system. （年号はすべて西暦とすること｡)
４．Proper nouns should be written in full and not abbreviated. （固有名詞はすべて正式な名称とし，一切省略しないこと｡)

１．Name in full in native language（姓名（自国語))(Family name)，(First name)(Middle name)

In Roman block capitals（ローマ字）(Family name) ，(First name)（Write your name exactly same as is printed in your passport）(Middle name)２．Nationality（国 籍）

Possesion of Japanese nationality(Marital Status)□Single（未婚）□Married(既婚)□Yes, I have.（はい）□No, I don’t have.(いいえ)３．Date of birth(生年月日）
19Year（年）(Sex)□Male（男）□Female（女）Paste a passport sized photographor digital image taken within theMonth（月）Day（日）

Age(as of April 1,2012)年齢(2012 年４月１日現在）

past 6 months. Write your nameand nationality in block letters on
the back of the photo.

４．Present status with the name of the university attended or employer（現職（在学大学名又は勤務先名まで記入すること｡））（4.5cm×3.5cm
photo）(写真(4.5cm×3.5cm))

５．Present address and telephone number, facsimile number, e-mail address（現住所及び電話，ファックス番号，E-mail アドレス）
現住所(Present address）：

電話番号/FAX 番号(Telephone/facsimile number）：

E-mail address：* If possible, write an e-mail address that can be used for periods including the time before you come to Japan, your stay in Japan and the period after
you return home.
（可能な限り、渡日前～日本留学中～帰国後にわたり使い続けることが予想される E-mail アドレスを記入すること。）
６．Field of specialization studied in the past（Be as detailed and specific as possible.)（過去に専攻した専門分野（できるだけ具体的に詳細に書くこと｡））

26

７．Educational background （学歴）Name and Address of School（学校名及び所在地）

Year and Monthof Entrance andCompletion(入学及び卒業年月)

Amount of timespent at theschool attended（修学年数）

Name
(学校名)

From
（入学）

years
（年）

Location
(所在地)

To
（卒業）

and
months
（月）

Name
(学校名)

From
（入学）

years
（年）

Location
(所在地)

To
（卒業）

and
months
（月）

Name
(学校名)

From
（入学）

years
（年）

Location
(所在地)

To
（卒業）

and
months
（月）

Name
(学校名)

From
（入学）

years
（年）

Location
(所在地)

To
（卒業）

and
months
（月）

Name
(学校名)

From
（入学）

years
（年）

Location
(所在地)

To
（卒業）

and
months（月）

Diploma or Degree awarded,
Major subject（学位・資格，専攻科目）
When taking leave of absence, theperiod and reason.
（休学した場合はその期間・理由）

Elementary Education(初等教育)
Elementary School（小学校）

Secondary Education（中等教育）
Lower Secondary School（中学）

Upper Secondary School（高校）

Higher Education（高等教育）
Undergraduate Level（大学）

Graduate Level（大学院）

Total years of schooling mentioned above（以上を通算した全学校教育修学年数）years
as of April 1,2012（年）（2012 年４月１日現在）* If the blank spaces above are not sufficient for the information required, please attach a separate sheet．
((注) 上欄に書ききれない場合には，適当な別紙に記入して添付すること｡)
８．State the titles or subjects of books or papers (including graduation thesis authored by the applicant), if any, with the name and address of the
publisher and the date of publication.（著書，論文（卒業論文を含む｡）があればその題名，出版社名，出版年月日，出版場所を記すこと｡）* Please attach abstracts of those papers to this application.
（(注)論文の概要を添付のこと｡）

27

9. Employment Record: Begin with the most recent employment, if applicable.(職歴)
Name and address of organization(勤務先及び所在地)

Period of employment(勤務期間)

Position(役職名)Type of work
(職務内容)

From
To
From
To

10. Japanese language proficiency: Evaluate your level and mark with an × where appropriate in the following blanks.

(日本語能力を自己評価のうえ、該当欄に×印を記入すること。)
Excellent (優)Good (良)Fair (可)Poor (不可)Reading (読む能力)
Writing (書く能力)
Speaking (話す能力)

11. Foreign language proficiency: evaluate your level and mark with an × where appropriate in the following categories.
(外国語能力を自己評価のうえ、該当欄に×印を記入すること。)

Excellent (優)Good (良)English (英語)
French (仏語)German (独語)
Spanish (西語)28

Fair (可)Poor (不可)専攻分野及び研究計画
Field of Study and Study Program
Name in full, in native language(姓名(自国語))
Family nameFirst nameMiddle nameNationality(国籍)
Proposed study program in Japan (State the outline of your major field of study on this side and the details of yourstudy program on the backside of this sheet. This section will be used as an one of the most important reference
for selection. Statement must be typewritten in block letters. Additional sheets of paper may be attached if
necessary.
日本での研究計画；この研究計画は、選考の重要な参考となるので、表面に専攻分野の概要を、裏面に研究計画の詳細を記入すること。
記入は楷書によるものとし、必要な場合は別紙を追加してもよい。

If you have Japanese language ability, write in Japanese.
(相当の日本語能力を有する者は、日本語により記入すること。)

1. Field of study (専攻分野)

29

2. Study Program in Japan in detail and concreteness(研究計画;詳細かつ具体に記入すること。)

30

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