Applicant’s Name:.

Form①

Application Checklist and Submission Instructions
出願書類のチェックリストと出願の説明

O-NECUS Program 2025-2026
Application Submission to Okayama UniversityFriday, December 13, 2024
Application documents for O-NECUS program 2025-2026 are now available.
We encourage you to gather and complete following documents sooner.
2025 年度入学の O-NECUS プログラムの募集要項ができました。
早めに書類を揃えるようにして下さい。
1. Read the instruction carefully on the form as you complete your applications. 願書をよく読む。
2. Take TOEIC, TOEFL, IELTS, or/and JLPT. 語学能力試験を受ける。
3. Find a department which suite you the most. 自分にあった教育研究分野を見つける。
Departmental Information: https://www.fhs.okayama-u.ac.jp/zh/teacher_cn/
4. Get a permission to take an exam from prospective supervisor in Japan. 受験の許可を得る。
5. Provide the documents in the checklist below. 下記にあるチェックリストの書類を全て準備する。
6. Submit your completed documents to the International Office at your university.
大学へ出願書類を提出する。
7. Take Oral Examination (March) 面接を受ける。（3 月）
8. Wait for the result (Middle of April) 合格発表を確認する。（４月中旬）★Document Checklist★
All documents must be written in English/

すべての出願書類は英語で記入してください。

Please mark ■ if you provided□1． Application Checklist and Submission Instructions 【Form①】
出願書類のチェックリストと出願の説明【様式①】□2. Application for O-NECUS Program 2025-2026 【Form②】
入学願書【様式②】□3. O-NECUS Program Personal History Form 【Form③】
O-NECUS プログラム履歴書【様式③】□4. Certificate of Student Registration issued by your university 【Official document】
現在在籍している大学の在籍証明書【大学が発行する公式なもの】□5. Letter of Recommendation from your professor with his/her signed【Form④】
在籍大学指導教授の推薦書【様式④】□6. Personal Statement of Research Planning Sheet【Form⑤】
研究計画書【様式⑤】□7. Certificate of Health【Form⑥】
健康診断書【様式⑥】□8. Original or certified copies of official test scores and transcripts
語学能力を証明する書類□9. E-mail exchange record between you and prospect supervisor at Okayama Univ.
※In the E-mail, there has to be a statement that the supervisor agrees you totake an examination.
受入希望教員との E-mail 交信録 ※受験可能な旨を記載してあること。
□10. Copy of your Passport (if you have)
パスポートのコピー (持っている方のみ)

Form②

Application for O-NECUS Program 2025-2026
You must complete and submit required application documents no later than December 13, 2024.

If you miss the deadline or make an illegible response will result in revoked or cancelled theregistration.
■Applicant Name

Please print your name as it appears or will appear in your passport.

(自国語) Native language

Photograph(45mm x 30mm)(ピンイン) Pinyin

FAMILY NAMEFirst name■Marital StatusSingle■Date of Birth/

yyyy/

mm

Married

Gender/Age/

FemaleMaledd■Current Address, Telephone Number, and Email(Current Address)(Telephone Number)(Email)■Current Student Status at University in China(Institution)(Division)(Department)

Period of Enrollment

From//To//■Previous Student Status at University in China (Undergraduate)(Institution)(Division)(Department)

Period of Enrollment

From/

/

■Prospective Supervisor at Okayama University(Department)(Supervisor)■Title of Research at Okayama University(English)■Keywords(English)■Supervisor at University in China(Email)To//Form③O-NECUS Program Personal History Form
Applicant’s Name
(自国語) Native language(ピンイン) Pinyin

FAMILY NAMEFirst name

Name

Year and Month ofEntrance and Completion
FromToDuration

Primary Education

Academic
RecordLower Secondary
Education
Upper Secondary
Education
Tertiary Education（Undergraduate）
Tertiary Education（Graduate）
FromEmployment

Name of organization and position

Torecord

List your significant publications (published paper, presented paper, report, conferences, etc.). Please giveenough infomation such as title, year, journal name, co-authors in order for the committe to check thework.
【English】

Language

Japanese

proficiency

English(e.g.TOEFL score 570）

OthersAfter you are accepted and enrolled at Okayama Univ., and you have to go back your country
during O-NECUS program (October 1, 2025 ~ September 30, 2026) due to any unavoidable
reasons, such as the medical exam, please write a month and reason.
When:Reason:

Form④

Letter of Recommendation
Dear Dean,
Graduate School of Health Sciences,
Okayama University
I recommend this applicant below for admission to O-NECUS program 2025. I believe that he/ sheis a capable to perform at a superior level. I hearby agree that I will supervise him/her jointly withsupervisors at Okayama University.
(自国語) Native language(ピンイン) Pinyin

FAMILY NAMEFirst nameTitle of Research at University in China(English)

Please use the space below to describe the applicant’s ability.

DateName

Signature

Position
Organizational Affiliation
Telephone

EmailForm⑤

Personal Statement of Research Planning SheetApplicant’s Name
(自国語) Native language(ピンイン) Pinyin

FAMILY NAMEFirst nameInstitution
Supervisor at University in China
Title of Research at Okayama University(English)

Please use the space below to describe general information about your research.

Form⑥【様式任意】

CERTIFICATE OF HEALTH

健康診断書*Fill in this form in English
受験番号※Examinee’sNumber氏

□□

名Name

現住(FAMILY NAME)(First name)

生年月日年月日生（満Date of BirthYearMonthDay

男 Male
女 Female歳）

Age所

Present Address

既往症

Past History

身長体Heightcm

重Weightkg( With Glasses or Contact Lenses )視力Eyesight

右 Right（）

左 Left（）

胸部Ｘ線□ 間接 Indirect

Chest X-ray
Examination

所見

聴力Hearing

右 Right
左 Left□ 直接 DirectImpression

内科理学的所見
Physical or PsychologicalConditions

現在の健康状態及び疾病異常
Present Condition ofHealth and Disease

その他の所見Other Remarks

上記のとおり診断します。

I hereby declare that the above statement given above is true and correct.

年月日

YearMonthDay

医師氏名 (Physician’s Name in Print):
医療機関名 (Office/Institution):
住所(Address):

電話番号 (Telephone Number):印
Official Seal and Signature（注）診断事項中，異常がない場合もその旨記入して下さい。 ※の欄は記入しないでください。
Please fill in this paper even you cannot find any abnormality. Colum※is an office use only.