Attachment 1 E※ No entry required
Examinee’s number※／／Date：Day Month, Year

Detailed Statement of Application Documents (Eligibility Assessment)
Master's Program at Graduate School of Engineering Science(Japanese Government Scholarship),Yokohama National University
NameUnit
Specialization

Submit this statement as an attachment along with your application documents. Enclose the necessary
documents and put a circle in each corresponding check box.
（Check box）
Application document

Application

forcertificate

Formofeligibility12Note

Print out the form after downloading it from the website of theGraduate School of Engineering Science.

Eligibility Accreditation Record

13

Print out the form after downloading it from the website of the Graduate
School of Engineering Science.

Certificate of (expected) graduation orenrollment period from the mostrecent educational level-To be prepared by the president or dean of the school where the applicant
was or is enrolled.

Transcript from the school where theapplicant was or is enrolled.

-

To be prepared by the president or dean of the school where the applicant
was or is enrolled.

A size-L3 return envelope-Write the recipient's name and address on the envelope and affix stamps(354yen). Remember that the recipient must be in Japan.

Record of Research Achievements

16

Print out the form after downloading it from the website of the Graduate
School of Engineering Science.

(Desired) Research Plan

17

Print out the form after downloading it from the website of the Graduate
School of Engineering Science.

Eligibility
４－２，５Form12 E※No entry required
Examinee’s number※／／
Date：Day Month, Year

Application for certificate of eligibility
Master's Program at Graduate School of Engineering Science,
Yokohama National University (Japanese Government Scholarships)

International students: Eligibility (4)-2 or (5)To the Dean of Graduate School of Engineering Science, Yokohama National University
NameSignature

Date of Birth／／（）Address
Phone number
I would like to apply to the Master’s program to major intaking the Specialization inin academic year〔 〕Eligibility ( 4 ) - 2.
〔 〕Eligibility ( 5 ).

by(admission in the month of).

* Place a circle in the relevant brackets.
Please find attached documents for the application for certification of eligibility.

1．Submitted documents（1） Application for certificate of eligibility (Form 12)（2） Background statement for certification of eligibility (Form 13)（3） Certificate of (expected) graduation or enrollment period from the most recent
educational level（4） Transcript from the most recently completed educational level（5） Record of Research Achievements (Form 16)（6） (Desired) Research Plan (Form 17)（7） An addressed return envelope (Size-L3) with 354 yen worth of stamps for express
mail2．Name of Organization

Form13 E※Please leave it blankExaminee’s number※

Eligibility Accreditation Record／／
Date：Day Month, Year

Graduate School of Engineering Science (Master’s Program),
Yokohama National University (Japanese Government Scholarships)
International students: Eligibility (4)-2 or (5)DepartmentPreferred
Department etc

Unit
Specialization
Educational program
Academic supervisor

Name

Current Address(Zip Code)（Phone）

Date of birth
Employer
Position/Title
Address／／
Not required for unemployed applicantsYear and Month

Academic Background: High School Graduation or Higher

Year and Month

Professional Background & Research History

Year and Month

Provide details of academic & other social activities, national qualifications, international study& other noteworthy items, Attach certificates where available.

Form16 E※ Please leave it blankExaminee’s number※／／
Date：Day Month, Year

Record of Research Achievements
Graduate School of Engineering Science (Master’s Program), Yokohama National University(Japanese Government Scholarships)
International students: Eligibility (4)-2 or (5)Department
Preferredetc

Department

UnitSpecialization
Educational program
Academic supervisor

Name
Date ofpublication orpresentation

Title of the academic paper,
research report, patent, etc.

Name of the publisher, the magazine
in which the finding was reported,
the academic conference at which
the finding was presented, etc.

Note:Please attach separate prints or copies of your thesis , etc.

Name of the coauthor or
co-presenter

Remarks

Form17 E※Please leave it blankExaminee’s number※／／
Date：Day Month, Year(Desired) Research Plan
Graduate School of Engineering Science (Master’s Program), Yokohama National University(Japanese Government Scholarships)
International students: Eligibility (4)-2 or (5)Department
Unit
Preferred Department etc

Specialization
Educational program
Academic supervisor

Name

Desired research plan (up to 500 words)