| Personal Information: |
Family Name
(as it appears on your passport) |
|
First Name
(as it appears on your passport) |
|
Middle Name
(as it appears on your passport) |
|
Family Name
(in Japanese katakana) |
|
First Name
(in Japanese katakana) |
|
Middle Name
(in Japanese katakana) |
|
| Nationality |
|
| Gender |
Male
Female |
| Date of
birth |
e.g. 1996/01/25
(yyyy/mm/dd) |
| Country of
your home institution |
|
| Home institution |
|
| Study level |
|
| Year-level |
|
| Expected date of
graduation |
e.g. 2025/05/15
(yyyy/mm/dd) |
|
Faculty/Department/Graduate School |
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| Major (and Minor
if any) |
|
Statement of Purpose
(*in less than 250 words) |
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Education:
Name of Institution, Major, Location, Period (yyyy/mm-yyyy/mm), Degree Earned
[e.g. Keio University, Law, Tokyo JAPAN, 2000/09-2004/06, B.A.] |
|
Academic history going back until high school |
|
Employment:
Name of Organization, Location, Type of Work, Period (yyyy/mm-yyyy/mm)
[e.g. XXX Law Firm, Tokyo JAPAN, Paralegal, 2000/09-2004/06] |
|
Most recent employment record |
|
| Contact information: |
| Telephone number |
[e.g. (+81) 3-5427-1798]
Please be sure to include the country code, (+XX).
|
| E-mail address |
[e.g.
taro_keio@keio.ac.jp]
Note: Screening results and further instructions will be sent to this e-mail address. Please be sure to register the e-mail address that you use/check regularly.
|
| Confirm e-mail address |
[e.g.
taro_keio@keio.ac.jp] |
| Others: |
| How did you find out about this program? |
Professors
Friends/acquaintances
Relatives
Home University
Study Abroad Fairs [e.g. EJE]
Website [e.g. Keio University's website]
SNS (Please specify.) [e.g. Facebook, Instagram, etc.]
Others (Please specify.):
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I certify that the information given in this application is complete and accurate to the best of my knowledge, and I hereby agree to the following statements:
- If admitted to this program, I agree to comply with the rules and regulations of Keio University;
- I understand and agree to the cancellation policy described on the webpage,
https://www.ic.keio.ac.jp/en/study/short/kjsp/procedure.html ;
- I understand that students are expected to participate in ALL scheduled classes and activities;
- I understand that my name, the name of my home institution, and my e-mail address will be listed on the KJSP2024 participant list to be shared among the participants; and
- I understand that photos and videos will be taken throughout the program, and they may be used by Keio University for its PR activities on various media, including the university website, Social Network Services, and/or in promotional literature.
|
| A copy of
your official transcript* |
*Click the button above and upload your transcript
in PDF format.
*If issued in a language other than English, please also upload an English translation. |
| GPA |
GPA
on a
scale
|
An
English translation of the transcript
*If applicable |
*Click the button above and upload an
English translation of the transcript in PDF format.
|
| A copy of your passport (the page including your photo)* |
*Click the button above and upload a
copy of your passport in PDF format
|
| Your photo* |
*Click the button above and upload
your photo in JPEG format
*taken within the last 3 months, 3cm x 4cm, color, glossy
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