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Hosei University Exchange Students from Overseas Program (ESOP) Application Form　－２
＜ Application for Certificate Of Eligibility ＞

1 Your information
2 Confirm your info
3 Submit
This continues from Application 1

ACAEMIC YEAR 2020
Should be typed with block letters.

Attention:
Save the form frequently to prevent losing the input data accidentally!

If you have any questions, please contact " esop@ml.hosei.ac.jp ".
　
　
1. Applicants Name
(Please type same as your passport)* required
Surname　(Example: BOISSONADE)

　

Forename <First / Given name> (Example: GUSTAVE)

　

Middle name(s) (Example: EMILE)

≪required: only if it appears on your passport≫
2. Email address　Ｅメールアドレス* required

Verify email address　確認用
3. Describe the amount of support while you are in Japan
　*Applicant should have the amount of expenses below
　　【 1 semester stay (for half a year)】:480, 000 yen at least
　　【 2 semester stays (one year)】:960,000 yen at least
　
　日本に滞在する際の財政支援詳細
　*申請者は以下の金額を保有する必要がある
　　【 1 セメスター(半年)】:480, 000円以上
　　【 2 セメスター(1年)】:960,000円以上* required
◆ Self (Own fund) 本人負担
　Total  Yen / 円  
◆ Supporter living abroad　在外経費支弁者負担
　Total  Yen / 円  
◆ Scholarship 奨学金
　Total  Yen / 円  
◆ Others　その他
　Total  Yen / 円  
　
≪We calculate for living expenses in Tokyo as average 80000yen per month.≫

Make sure to meet the amounts above for the bank statement which you will attach as below.　You may add up the balances of all supporters.
　
　
4. Evidence of means of support while in Japan 滞在中の財政的支援

Required to submit the bank balance statement of all the persons who turned on a check here.
This is intended to prove who supports your expense as your "supporter " while you are in Japan.* required
Multiple answers allowed
(Without including yourself; Max two person.)

　
Describe the details if the answer is "Other" from above
上記で『その他』を選択した場合、下記に詳細を回答すること

　
5. Attach the bank balance statement of all the persons who turned
　on a check above as your "supporter". (Include self)
　≪Either in English or Japanese≫
　If there is more than one to attach, make all papers in one file.

　滞在中の財政的支援証明書類として、上記該当者（本人を含む）の銀行残高
　証明書類を全て添付してください　≪日本語か英語で表記されているもの≫
　書類が多数ある場合は、一つのファイルにまとめて添付すること

＜Refer to “Immigration procedure” on ESOP application website＞* required
up to 10 MB. making a zip file or compressed files.
1.Necessary Information on the document in English
　- The account holder’s name
　- Total funds
　- Date of issue
　- Stamp of bank
2.If you want to include scholarship, you must submit the certificate.

1.添付書類には口座保有者の名前、残高合計額、発行日、銀行のスタンプが必要。
2.奨学金を含める場合は、証明書が必要。
Attach the Certificate of a scholarship
up to 10 MB. making a zip file or compressed files.
≪Either in English or Japanese≫
If there is more than one to attach, make all papers in one file.

奨学金の証明書を添付してください。≪日本語か英語で表記されているもの≫
書類が多数ある場合は、一つのファイルにまとめて添付すること
6. Your supporter's information 　経費支弁者情報* required
Describe the all required information of each supporter (or yourself) as below.
*Supporter : Person who appears on the bank balance statement.

①Full Name (Mr. /Ms. ) 名前（男性・女性）
　Example) Mr.Taro Hosei

②Relationship 申請者との関係　
　Example) Father

③Address 自宅住所
　Example) 2-17-1 Fujimi, Chiyoda-ku, Tokyo 102-8160 Japan

④Telephone number (Home) 自宅電話番号
Example) +81-3-3264-9408

⑤Occupation 職業
　Example) Teacher


⑥Place of employment 勤務先名称
　Example) Hosei High School


⑦Annual income (applox; Yen) 年収
　Example) approximately　5,000,000yen


⑧Telephone number (Work) 職場電話番号
　Example) +81-3-3264-4119
7. Method of support to pay for expenses while in Japan* required
1）Do you have a plan to receive any kind of scholarships for your study abroad?
　　 

　
Describe the details if the answer is "Yes" from above
　・Name of scholarship,
　・Name of the provider,
　・Total amount, (currency)
　・Period of receiving
上記で『有』を選択した場合、上記の詳細を回答すること


2）Which one is the type of your schorlarships?
　　 

3）Do you have any plan that allows a part of the scholarship to school expenses? (part of tuition)
　　 
8. Passport information パスポート情報
1）Passport number パスポート番号

　　  　Example: AB1234567  
　

2）Date of expiration  Month  Day 西暦  Year 
　　パスポート有効期限
　　
Please insure you have a passport valid for the duration of your study abroad.
有効期限が留学期間中有効なのかを確認ください。
9. Attach the scanned copy of identification photo page of your
　passport, only if you have any existing passport at this moment.
　現在有効のパスポートを持っている場合、パスポートの写真ページを
　スキャンして、以下に添付してください
up to 10 MB. making a zip file or compressed files.
Please include all of the passport information such as numbers and expiry date for verification with your photo page.
　
NOTE: If you do not have any existing passport at this moment,
you should apply for it immediately. And submit the scanned data by email to　" esop@ml.hosei.ac.jp " as soon as you received it.
　　You must check below
　
　　　　　　　 
10. Intended place to apply for visa in your country 査証申請予定地* required
Describe the applicable Japanese embassy or Japanese consulate in your country

Example: Chicago
11. Port of Entry in Japan　上陸予定空港* required
Describe the applicable Airport on your arrival to Japan

Example: Narita Airport
12. Past entry into/depature from Japan 過去日本への出入国歴* required
Have you ever been to Japan? 
Fill in the followings when the answer is "Yes" from above
上記で『有』を選択した場合、下記も回答すること
Describe the all numbers of entry record to Japan
1）How many times?  time(s)  
2）The latest entry from  Day  Month 西暦  Year 
　　　　　　　　　　　　to  Day  Month 西暦  Year 
13. Criminal record (in Japan/overseas) 過去の犯罪履歴* required
(in Japan / overseas) 

Describe the details if the answer is "Yes" from above
上記で『有』を選択した場合、下記に詳細を回答すること
14. Departure by deportation/departure order 強制退去/出発命令* required
(in Japan) 
Fill in the followings when the answer is "Yes" from above
上記で『有』を選択した場合、下記も回答すること
Describe the all numbers
1）How many times?  time(s)  
2）The latest date  Day  Month  Year  強制退去日  
The latest departure by deportation
15.Handling of Personal Information at Hosei University
　　法政大学での個人情報取り扱いについて
　　Hosei University complies with laws such as the Act on the
　　Protection of Personal Information and implements operations.
　　法政大学は個人情報保護法などの法律を遵守し、業務を遂行しています。

　　Please click the below two links and read the 'Handling of Personal
　　Information at Hosei University' and the 'Act on the Protection of
　　Personal　Information' and then check the box if you have understood.
　　以下二つのリンクをクリックし、「法政大学の個人情報の取扱い」と「個人情報の
　　保護に関する法律」を読んで理解して頂いた場合は、チェックを入れてください。
　1) http://www.global.hosei.ac.jp/Handling-of-Personal-Information
　2) http://www.japaneselawtranslation.go.jp/law/detail_main?id=130
　
16. ONLY If you are "Privately-Financed student 私費留学生"
Recommendation Letter 1 and 2 up to 10 MB. making a zip file or compressed files.
1)Please attach recommendation letter from 2 different professors
　of your home institution. <contents are free format>
　在籍大学からの公式な『推薦状』２通 (在籍大学のフォーマットに、
　別々の教授によって書かれたもの)が必要です。以下に添付してください ＜自由書式＞
　　*If it comes sealed, attach with after opened it yourself.
　　*厳封されている場合は、自身で開封してから添付してください。
2) Choose one　一つを選んでください。

3) Name of Faculty(at Hosei) 希望する在籍学部名

＊Exchange student(undergraduate) will assigned to each faculty automatically.
　交換留学生（学部生）は各学部に自動的に配属されます。
Any comments?　メッセージ
◆◆◆Congratulations!◆◆◆

You have now completed the application.
We will contact you by email, whenever we need more additional information from you.


Note:
If you have not yet completed - Application Form 1- ,
you should continue to finish it successively.

This application is not completed until both Application Form 1 & 2 are completed.