To,

The Candidate,

No.F.2-112015- ES.3 Government of India

@ Ministry of Human Resource Development

Department of Higher Education

External Scholarship Division, West Block I, 2nd Floor, Wing-6, R. K. Puram, New Delhi-!! 0066.

Dated the 15th June, 2015

Subject: Japanese Government !MEXTJ Scholarship 2016 for P.G./Research and PhD.

( refer list attached.)

Dear Candidate,

I am directed to refer to your application for Japanese Government Scholarship-2016 and to inform you that the written Examination (English and Japanese Language) and interview for the scholarship will be held on 26th I 29th /30th June, 2015, as indicated against each subject in the attached list. You are requested to report to Mr. Surajit Sinha, Adviser (Japan information centre) sharp at 8:30AM at Delhi Public School (DPS) RK Puram, Sector XII, New Delhi 110022, on the date on which the interview in respect of your subject field has been scheduled, for written examination of English and Japanese Language. After the written examination, the interview will be held on the same date at Scholarship Division, M/HRD, West Block- I, 2"d floor, wing 6th, R.K. Puram, New Delhi.

2. A copy of the application form prescribed by the Japanese Government is enclosed herewith. You are required to bring four sets of duly filed in application (Stapled and self photo pasted on each set of application). One set of application should be in original with attested documents and the other three sets may be photocopies of the original set. For any application form related queries, you may directly contact Mr. Suraiit Sinha at Phone No. 011 46104865 or at Email: ipemb.sinha@Jid.mofa.go.jp

3. It may be noted that the performance in the Japanese Language test will not affect the selection of Candidate, except those who have applied for Japanese Language and Literature and Japanese study. The marks obtained in English Language test will, however, affect the selection of candidate.

4. This Department will reimburse the second class sleeper train fare by shortest route /bus fare (both ways) in case of the candidates coming from outside Delhi. T A claim form will be provided at the venue of the interview. You are requested to bring all the original certificates at the time of interview for verification and the application form duly completed in all respect along with the documents mentioned hereunder:

5. It is advised that the candidates who do not possess the required percentage i.e. 65 % or cannot obtain mark sheet and degree on or before 1 Apri12016 need not appear before Selection Committee. Proof of conversion of grade into percentage from University/institution attended must be submitted before interview. Such students who do not fulfill the eligibility condition are not allowed for interview and they will not be given T A.

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Documents to be attached and instruction to be followed as given below :-

1) Application for Admission (prescribed form), Field of Study and Study Program (Attached)

2) The applicant must write his/her name and nationality on the back of each photograph (6X4 em) and paste them on the application forms.

3) Certified academic records of each academic year ofthe Board & University attended.

4) Recommendation from the principal or two professor of the last university attended.

5) Recommendation from the present employer (if employed)

6) Medical certificate on the prescribed form (Minimum MBBS Doctor).

7) An acceptance letter of any Japanese University, if any or any letter of communication with any Japanese University/Professor.

8) 'No Objection Certificate' in original from employer, if employed, must be brought at the time of interview.

9) Experience Certificate.

I 0) Please don't fold the application forms & bring all your original testimonials I Degree etc. at the time of interview with photocopy of rail/bus fare ticket for payment ofT A.

II) You are also requested to submit your feedback about the interview after you have finished the interview.

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Yours faithfully,

jm~k) Section Officer(ES)

Phone: 26172492

No.F .2-1/20 15-ES.3 Government of India

Ministry of Human Resource Development Department of Higher Education

ES. 3 Section.

NOTICE FOR PUBLIC

Subject: Japan Government [MEXT] Scholarship 2015- Date of interview - regarding.

The following candidates have been short-listed for interview for the Japan Government Scholarship 2015 scheduled from 26th. 29'\ and 30'h June, 2015 for the subjects mentioned below. If any discrepancy is noticed in the name and particulars, this may be brought to the notice of the Ministry at the earliest. All communications may be made to Telephone No. 011-26172492 only.

... && ---- -- ... ~ ----- - --- ..... __ ... _ 'U'& .......... _ ... --·· -"' ........ _ ............................................

S. No. Name of the Candidate Level of Course Date of Birth I

1. SURAJ MANGANG WAREPAM PG 31 Mar1992 '

2. RAJ SHEKHAR PG 18 Nov 1993

3. KHALID MUZAMIL GANI PG 01 Jul1988

4. HARVINDER SINGH PG 13 Nov 1991

5. ANURAG PANDEY PG 25 Aug 1991

6. SAMEER SINGH PG 31 Dec 1994

7. PRIYANKA MISHRA PG 05 Nov 1991

8. ADITYA MISHRA PG 08 Sep 1990

9. YOGESH GOYAL PG 18 Nov 1994

10. AYUSH SINGHANIA PG 25 Jul1991

11. SAMEEUDDIN SHEIKH PG 10 Mar 1993

12. VENKATESH KUMANAN PG 21 May 1994

13. RAJAMURUGAN S PG 02 Jul1990

14. SUM IT PG 01 Apr 1992

15. RAHUL SINHA PG 05 Dec 1989

16. SUNNY SOARABH PG 26 Jul1993

_. ... -- --- .. --- ....... --· ......... w ...... _. ........ ,._ .................. ....... .., ___ ... _ ................ _ .......... -... ..,.., _...,_.__. -· ........ _. .... .._'"".._ ... S. No. Name of the Candidate Level of Course Date of Birth

1 NIKHIL SON I Ph.D 08 Dec 1988

2 PRAVEEN P Ph.D 05 Mar 1992

3 SURAJIT MURASINGH Ph.D 09 Aug 1987

4 PIYUSH MOHANTY Ph.D 04 Feb 1988

5 SAKETKUMAR Ph.D 23 Dec 1990

6 BIJESH C M Ph. D 21 Sep 1989

7 DEEPAK KUMAR SAMAL Ph.D 18 Feb 1988

- -s.-

8 YASHWANTH H Ph.D 19 Mar 1990

9 RITHIKA DULAM Ph.D 26 Jun 1987

10 SRISHTI VISHWAKARMA Ph.D 18 Oct 1991

11 PRASANN SONI Ph.D 08 Oct 1991

12 YOGESH RAGHUNATHRAO JADHAO Ph.D 29 Oct 1989

13 NAWNIT KUMAR Ph.D 16 Feb 1990

14 PRASAD GANESH SANSARE Ph.D 25 Jun 1989

Architecture Date oflnterview 26-06-2015 at 10:30 AM . -~- . -- .. . . . .

S. No. Name of the Candidate Level of Course Date of Birth 1 SRISHTI JOSHI PG 09 Oct 1990

Architecture - - ------ - - Date of Interview 26-06-2015 at 10:30 AM S. No. Name of the Candidate Level of Course Date of Birth

1. ANAYANAND Ph. D 02 Jan 1986

2. RICHA KANDPAL Ph.D 02 Jan 1989

3. CHATTERJEE AMRITA BIJAN Ph.D 01 Feb 1986 --

El . &C E . ................... " ............. -- - ----------------- --- ------ -- Date I ----- . -- .. 26-06-2015 at 10:30 AM S. No. Name of the Candidate Level of Course Date of Birth

1. SYED ATHAR HUSSAIN PG 07 Sep 1991

2. SHIV AM BINDAL PG 29 Jan 1993

3. ARPITARORA PG 14Apr1991

4. SUNIL KUMAR PANDEY PG 15 Jul1987

5. SURYA PRAKASH CHOURASIYA PG 05 Jul1991

6. UDYAN SAH PG 28 Mar 1993

7. N AV SURYANARAYANAN PG 01 Jun 1994

8. RICHA PG 18 Jun 1989

9. OSWALD YUREMBAM PG 16 Mar 1992

10. MAN ISH AGGARWAL PG 01 Aug 1992

11. RAHUL MALIK PG 25 Jun 1991

12. NAIK PARTH RAJUBHAI PG 13 Jan 1993

13. MANISHA MISHRA PG 22 Jun 1992

14. SIBASHRIT PATTNAIK PG 25 Mar 1994

15. RIDDHI RAJENDRABHAI DASANI PG 25 Apr 1994

16. DILIP CHICKMAGALUR RENUKA PG 16 Oct 1988 PRASAD

17. KRISHAN KUMAR TIWARI PG 02 Jun 1982

18. RUCHIN PG 10 Aug 1992

19. RAHULKUMAR PG 11 Nov 1990

20. SHALINI SINGH PG 17 Oct 1989

-~~

21. RICHA PG 11 May 1985

22. IGNATIUSM PG 16 Oct 1988

23. ASHISH GAUTAM PG 03 Sep 1991

24. MANJEET PG 20 Jun 1993

25. MAL Y A RAMESH PG 22 Jul1991

26. VINODGV PG 14 Oct 1989

27. ABHISHEK PAREEK PG 29 Oct 1992

28. VIKASH CHANDRA MISHRA PG 13 Sep 1991

29. PRATEEK SHARMA PG 18 Sep 1993

30. GORANTLA VENKATA SUNDEEP PG 25 Apr 1995 KUMAR

......... --..................... - .............................. _.&'U'&A"" ..... a.~~ ..... - ...... ···~ --·- va --•••"'• ••'-'"" .,."-""-.,...,.._..., _._ _...., • ...,.., .r~t.J.'I'.._

S. No. Name of the Candidate Level of Course Date of Birth 1 NINGOMBAM DEVARANI DEVI Ph.D 02 Feb 1989

2 NIPUNVATS Ph.D 12 Mar 1983

3 SATYAM SRIVASTAVA Ph. D 28 Nov 1988

4 SUNIL KUMAR PANDEY Ph.D 15 Jul1987

5 VISHAL SHARMA Ph.D 10Jul1986

6 AVINASH LAHGERE Ph. D 28 Nov 1990

7 ANAND MISHRA Ph.D 26 Aug 1988

8 NAVEEN KUMAR Ph.D 19Nov1991

9 AMIT CHAUDHARY Ph.D 05 Oct 1985

10 UTTAM KUMAR DAS Ph.D 27 Apr 1990

11 NEELESH GUPTA Ph.D 20 Aug 1988

12 BALA KRISHNA NAALLAMOTHU Ph. D 02 Jun 1991

13 ANILSHARMA Ph.D 05 Aug 1987

IT/Optical fiber Communication Date oflnterview 26-06.2015 at 10:30 AM ------------------- --------------------

S. No. Name of the Candidate Level of Course Date of Birth 1. HARA PRASAD RATH PG 01 Oct 1992

2. SAPAN SHARMA PG 13 Apr 1987

3. PRATEEK KUMAR DONGRE PG 25 Jan 1992

4. SUJIT KUMAR MUDULI PG 10Jul1992

5. NITIN KUMAR SHARMA PG 01 Jan 1983

6. SHARATH BABU NAGARAJAN PG 30 Jun 1990

7. PARTHADAS PG 20 Sep 1989

8. ASHISH POKHRIYAL PG 08 Jun 1994

~ ~-

9. WAIKHOM PITHOIJIT SINGH PG 10 Mar 1993

10. UMANG BHARGAVA PG 14 Apr 1994

11. MEGHALEE GOSWAMI PG 08 May 1991

12. VARUN SAHAI MATHUR PG 03 Mar 1992

13. SAUMYA SINGH PG 04 Apr 1992

14. SUNIL KUMAR MAURY A PG 16 Jan 1989

15. PALLA VI SHARMA PG 12 Oct 1994

16. KANIKA VERMA PG 07 Jun 1992

17. SABYASACHIMUKHERJEE PG 05 Aug 1992

18. DIPTESH KANOJIA PG 02 Nov 1987

19. SUMITLAHA PG 10 Jan 1991

20. NISHTHA MADAAN PG 05 Dec 1992

21. YESHASHREE PRASANNA PG 18 May 1992

22. VISHAL BEHERA PG 26 Sep 1994

23. BABY PATHAK PG 03 Sep 1995

24. SRINIVAS CHOUDHURY PG 25 May 1993

IT/Optical fiber Communication Date oflnterview 26-06.2015 at 10:30 AM IS. No. Name of the Candidate Level of Course Date of Birth I 1 RAM PRASADH NARRAYANAN Ph.D 26 Feb 1989

2 POLURI SUDHEER KUMAR Ph. D 16 Mar 1990

3 MAITREYEE DEY Ph.D 24 Jan 1988

4 AMIYA BHUSAN BAGJADAB Ph. D 07 Jun 1990

5 ABHISHEK SHRIMALI Ph.D 26 Jan 1986

6 MANOJKUMAR Ph.D 02 Mar 1983

7 ABHISHEK KUMAR SINGH Ph.D 17 Dec 1991

8 SUNNY CHUGH Ph.D 29 Apr 1987

9 V H PRASAD REDDY Ph.D 18 May 1982

10 RAMESH KUMAR Ph. D 26 Jan 1986

11 SURVINDER PAL Ph.D 23 Apr 1989

12 MUKULSAHDEV Ph.D 02 Aug 1990 ------

~ ~ .... _ ... , _._. __ ~ --------- D fi -·- -- - --- . -- .. 26-06-2015 at 10:30 AM S. No. Name of the Candidate Level of Course Date of Birth

1 PRAVEEN KUMAR PG 12 Jun 1988

2 T RAJESH PG 10Jun 1984 -

-(,-

3 ANIL KUMAR N PG 25 May 1986 I

4 AKHIL PRATAP SINGH PG 21 Dec 1991

Phvsics/L Techno I· -- ----- __ ..,. __ - - ---- -"'b.l D .fi 26-06-2015 at 10:30 AM ----- ---···--~·-·· -- -------------------S. No. Name of the Candidate Level of Course Date of Birth

1 PRABHU RAM KUMAR BALAKRISHNAN Ph.D 19 May 1986

2 DIBYA CHAKRABORTY Ph. D 22 Nov 1992

3 KANCHAN YADAV Ph.D 10 Feb 1992

4 VINOTH Ph.D 23 Mar 1988

5 FASIL M A Ph.D 02 Sep 1989

6 BALAMURUGAN S Ph.D 29 Dec 1986

7 BISHWAJEET SINGH BHARDWAJ Ph.D 01 Jun 1983

J L & Literat ..... -.. - ................... -··e ... -e- -- - --- -- -·- Date oflnt· 29-06-2015 at 10:30AM ---- -- ___ ... ··-·· -- -- ---- -------------S. No. Name of the Candidate Level of Course Date of Birth

1. HIYA MUKHERJEE PG 26 Feb 1990

2. DEEPESH THAKUR PG 21 Aug 1989

3. KAVITHASANGEETHA K PG 12 Jun 1989

4. KUMAR MAN\ RATNAM PG 07 May 1992

5. SHIKHA SHIV ANI PG 29 Oct 1983

6. SAKSHI SHREE PG 20 Oct 1989

7. PRIYANKA RAVINDRANATH SAWANT PG 19 Nov 1993

Japanese Language & Literature Date oflnterview 29-06-2015 at I 0:30AM S. No. Name of the Candidate Level of Course Date of Birth

I SUDIP SINGHA Ph.D 20 Apr 1991

2 ARCHNA Ph.D 24 Jan 1990

Japanese Studies Date oflnterview 29-06-2015 at 10:30 AM S. No. Name of the Candidate Level of Course Date of Birth

1. AFRIN SHABBIR MUJAWAR PG 08 Jan 1989

2. PRABODH DESHPANDE PG 28 Jan 1990

3. ASWATHY VISWANATH PG 05 Jan 1982

4. NIVEDITA RAMAKRISHNAN PG 30 Ju\1995

5. PARUL BAKSHI PG 29 Nov 1992

J Stud' -... -._._ .......... ,_,,., ____ .,. Date oflnt _.., ......... 29-06-2015 at 10:30 AM S. No. Name of the Candidate Level of Course Date of Birth '

1. SKANDASHREE BALl Ph.D. 29 Oct 1993

2. SOMADAS Ph.D. 21 Sep 1988

3. ALOK KUMAR SAT APATHY Ph.D. 11 Jun 1987

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Environmental Science Date of Interview 29-06-2015 at 10:30 AM S. No. Name of the Candidate Level of Course Date of Birth I

1. CH SRAVYA RATNA PG 05 Nov 1992 !

2. MOHITMODI PG 14 Jan 1994

3. OSHIN PARANJAPE PG 09 Aug 1994

4. SHRUTI PRAKASH PG 20 May 1993

5. UDITGUPTA PG 20 Aug 1993

6. RAVI KIRAN JUNJUPELLI PG 17 Jan 1994

Environmental Science Date of Interview 29-06-2015 at 10:30 AM 5. No. Name of the Candidate Level of Course Date of Birth

1. DEBAJYOTI KUNDU Ph.D. 17 Sep 1989

2. MANEESH NAMBURATH Ph.D. 28 May 1987

3. RAHUL B PILLAI Ph.D. 13 Jan 1990

4. SHAMS ANWAR Ph.D. 26 Apr 1993

5. SUPRITI PRAMANIK Ph.D. 13 Feb 1983

6. RIYAS MJ Ph.D. 02 Jan 1991

7. HIMANI NAUTIYAL Ph.D. 07 Aug 1990

8. NAIR SHAILESH SHASHI Ph.D. 11 Jan 1987

9. RASIKH BARKAT Ph.D. 05 Sep 1991

10. MIDHUN SHAH HUSSAIN Ph.D. 30 May 1987

11. MOHDZUHAIR Ph.D. 01 Feb 1992

12. ABISHEK ARUMUGAM R Ph.D. 19 Nov 1990

13. IMAN PAL Ph.D. 15Apr1992

14. ANJALI Ph.D. 13 Nov 1992

15. REEMANOOR Ph.D. 23 Apr 1989

16. NACHIKETHA S R Ph.D. 13 May 1986

17. JYOTI MISHRA Ph.D. 27 Aug 1988

18. ROCKTIM RAMEN DAS Ph.D. 02 Mar 1991

19. SONAMSAHU Ph.D. 26 Sep 1989

20. PAVANIKUMARIMANDA Ph.D. 05 Jan 1983

21. MEET ARUNKUMAR PANCHAL Ph.D. 22 Nov 1989

22. THOMAS K VARGHESE Ph.D. 31 Aug 1988

23. RAHUL KUMAR Ph.D. 25 Feb 1988

...... ~-

24. SASWATI RAY Ph.D. 01 Sep 1991

25. MOHD SUHAIL SHAIKH Ph.D. 22 Oct 1988

26. RAHUL ARYA Ph.D. 01 Apr 1993

Ae:ricul ~ ~ ~ ~~ - D fi -- --- --- ·--·· 29-06-201 - -- ---~ OAM

S. No. Name of the Candidate Level of Course Date of Birth I

EMANUEL M SANGMA PG

25 Nov 1992 2 PG

MADHUR GANDHI 03 Aug 1989

Ae:ricul ~ -- D .f I -- --- ---·--·· 29-06-2015 -- --· 30AM

S. No. Name of the Candidate Level of Course Date of Birth 1. SURAJ KAR Ph.D. 27 Nov 1991

2. KAILASH LIPNE Ph.D. 06 Nov 1988

3. KANDI SRIDHAR Ph.D. 06 Aug 1992

4. DAGADU MAGAN PATIL Ph.D. 04 May 1987

5. SACHIN ASHOK MORE Ph.D. 21 Apr 1984

6. ASHIM DEY Ph.D. 16 Aug 1987

7. SANA SALAH Ph.D. 25 Apr 1991

Fisheries - -·------- Date oflnterview 29-06-2015 at 10:30 AM S. No. Name of the Candidate Level of Course Date of Birth

1 SIKANDER KUMAR PG 15 Feb 1993

Fisheries Date oflnterview 29-06-2015 at 10:30 AM ~ - .. ~ ~- ~ -.

S. No. Name of the Candidate Level of Course Date of Birth 1 JAG PAL Ph.D. 01 May 1990

2 FEROSEKHAN S Ph.D. 01 Jan 1987

3 RAGHUPATIL JUNJAPPA Ph.D. 25 Mar 1982

4 DESHMUKH ABHAY VILAS Ph.D. 01 Oct 1982

Bio-technol --- -------- Date oflnt 29-06-2015 at 10:30 AM -------------------- ------------- ~ -

S. No. Name of the Candidate Level of Course Date of Birth 1. MOHAMMAD RAFIQ WAN I PG 12 Dec 1989

2. PRIYANKA RAVINDRANATH SAW ANT PG 19 Nov 1993

3. EKTAKAMAL PG 15Apr1992

4. NIRANJAN GANGADHAR HEGDE PG 31 Jul1985

5. PATIL VARSHARANI DATTATRAY PG 24 May 1993

6. YOGENDRA KUMAR VERMA PG 15Apr1982

7. SESAN NAYAK PG 04 Jul1994

8. MEGHA PG 30 Jul1990

~9~

9. MANISH KUMAR PG 26 Feb 1990

10. DINESH KUMAR TIWARI PG 10 Mar 1992

Bio-technol· v Date oflnt· - ...... _. .. 29-06-2015 at 10:30 AM S. No. Name of the Candidate Level of Course Date of Birth

1. BHARAT KUMAR MAJHI Ph.D. 15 Jun 1989

2. SOMNATH ROY Ph.D. 22 May 1989

3. SAMIUL ISLAM HAZARIKA Ph.D. 14 Sep 1987

4. SATHE GANESH SADASHIV Ph.D. 27 Jan 1986

5. PACHARLAPALLI VEMANA GOWD Ph.D. 27 May 1987

6. MANASA KUMAR PANDA Ph.D. 05 Jun 1990

7. GUJJALA LOHIT KUMAR SRINIVAS Ph.D. 26 Oct 1988

8. SHASHANK KUMAR Ph.D. 12 Apr 1990

9. GOLWALKER SANGISETTY Ph.D. 18Jun1988

10. PRAVEEN S Ph.D. 21 Sep 1991

11. SHUBHAM MATHUR Ph.D. 18Jun1990

12. SRISHTI AGARWAL Ph.D. 22 Jan 1991

13. PRASHANT WAlKER Ph.D. 24 Jul1992

14. POOJA Ph.D. 14 Mar 1993

15. MANISH KUMAR SINHA Ph.D. 01 Sep 1988

16. PRAGYA VERMA Ph.D. 15 Dec 1990

17. GODANTK Ph.D. 07 Mar 1992

18. ARUN PANDIAN Ph.D. 24 Sep 1989

19. GINTO GEORGE Ph.D. 21 Mar 1991

20. NAINA SUSANNA THOMAS Ph.D. 23 Feb 1988

21. NISHANTHI P Ph.D. 12 Feb 1988

22. LALITHA Ph.D. 09 Jan 1987

23. GOSAVI GOKUL UTTAMGIR Ph.D. 29 Oct 1987

24. PRIYADHARAHNI MUNIYANDI Ph.D. 22 May 1986

25. MEETAL SHARMA Ph.D. 11 Sep 1988

26. BARGE SAGAR RAMRAO Ph.D. 16 Jun 1991

27. PALLAB KUMAR BORAH Ph.D. 24 Sep 1987

28. THORAT SHITAL BANS! Ph.D. 01 Jan 1989

29. PRADEEP KUMAR SINGH Ph.D. 04 Jul1988

30. SUTAPA GOSWAMI Ph.D. 01 Feb 1990

31. NAVNEESH YADAV Ph.D. 08 Jan 1993

32. BASHARAT AHMAD BHAT Ph.D. 21 Dec 1988

33. ADARSH TRIPATHI Ph.D. 25 Dec 1991

~1o-

34. PRAGATI Ph.D. 31 Mar 1993

35. APALA CHAKRABORTY Ph.D. 03 Jan 1988

36. PRACHITA NANDINI Ph.D. 13Sep 1989

37. KHUSHBOO Ph.D. 23 Jul1993

38. AJEETA ANAND Ph.D. 07 Jul1989

39. ANKIT JAIN Ph.D. 28 Sep 1989

40. DIVAHAR PRABAHARAN Ph.D. 01 Jul1992

41. SBSANTHOSH Ph.D. 09 Jul1992

42. DHANASHREE PILLA! Ph.D. 18 Nov 1992

A £--- -~ --- E . --&- Date oflnt· .... --·· 30-06-2015 at 10:30 AM S. No. Name of the Candidate Level of Course Date of Birth

1 SUN KARl RAHUL RAO PG 18 Oct 1993

2 SIDDHARTHA KUMAR PG 22 Apr 1994

3 CHANDA SUSHMITA PG 30 Jun 1993

4 KULDEEP PG 13 Mar 1992

5 NANTHINI G PG 13 Jan 1992

A E . ------ ------ ------- D .f ---- -- ----- . -- .. 30-06-2015 at 10:30 AM S. No. Name of the Candidate Level of Course Date of Birth

1 VIJAYASANKAR A Ph.D. 14 Jul1989

2 MANIKANDAN BALASUBRAMANIYAN Ph.D. 04 Dec 1989

3 ARUN RAJ S Ph.D. 20 Aug 1987

4 PRAVENDRA KUMAR Ph.D. 20 Mar 1986

5 BATCHU VENKATA SUBBARAYA SA THY A Ph.D. 16Jun 1985 SUMADHUR

Electrical E - -------- D fl ---- -- ------ . -- .. 30-06-2015 at 10:30 AM S. No. Name of the Candidate Level of Course Date of Birth

1. RAUSHAN SHARMA PG 17 Dec 1987

2. VAT AN KUMAR PG 24 Jul1992

3. DEBALEENA MISRA PG 20 Jun 1992

4. SURYATAPA ROY PG 17 Jun 1990

5. AMAN GARG PG 17 Aug 1993

6. SHRUTI SINGH PG 20 Feb 1991

7. SHINDE MAYURESH CHANDRAKANT PG 07 Jul1993

8. ROHIT SANTRA PG 02 Mar 1992

9. ANSHUL KUMAR SHARMA PG 03 Mar 1993

10. NIKHIL PRAKASH PG 27 Feb 1991

11. VARUN GARG PG 13Apr1993 ·-

-II-

Electrical E ~ -~ --e·----····e Date oflnt,

~~- ~ ~ -..... -- .. 30-06-2015 at 10:30 AM 5. No. Name of the Candidate Level of Course Date of Birth

1_ ADITYA PRASAD PADHY Ph.D. 16 Jul1987

2. RANJAN PRAMANIK Ph.D. 17 May 1986

3. SWATI TANDON Ph.D. 02 Jan 1990

4. ARINDAM SINGHA Ph.D. 24 Jul1990

5. ANANDVP Ph.D. 11 Mar 1990

MaterialS · iE . - _ . .., .... ..., ... , ..... e ........... a .... b D fi -·- ...... ..._ ..................... 30-06-2015 at 10:30 AM ~ - ~

5. No. Name of the Candidate Level of Course Date of Birth 1 DEEPAK DWIVEDI PG 10 Aug 1991

2 SANIL JACOB KJ PG 15 Nov 1992

3 KANCHAN GAUR PG 28 Jul1994

M . IS . iE . -·----- --- - ------· -- ------- D - -·- -- ~-·-- . -- .. 30-06-20 -- -· ~~·-~ &-&·-S. No. Name of the Candidate Level of Course Date of Birth

1. SANJAY S Ph.D. 28 Oct 1989

2. AMANDEEP SINGH PANNU Ph.D. 18 Aug 1983

3. AJAYKUMAR Ph.D. 15 Sep 1991

4. ROHIT ASHOK KUMAR YADAV Ph.D. 20 Oct 1991

5. S BALACHCHANDRON Ph.D. 14 Dec 1987

6. YAZAR KALEEKKAVADAKKATHIL UDAYAN Ph.D. 13 Jul1988

7. MANOJKUMAR Ph.D. 05 Jun 1988

8. MD DILKASH AZAM Ph.D. 25 Nov 1989

9. SARANARAYANAN R Ph.D. 28 May 1991

10. MADDIPATLA REDDYPRAKASH Ph.D. 09 Aug 1991

11. SUCHISMITA CHATTERJEE Ph.D. 14 Feb 1987

12. MOHAMAD SALMAN KHAN Ph.D. 29 Jan 1988

13. PRASHANT HANUMANT NARUTE Ph.D. 06 Jun 1990

14. RAJESH SINGH YADAV Ph.D. 24 Mar 1988

15. MUHAMMED SALIM K M Ph.D. 13 Sep 1991

16. SHOBHIT GOEL Ph.D. 20 Nov 1991

17. K VENKATA ABHINAV Ph.D. 09Aug 1991

18. ANSHUMAN CHAUPATNAIK Ph.D. 13 May 1992

19. MIDHUN M Ph.D. 13 Nov 1988

20. SUNEESH M V Ph.D. 10 May 1989

21. G ANURAG REDDY Ph.D. 27 Jun 1990

22. PRAKASH MACCHINDRA GORE Ph.D. 15 May 1989

23. ABDUR RAHMAN AL AZAD Ph.D. 04 Aug 1989

~•<----

24. FAIZAN KHAN Ph.D. 02 Jul1989 I

25. SAN1WANA PATI Ph.D. 21 Sep 1990

"<. ----9 ------~---· -- - --- --- -·- ~- ~ W-& ·--·· ~~ .......... _..,._.,.... -· - ............. L ... L • .._

S. No. Name of the Candidate Level of Course Date of Birth 1 B KARTHIK PG 21 Aug 1992

2 NIKHATWASEEM PG 02 Mar 1985

3 VIGNESHWAR V PG 06 Mar 1993

4 VARDHMAN JAIN PG 10 Dec 1992

5 BALGOPAL PRUSTY PG 21 Apr 1992

x---- ... ---·-- ..... ·--· .... ..,. _____ .......... ---·- ""-"- .............. ·--·· ..... " ........ _..,..,_...., -· ................. ~ ........ S. No. Name of the Candidate Level of Course Date of Birth 1 YESHWANT RAJ S Ph.D. 29 Nov 1989

L .... __ ... _ ... ____ ............ .............. a&& ...... " ..................... ___ ... _ ............... ..,. ·--·· ........ ""' _..,_._ .... -· ........ _. .... ._..._ ... .._

S. No. Name of the Candidate Level of Course Date of Birth 1. ARPITARORA PG 14 Apr 1991

2. HARISH PRATAP SINGH PG 24 May 1991

3. BUDHELIYA KAUSHIK MANSUKHBHAI PG 04 Aug 1994

4. GODHANI TRUSHIL MANRAJBHAI PG 17 Oct 1993

5. SOUMYADASH PG 26 Jun 1992

6. ANUJ JAIN PG 16 Apr 1992

7. MOHAMMAD ARQAM PG 12Aug 1992

8. CHITRA SHARMA PG 04 Dec 1993

9. HEMANT PG 14 Sep 1993

10. SHINDE PRANJALI CHANDRAKANT PG 05 Dec 1991

11. SURAJ PRAKASH PATTAR PG 25 May 1992

12. MAUSAM KUMAR PG 11 May 1991

13. ANKURGUPTA PG 17 Jun 1990

14. PULKIT JHA PG 10 Nov 1993

15. ANIRUDDHA PAL PG 14 Aug 1991

16. GAGAN GUPTA PG 06 Nov 1993

17. UJJAL SAHA PG 06 Feb 1990

18. SUDEEPTA RANJAN SAHOO PG 19 Jun 1993

19. ANKITYADAV PG 04 May 1993

20. MANOJ KUMAR MEDAK PG 05 Nov 1989

21. ISHOO RATNA SRIVASTAV PG 19 Sep 1983

22. SACHIN KUMAR SHARMA PG 04 Mar 1994

23. MAITREYA MUKHERJEE PG 07 Apr 1994

-I'\-

~·------~---- -- - ----- ·~-~~..,. ... --~ D _,.._ - 9-- . -- .. ~ 0-06-2015 at 10:30 AM S. No. Name of the Candidate Level of Course Date of Birth

1. TIRTHARAJ DASH Ph.D. 03 Jul1991

2. ARJUN JOHN K Ph.D. 11 Jun 1988

3. GIRASE KRUNAL GAJENDRASING Ph.D. 29 Oct 1991

4. HARIKRISHNAN C Ph.D. 31 May 1991

5. BIJO SEBASTIAN Ph.D. 04 Jul1991

6. MOHAMMED FAIZ UR RAHMAN Ph.D. 13Jan 1987

7. SRIKANTH SURENDRANATH Ph.D. 19 May 1988

8. NIKHIL Ph.D. 13 Dec 1987

9. MOHDTOUSIF Ph.D. 05 Dec 1992

10. DEBOPRASAD TALUKDAR Ph.D. 16 Mar 1987

11. ASHISH KUMAR Ph.D. 17 Sep 1989

12. A VI NASH SHUKLA Ph.D. 30 Sep 1984

13. AJAYA KETAN NAYAK Ph.D. 02 May 1988

14. ABHISHEK SINGH Ph.D. 26 Jan 1990

15. SENNIAPPAN KARUPPUSAMY NAVEEN Ph.D. 15 Dec 1990

16. RAVI PRATAP SINGH Ph.D. 10 Mar 1987

17. AWAD DHONDIBA SANTOBA Ph.D. 02 Jun 1991

18. SOORAJCHACKO Ph.D. 10 May 1989

NOTE: No candidate is found suitable for short listing in 'Management' for interview.

_, \.4-

~~ (Rashmi Malik)

Section Officer (ES) Phone: 26172492

APPLICATION

JAPANESE GOVERNMENT (MONBUKAGAKUSHO:MEXT) SCHOLARSHIP FOR 2016

s*~~ <x$#~~) ~~~~~~$~•

Research Students ( liJf '9l; ~ ~ 1'.)

I N S T R U C T I 0 N S (lCJ>.J:OJI.t~)

1 . Type application, if possible, or write neatly by hand in block letters. (ly:j-t,:fC}... TG=C:")

2. Use Arabic numerals. (~ft:t:.:m~fa-mv,.Q::.C:o)

3. Write years in the Anno Domini system. UF%1'1T~-n!§'llfC:T0.:.C:o)

4. Write proper nouns in full without abbreviation. (!ilillf~~~:J:T...-.:::.-rJEi'\.f.t:~f#J;Cl-, --lff.J~q.Lf.t:lt'::.C:o) * Personal data entered in this application will only be used for scholarship selection purposes, and contact information such as email addresses will only be used to create academic networks after the student returns home and by the japanese government to send out information when needed.

l*Efli!UFI~lClit~:hfoll!lA fi\'OIIIU:>o '-cl:l:, *l!t'l'~OJ~~OJto!i>l~il!:!llT91~i>'l:l:, ~~~ email 71-'v?.~OJ~jll\$\;1~--:>o '-cl:l:, ffllllll ii I~:!Oit!>Mfl\'i'tOJ;J<,t-'7 -" o;,j'l'9.:i::& ZJ'£,1'1~R:C ~ *i!!>:lff J: ~*I!IHJi'$o;,i!HoT 9U.~I~I:l:il!:!ll Lt~o ', )

1 -1) :\lame in full, in your native language (!tf;t (§IE~))

(Family name/Surname)

1-2) In Roman capital letters (P-Y*}

(Family name/Surname)

(Given name)

(Given name)

*Please write your name exactly as it appears in your passport. (~"Jii/~.A;¥-J-I])~fe!:fl5l-t.:Ti5.:}::)

2- 1) Nationality ( OOfi)

2- 2) Possession of japanese nationality ( 13 ;;:t>.:OOfi~:ffi"'Q~)

DYes, I have O:tv ')

:J)Sex (lUll)

ONo, I don't have(V'Ii';:t)

DMale(~) DFem.Ue(:i<)

4) Marital Statu' (ft~jlf!'i'tOJ'Ifi!W)

DSingle(*ll>) 0'-larried(]!!'l\r)

5) Date of birth and Age as of April 1,2016 l't'P Jl ~ & V' 2016 'P 4 Jl 1 ~ !J!i'£OJ'Pifiii)

19

(Middle name)

(Middle name)

,----------------------------: Paste your photograph or

i digital image taken within

the past 6 months. Write

your name and nationality

; in block letters on the back

l of the photo. of the

~ (photo size:

'

t 5cmX 3. Scm)

(~·(4. 5cmX3. Scm))

·----------------------------

Year('P) Month (Jl) Day(~) Age('Pifiii)(., of April 1,2016)(<plfiii 2016 'P4Jl1 S !J!i'£)

6)Present address, telephone I facsimile number, and E-mail address(~f±ffl&V11~it~, 7y:;;)'.A.jf%, E-mail 7!--"V.A)

Present address (~f±.ffl)

Telephone/facsimile number(ti;S5:J:%/FAX ti%)

E-mail address

* If possible, write an E-mail address that can be used continuously before ,during and after you stay in japan. ('iiJ!mf.t~!PJ, mr 13M....__ S -*'III~r:F---1m'OO~ l~btc•J~o '10\'lt!>.:~n''r~~n<> E-mail 71-'v?.o;,JlEJ,. -99.:~, )

7) Field of specialization studied in the past (Be as detailed and specific as possible.)

li!H1i~llPJriJclll=r~ >t'f ( -c:~;c Uc:'Jt A l*B'.:I~~~I~ll'<.:i::J )

1

3) l-\cademic background ( ~~)

Name and Address of Schoo! Year and Month

Duration of Diploma or Degree awarded,

of Entrance and Attendances

Major subject, Skipper years/levels

c '¥'&~ &. v<mtE$1 Completion

Ci!!''lt'¥!11<1 C'ltffi:·'I<IIL Jll:Jl!:'f'f§.

: : (J..'lt&.V'$$'¥-Jl) IIWI& "'ii:6tl : Nrune : From years

('jt!l)'~) (A'lt) ('f.) Primary Education

( lJJ"'l'!I!ICI!l

Location To •nd Elementary School (fli1£Jjlj) ($liE) months

(!]-~) (Jl)

: : : Name ; From years

('jt!l)'ot;) (A~) ('f.) Secondary Education

( <f'"'l'l!i(lf)

Location To and Middle School (fli1£Jjlj) ($liE) months

(<f'$) (Jl)

: : ; Name From years i

('jt!l)'~) (;\'jt) ('f.)

High School (;f;!l)') Location To •nd

(J;Iii£$) (zj<Jil!) months (Jl)

: : : Nrune : From years * I

('jt!l)'~) (A~) ('f') Tertiary Education

(;f;'!l'I!I<J!f)

Location To end Undergraduate (J;Jii£$) ($$) months

(:k'jt) (Jl)

;

Name From years ('jt!l)'~) (;\'jt) ('f')

Graduate Level (:k'jtl'if) Location To end

cmtE$1 ($$) months (Jl)

: : April!, 2016

Total years of schooling mentioned above

(8.l:i\:im·LJ~3':'l'&l!!:'ll'~'l''l'lil<) Years and months A3 of April!, 2016 (2016 'P!Jll a ll!.l'E) ('f') (Jl)

Notes: 1. Exclude kindergarten education and nursery school education. (.tt:Jflt:ll·f¥Jffflf{1ffj:'2;;ttt,.f~~ 'o)

2. Preparatory education for university admission is included in secondary education. (It 'bi9JQI *~T{If&W J l'±r:f:l~fxJfl::.l3;t.tL.Oo}

3. If the applicant ha<> passed the university entrance qualification examinations, indicate this in the column with "*-l."(I*'+A~ifmiit•J';:

.g..f§L -n '.om.g.t.:.l'±, i:(J) \§: * -1 Wt:tc..A -t9=Co)

4. Any school years or levels skipped should be indicated in the fourth column (Diploma or Degree Awarded, Major Subject, Skipped

Years/Levels). (Example: Graduated high school in 2 years.) (~ 'bi9JQI:JIHF~J~L -c~t'.Om.g.t::.l'±, i:(J)~~~~-99~1fi!t!fi(J)I~lz:·

iiltt· Jll:ll<:fif ~ • IIHJ'{(I!<':>:ti(ili.Jlli:ilCJ.. T0.::i:" ( fllll i11;&3'!'-i'XHIWi&I:J:~lilWI$~)

5. If you attended multiple schools at the same level of education due to moving house or readmission to university, then write the schools in the

same column and include the number of years of study and current status for each school. ( {t}i!i(J)f:Jifta~*~(J).ji}}\.~~~~IE 1:., l!=ll~W

lll!tl. 'Z'~lil<<':>$!i11Cl'Eftl- '"Co •tdl!o'l-l:l. ioJ L-111: ~lil<<':>$!i10)j£fjl;1:1lC1&1..-. T"' -c <':>~$:ti(ill.i\:~$'!'-li!:l: ~ >00.::/:o )

6. Calculate and write the total number of years studied bao;;ed on duration as a student. (including extended leave such as summer vacation) ( fi 'l''l'lil<o'l-m:ttEftW!r.I!HI:tllL-, ilCA T0.::i:" (Jii:WJJ*!f,H,~Ii?0) l

7. You may use a separate piece of paper if the above space is insufficient. in such a case, please stipulate that the information is on a separate

page. (.I:JiEI:l!l'"'"'ht~o •Jl!o'l-l:l, ~1111\l:ilCJ,. T0.::i:t, "lfillo U•Uc<':>Jl!,<l-i:l, ~IJII\ICilCJ.. T0l'i\: .l:iiE'l'ill!liiC'!lilCT0.::i:" )

2

9) The first course you plan to take in japan ( El ;.fq.::.;toltQJitf}J(l) A~1rfmftl£)

Please circle either i ), ii), iii) or iv).(il'ili~:toi'fJJ<JJA.:'f:if;ll!l!lll!Hrl\:<JJ40!J>G~IRL. OIJ:'to:::.!::,)

i ) Research student courses (iJf~1:.)

ii) Master's degree courses(~±ftl£)

iii) Doctoral courses(ftll±ftft.)

iv) Professional graduate courses C:!Jr~-~{!z:tlf:£)

10) Proposed period of study ( ~ E1 ~WD

Please circle either i ), ii ). (li'fli!T<\i!l ~ ~.1\111\:~11)20))>G~lRL, 01\:'t<J;::t,)

i ) I wish to go to japan in ApriL (4~ l!l El ;ffi-~)

ii) I wish to go to japan in October. (lOY}~ El:trf~)

11) Term you wish to study in Japan ( El *l:.to,t0:ll~(t)t_cif(~j~,Hi~MrdD

Please circle either i ), ii ), iii) or iv ). (t'X0)40iPG~tR.L, O~T.:S.:.C:o )

i) Only a research student tenn (lB or 24 months) iJf~1:_0).7j.(2iJ:.fHDUilif:.6iJ>J})

ii) Through to the completion of master's degree program ~±il!lf¥.ti"T::i-c.'"

iii) Through to the completion of doctoral program ~±ill"&ffT::i-c.'"

iv) Through to the completion of the professional graduate program :~Jr~q&~flz:B:f£~7*-c.'"

12)lfyou are applying for other scholarships, please state the name of the sponsor, scholarship period, scholarship amount, etc.

( t Lfllli1)~'Jt{i;;l~~.;; vn' <> JJ!il'I:J:. 'f:l1)1\ JilT. Jlllr,,. 4l:tlito>ll:iiOT;:: t, l

13) Past awarded record (~~O)OOJt~$4:-'31:~~)

Have you been awarded a japanese Government (\tfonbukagakusho) Scholarship in the past? Please check Vi ) or ii) below. If so, please

specifY the period, the name of the university, etc. (~:tii:00 .. :9HEJdi'¥:1:.1.::.tiffl~:hf;:.:.C:il~ib.:Sil~o T~(l)~~TQb(l)I:T.::c.'l:?'~f-tltQ:.Co

mM:Gii, 'f:l1).1\11rol·:lt.A:k'l'1\to>ll:iiO.AI1);::t, l

i ) Yes, I have. (ib0)

Period: T e: University: -----------------

ii) No, I have not.(f.tl-')

13-1) Have you ever written a dissertation? (:im\~t.::.fnti)C~il:nXLf.:::.Cil~}>.~:dJ•)

o (m<>l O(f~H

14) State the titles or subjects of books and papers (including graduation theses) authored by applicant, if any, with the name, address of publisher and

the date of publication. ('If •• !Oi;:lt ($3i>~:lt 1\:i';tr,) ))<mt11i'f:I1)J!!j1\, ttlJ:!<l±il, ttlJ:I<'f.Jl ~, ttlJ:!<lllmll:iiO.A T 9 ;:: t,)

*Please attach abstracts of those papers to this application. ((i:t)~:)(O)ti;~~MifiO):.!::o)

14-1) Currently have a job? (fJMI(7)1f~)

DYes, I have (i'.i'-'') ONo, I don't have(l-'l-';;t)

14- 2) If you have a job, please fill in employer's name('bL:!=JUliJ~},Q:!I.g.l'±itlf:i9r::ii~~A T0.:.!::J

3

14- 3) Employment record: Begin with the most recent employment and exclude part-time work. (Jftt(~: 7 JV/~1'1'-I±~<o )

Name and location of organization Period of employment Position

CIIJJ!Iil'tll< U'ffiffffil) CliiJl'liJillr~> Cllt1114\ l

From To

From To

15) Japanese language proficiency: Evaluate your ability and fill in with an X where appropriate in the blanks.

( S *~illi!J"' 13 cll'1lfi<D ') ;t, il!<~liiiJIO X I'll HeAT .0:: 1:.)

Excellent Good (Jl<) ( Ji!)

Reading Clltrilll:!J)

Writing (:8:(/m1J) Speaking

Ciilii-flll:!J)

*If you have taken the japanese Language Proficiency Test, specifY the level you acquired. ]Level

c s ;$:i!filll:1Jlf':li<Di!ii!Utll!'ltl:t!Utl!>!§!Ho•litl

16) Foreign language proficiency: Evaluate your ability and fill in with an X where appropriate in the blanks.

C!'i-ll'li!filll:!J Hl cii1'1lli<D 7 ;t, lt~lllic x I'IJHEJ-. -t- <>:: 1:,) --------- ___:_:___ ·- = - --- --Excellent Good

(Jl<) (Ji!)

English (Ji<i!i)

French ( ikilltl Gennan O!kl!fl Spanish (ill]§)

Others( )

R<Dit!ll

Type of work

C1illl'li>'J$)

Fair (PJ)

Fair ("))

Poor ('F"l)

Poor CT"l)

*SpecifY the test results for any English proficiency examinations you may have taken. TOEFL( ] points IEL TS [ ) points PTE Academic [ J points

Othe"( ) ( )point. (JI<iltilll:!J.,>J'i-fll!J.;!l;!;,tLi:f#.',!lli:Hcfl;)

1 7) Accompanying Dependents (Provide the following information if you plan to bring any family members to Japan.)

i"'i1'*J1;illl (illS To ~-g-, i"'i1'"flE<D.,J1;;!>c '9~-il-lci!CA To:: 1:,)

-

All expenses incurred by the presence of dependents must be borne by the grantee. He/She is advised to take into consideration the various difficulties and

great expense that will be involved in finding living quarters for them. Therefore, those who want to accompany their families are well advised to come alone

first and let them come after suitable accommodation has been found.

( Cl!l ftil, i"'i1''1!'1:£.lJI!ftlllti:t-t-r-:-ct:iVll'lt<D-ll.fll-e;t;, on>, *J1;!!l<Dlll~"' Jt-o<t <>:: 1: l:tf!l ~ lllll-e;t;, ~:It~"" t#1ili:JJ;!I;I: ft <> "'")

;;, Gn' t:>?iJ«ol 'Cil < :: 1:0 :: <Dtc>?, l*!!l'lti:to!' i"l!l!l'-c'* s l, iii~ ttm~.- Jt-o<ttc ilt, *J1;"'>¥V'il'it0:: 1: o

I Name J Relationship

I Age

(II; 1,) (*If li'D ('f- Iii\)

4

18:1 Person to be notified in applicant's home country in ca<>e of emergency:

<'lll:iMllf;\<D£l:OO<Dil~%)

i ) Name in full:

(J>;;j<,)

ii) Address, telephone/facsimile number, and E-mail address

( {lJJH~!:iilil!Hl-, 77,-? ;>;#Jl-& U' E-mail 71-'v ,.;O:leJ..O),C/:,)

Present address(:mi±.ffi)

Telephone/facsimile number(t!M"&:%/FAX &:%)

E-mail address

iii) Occupation:

(1lillll,)

iv) Relationship to applicant:

(i<:AI:"'I!Iii*)

19)Visits or stays in japan List from your most recent visits. ( 13 *.r-...O)~Jttit& V$t£fe~)

Date('f'jj ~) Purpose (ill:n ~ i¥.1)

From

To

From

To

(I understand and accept all the matters stated in the Application Guidelines for japanese Government (MONBUKAGAKUSHO:MEXT) Scholarship

for 2016, and hereby apply for this scholarship.)

(fW: 2016 'Fit~ :O:J!ltlff()l:lfllfll~'6l'\1!~1kl\i~'t.IJJI;i!IP:O:I:oc•~n '''9'11'l:li:O:T-"'"1:TAH, "1:1!'\llll;tT, l

Date of application:

(il'illi'FJl ~)

Applicant's signature:

(il'ffl'lf'!<;j<,)

Applicant's name

(in Roman capitals letters) :

($01f'lff\;;j\)

5

(~Ill!\)

Name in full, in your native language

(!l't4\ ( ~ ll'lili))

In Roman capital letters

(o-?*)

Nationality

Jtf-J'I<5'J!I!l'&Vl!if~iltjilij

Field of Study and Study Program

(Family name/Surname) (Given name}

(Family name/Surname) (Given name)

(Jl'l 5)----------------------------------------

(Middle name)

(Middle name)

Proposed study program in japan (Outline your field of study on this side and the specifics of your study program on the reverse side of this sheet.

This section is one of the most important references for selection. The statement must be typewritten or written in block letters. Additional sheets

of paper may be attached if necessary.)

( ~ ;O:~o:>j;jf;iEi!tilii ; :: o:>j;jf'iti!tiliil:i, i!!~li: U':k'l'l'i'-ill"'lli'll'ft$~ 1: fJ: <5o:>~, l!flWIOlP!i<?t!lfo:>lll'll'~, !l!ooloj;jf')'{:tfjjijjo:>l$~~,!!, )

11:10 ileA T Q:: 1:0 le/\Jot?'-{ 7"J<Ij;l'/i.IO.!: Q "0) 1: l-, £.J!ft*il'Jj;~1Jil\~;/l!JD L-'".!:' ',

If possible, please write your response in Japanese. (f1Hl3: 0) B *ia'imf.l tt"ir-·9 -5~1'113 ;;fs::i§f~ .t IJ IC.A T .0:. Co )

Present field of study {~:(£0)Jfr&:71Jf)

2 Your research topic upon arrival in Japan: Stipulate the research you wish to carry out in Japan.

(ill~ ~(})j;jf')\:7--< : ~ ;$:iUs• '' c·? ''0 f-:j;jf'ito' Uo' 'O'~'!iliillci!OA T <5:: 1:)

MONBUKAGAKUSHO:MEXT SCHOLARSHIP RECOMMENDATION FORM

Applicant's Name (Please print) : :.::::_---,::---------,------

(Family name} (First name) (Middle name)

To the Applicant: Please write your full name above. Give this form and one of the envelopes marked "confidential"' and addressed to yourself to the

person you have asked to recommend you. Ask this person to place the completed fonn in the envelope, seal the envelope, sign across the seal, and

send it back to you. Return the unopened envelope with your application.

To the Apolicant and the Recommender : This recommendation wlll be used for admissions purposes only.

To the Recommender Please respond to the following questions. Please type or print. After completing this form, place it in the envelope provided,

seal the envelope, sign across the seal, and return it to the applicant. This recommendation is a required part of the application process; prompt return

to the candidate is important. We appreciate your assistance and would like to assure you that your comments will be carefully considered.

Recommender' s name : --------------------------------------------------

Title and Institution (if work address used) : ---------------------------------------------------

Address : ------------------------------------------------------------------

Telephone & Facsimile

1 . During which period of time have you had the most frequent contact with the applicant? From ____ __ to ___ _

2. What was the nature of your relationship?

3. In what areas does the applicant need improvement or growth?

4. Please comment on the applicant's interpersonal skills. How well does he or she work within a team?

fJ. How would you describe the applicant's leadership skills?

6. Please comment on the applicant's degree of self-confidence.

7. Please comment on the applicant's personal character.

8 . Please indicate your overall evaluation of the applicant.

) Strongly recommend ) Recommend ) Recommend with reservation ) Do not recommended

9. Please make whatever additional comments you wish about the applicant's potential for graduate (or undergraduate) study in japan and potential for

becoming a responsible, effective person in your country. Additional pages may be attached, and the hack page can also be used for comment..

Signature Date -----------------

PLACEMENT PREFERENCE FORM FOR JAPANESE GOVERNMENT (MONBUKAGAKUSHQ:MEXT) SCHOLARSHIP

13 * i§((Jf-f (::iel'!il#~<ii) ~~~l¥1~1:. til !l~il:k~ $itt ill'

Research Students for 2016 ( liJf 'i\; \¥1 ~ 1,: )

1) Name in full in Roman capitalletters(t±~.a:-E.A, tJ-7~--c:£:(~)

(Family name/Surname) (Given name) (Middle name)

2) Sex ( j'E~IJ)

DMa!e(!Jl) DFemale(fr)

:J) Date of birth and Age "' of April 1,2016('t'F-Jl ~ &.V' 2016 'F- 4 Jl 1 ~ lj!i'£<7)'1'-Jiii')

19

Year({f-) Month (Jl) Day( S)

4) :'./ationality(~fi)

5-1) Field of <tudy in japan ( ~ ;$:"('<7)1'l\-~J1!:Jl(5f!lf)

5-2) Detailed field of <tudy(liJf'IE:S'If (i1'f.ID))

6) The university in Japan in which you wish to be enrolled. (1ff~"t{):::lc'¥:)

Age('F-Jiii')

(as of Aprill,2016)

l'F-IIii'2016 'F-4Jll ~ll!i'£)

Paste your photograph or

digital image taken within

the past 6 months.

Write your name and

nationality in block letters

on the hack of the photo.

(photo size:4.5 em X 3.5 em)

(¥J((4. 5cmX3. 5cm))

1-------------------

Enter the names of the universities at which you would like to enroll and state whether you have obtained admission to them. (No more than three

universities.) Do not enter the name of any universities you have already been rejected by, as the Ministry of Education, Culture, Sports, Science

and Technology will request your admission only to the universities listed below. Each person who has passed this primary screening is required

to obtain admission or a letter of provisional acceptance.

J..'l".,m~T0:k'l"11 .,,z.-rre-r~i: Uil::k 3 &:t-c:) .:li:J..!1!l'i'i<nto:k'l"1. l:tlE*ItiJ.tl '~/:. :!cllll#'l"1!11:tW. TlcJE*It<"nto:k'J"<7).7iciC:li: J..;h<l)ft<~"T-'>. Jil-li:~~.g-fiH&. :k'l":li:J..I'l<li1!f· J..'l"l'f"liU!Ii111tT0~/:

11\ll! Name of University Name of Professor

111Hll: (:k"J'i\) (il'lt!l.oi\)

1

2

3

* MEXT will consider your preference, but it may not be met because of university enrollment capacity. Therefore, please note in advance that placement

in preferred universities, especially in Tokyo, Kyoto and Osaka, is extremely difficult, and placement is not limited to your preferred universities.

(!EJ 1'ffll!ii$~ l:~:n;;,;;<, :li:J..:k"J'<l) J.."J';EJ< "'l'<l)!!Ji'i\ -c.'$~1~ -t: ;tt~c >:_/:;;<;~,;;," 1<'!10, JIOil:, R-~. :krh:l~<b0:k"l'"11\ ll!T Ml-il'li, 11\ll!/:'WJ ltll!~n01:1±~Jl'Ottc '11!7!. ;1,1',;6,1:01JiMoL 'C:Id<~l:.

--- ~------

~'*~Wf:l!f

CERTIFICATE OF HEALTH (to be completed by the examining physician)

~ *O!JCI:J:.'R:OIH: J: ~ ll!lPil:l:i!E~ <>:: 1:, Please fill out (PRINT /'IYPE) in Japanese or English.

lbf. D!Jj Male 't'I'Jl ~

Name: F8IIiily name, Firsf name Midclle name D:l<: Female Date of Birth,-"':~-----

I . .Jjj'~J!< Physical Examination

(I) .ir ill !* m: Height ___ em Wei.g)ghtut:--- kg

(2) Ifn. fE Blood pressure mm/Hg---- Ifn.il<'!'! ~ mrn/Hg Blood A B 01 RH ~ 1!\lB Dill!' Regular

Pulse D 'Fill!' Irregular

(3) 1l! 1J Eyesight: I~ IL~ l;k ILl '"-:li:J\1i\"(l)lf1!\\ OlE;% Normal

DR Without asses Wth Color blindness DJ\10 Impaired

(4) ill. fJ D.if:M Normal 13 m- DIE'Wf Normal Hearing: Dl!I:T Impaired Speech: DJ\10 Impaired

2. >l'll!'i'f(l)W'!$1:-:>' '', llr.~ 1: X£1i.~J!!'(l)fli/jj!H:i!E}.. L -c < t:' ~' ', X£1i.~J!i'(l) ~itt i!E}.. T <>:: 1: 16 7 Jl £.(J:Jllj(l)~J!i'I:J:1!\\Wl.) Please describe the results of physical and X-ray examinations of the applicant's chest X-rays (X-rays taken more than

six months prior to the certification are NOT valid).

II$ OlE;% Normal Lungs: DJl<~ Impaired

•L·ll Cardiomegaly:

OlE;% Normal DJ\'ii';r~aired

~tm-t>i;b~~ aw - Date FilillNo. ·UIItllll Electrocardiograph :DlE'ii'; Normal

D Jl 10 Impaired Describe the condition of applicant's lungs.

3. >!<tEiil~'I'OJli\1<\ DYes .U(i)j..ll'll!se<J•"se"'------------Disease currently being treated DNo

4. ll'Etl'li£ Past history : Please indicate with + or - and fill in the date of recovery

\If the applicant has not contracted any of the disease, please chech "None".)

1:, I' '-f:htlt"l Lf.<H~il'i:J:, t.< Ll:7~ v >'T<>::

Tuberculosis ...... D( ) Malaria ....... D( Other communicable disease ...... O( Epilepsy ...... D( I Kidney disease ..... D( Diabetes ...... D( . . ) Drug allergy ...... D(

) Heart disease ...... D( I I Psychosis ..... D(

Functional disorder in extremities ...... D (

None ..... D

5 . ~ 11: Laboratory tests ~ jj( Urinalysis: glucose ( ), protein ( ), occult blood (

#it ESR: mmfHr, WBC co.:::un:::t::_: _

Hemoglobin: gm/dl, GPT·_,_,_: __ _

fcmm ll:Ifn. D anemia

6 . lti*i!f"'l'flf4> o,;,J;"' -cr ~ ' ', cr.~l!!n't.< H!!il' t, -<-"'"' C::ltO}.. < to~'', 1 Please give your impression of the applicant's health. (If you do not have a particular opinion, please write as such.)

7. ;l';!!i'i'f(l)il'Ei!llit ~!i> · ~J!!'(l)fliljJM' G'iili* L -c. Jll.i'£(7)$JJit(l):t/(ll/.I:J:1C7ti=WI"l'l:iit;t 'i 9 {,(7) 1: .'llbtLotTn'? In view of the applicant's history and the above findings, is it your observation that his/her health status is adequate to pu

rsue studies in Japan?

Yes o No o

~fi ~41 Date: ______ _ Signature=~-------------,------------

l!f ~ g; 41 Physician's Name in Print,_:_:-----------------------------

~J!<nl!ii!it41 Office/Institution:

m1£lt!l Addres~s~:----~----------------------