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[null,null,null,null,null," 入 学 願 書"]
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[null,null,null,null,null,"   APPLICATION FOR ADMISSION"]
[]
[null,"①氏名\nName",null,"英字名（Roman Letters） 姓 Family Name",null,null,null,"名 First Name"]
[]
[null,"②生年月日\nDate of Birth",null,null,"年/Year  ",null,"月/Month   ",null,"日/Day ",null,null,"才/Age"]
[null,"③性別\nSex",null,"□男 Male\n□女 Female",null,null,null,"④国籍\nNationality"]
[null,"⑤本籍\nHome address",null,null,null,null,null,"⑥現住所\nPresent address"]
[null,"⑦電話番号\nTel（Mobile）",null,null,null,null,null,"⑧パスポート番号\nPassport No."]
[null,"⑨配偶者の有無\nMarital Status",null,"□有 married\n□無 single",null,null,null,"⑩配偶者氏名\nName of Spouse"]
[null,"⑪申請歴\nPast Application",null,"□有(不交付) Yes（Rejected）\n□有(取り下げ) Yes（Withdrew）\n□無 No",null,null,"\n※有の場合（If yes）\n","Applied for",null,null,null,"年/Year",null,null,null,null,null,"月/Month"]
[null,"⑫入学希望コース Desired Course For the Planned Course",null,null,null,null,null,"□進学2年コース(2 years preparatory course)\n□進学1年9ヶ月コース（1 years 9 months preparatory course）\n□進学1年6ヶ月コース（1 years 6 months preparatory course）\n□進学1年3ヶ月コース（1 years 3 months preparatory course）"]
[]
[null,"学歴（初等教育（小学校）から順次最終学歴まで）  \nEducational background （from elementary school to the last school attended）"]
[null,null,"学校名・学科名\nName of School，Department",null,null,"所在地\nAddress",null,null,null,"入学年月\nDate of \nAdmission",null,null,null,"卒業年月\nDate of Graduation",null,null,null,"期間\nPeriod\n(Years)"]
[null,1,null,null,null,null,null,null,null,"Y",null,"/M",null,"Y",null,"/M"]
[null,2,null,null,null,null,null,null,null,"Y",null,"/M",null,"Y",null,"/M"]
[null,3,null,null,null,null,null,null,null,"Y",null,"/M",null,"Y",null,"/M"]
[null,4,null,null,null,null,null,null,null,"Y",null,"/M",null,"Y",null,"/M"]
[null,5,null,null,null,null,null,null,null,"Y",null,"/M",null,"Y",null,"/M"]
[]
[null,"日本語学習歴   Experience in studying Japanese"]
[null,null,"学校名・学科名\nName of school,Department",null,null,"所在地\nAddress",null,null,null,"入学年月日\nDate of\nAdmission",null,null,null,"卒業年月日\nDate of Graduation",null,null,null,"学習時間\nStudy Hours"]
[null,1,null,null,null,null,null,null,null,"Y",null,"/M",null,"Y",null,"/M"]
[null,2,null,null,null,null,null,null,null,"Y",null,"/M",null,"Y",null,"/M"]
[]
[null,"職歴、兵役等（就職年月日順に記載）\nOccupational experience including military service（chronological order）"]
[null,null,"勤務先\nName of Place of the Work",null,null,"所在地\nAddress  ",null,null,null,"就職年月日\nEmployment\nDate",null,null,null,"退職年月日\nRetirement Date",null,null,null,"期間\nPeriod\n(Years)"]
[null,1,null,null,null,null,null,null,null,"Y",null,"/M",null,"Y",null,"/M"]
[null,2,null,null,null,null,null,null,null,"Y",null,"/M",null,"Y",null,"/M"]

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[]
[]
[null,"出入国歴 History of entering and leaving Japan"]
[]
[null,null,"入国年月日\nEntry Date",null,null,null,"出国年月日\nDeparture Date  ",null,null,null,"在留資格\nStatus of your stay in Japan",null,null,"    入国目的\n      Purpose of Entry"]
[null,1,"Y",null,"/M",null,"Y",null,"/M"]
[null,2,"Y",null,"/M",null,"Y",null,"/M"]
[null,3,"Y",null,"/M",null,"Y",null,"/M"]
[]
[null,"家族・親戚 Family members"]
[]
[null," 氏名\nName in Full",null,null,null,null,"年齢\nAge",null,"職業\nOccupation",null,"関係\nRelationship","住所\nAddress",null,null,null,"電話\nTel"]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"日本における家族・親戚 Family members，Relatives In Japan"]
[]
[null," 氏名\nName in Full",null,null,null,null,"年齢\nAge",null,"職業\nOccupation",null,"関係\nRelationship","住所\nAddress",null,null,null,"電話\nTel"]
[]
[]
[]
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[null,"本校卒業後の進路 Specific plans after graduation",null,null,null,null,null,null,null,null,null,"□大学、短期大学進学（University or Junior College）\n□大学院進学（Graduate School）\n□専門学校進学（Vocational School）\n□帰国（Return Home）\n□その他（Others）"]
[]
[]
[]
[]
[null,1,"進学希望にチェックした場合\nPeople who are thinking about\nfurthering their studies in Japan",null,null,null,null,null,null,"進学希望学校名\nThe Name of School"]
[null,null,null,null,null,null,null,null,null,"希望学科\nThe Name of Major Subject"]
[null,2,"その他にチェックした場合\nOther plans"]
[]
[null,null,"以上のことはすべて真実であり、私が直筆したものです。\nI hereby declare the above statement is true and that I wrote the document myself."]
[null,null,"作成年月日\n Year",null,null,"年/Year",null,null,"月/Month",null,null,"日/Day","本人署名：\nSignature of Applicant"]