Name

Nationality

Application Form for JASSO Scholarship

PART 1

To be completed by applicant

Note: Please note that we will only contact successful applicants. Required financial documents MUST be submitted even if you are selected
for this scholarship.

1. Family Name:

Given Names:

2. Name in Chinese Characters (if applicable):

3. Are you applying for other scholarships beside JASSO?

Yes (Name of the Scholarship )
(Monthly Stipend

No
4. Have you ever received the JASSO scholarship before?
Yes (Did this happen within the last 3 years? YES )
No
5. Have you applied for the Honors Scholarship for Privately Financed International Students?
Yes
No
6. Have you applied for the Japanese Government Scholarships?
Yes
No

*The following page should be completed by the

person in charge of the Student Exchange Program.

Recommendation Form for JASSO Scholarship

PART 2

To be completed by the person in charge of the Student

Exchange Program.
Name:

Position:

Name of Organization/ Institution:

Address:

Contact Number:

Email: