This excel file consists of 5 pages.

Please fill in the first three sheets (For applicant part 1,2&3) following this
example.
Do not fill in the other two sheets because they are for our use.
Send us the whole 5 pages without changing nor deleting.
Inform KUIS in advance if you have a history of your COE being rejected or you Do not paste the photo. KUIS will paste your photo
have a Japanese nationality (including double nationality). which will be mailed to us.

[3] Full name in CAPITAL LETTERS of the alphabet [5] City, province and country of birth
exactly as indicated in your Passport.

[8] Full address in detail including room no.

Important!
Fill in your name in the same order and
alphabet as shown here! [17] Write the exact date of entry/departure of the
latest visit to Japan.
If the record is inaccurate, COE will not be issued.
[14] 1 semester ➡ 5 months
2 semesters ➡ 11 months

[16] Please apply for your visa at the nearest [18] If you have a history of applying for COE, circle
Japanese consulate or embassy in your country. “Yes” and write the number of times of issuance.

[17] Write the number of your visits to Japan.

If you have ever visited Japan, you are required to
submit all the records of your visits to Japan.
Please write the total number of times you have
visited Japan here.
All of the pages of your passport which have the
stamps of arrival in and departure from Japan must
be uploaded to our application form to certify the
record.
[18] If you have a history of your COE being rejected,
write the number of times of non-issuance.
To avoid re-denial, please provide us the reason for
the past denial in detail.
[19] [20] [21]
Please make sure to circle "Yes" or "No"

If you do not have any family or co-resident in Japan,

write "None" or "N/A".
[23] The total period of education should be more
than 12 years.
[25] Write about the test result of the Japanese
Language Proficiency Test you have passed.
[27] Important!!
◆Supporter's information and the amount of
support per month written here should be
consistent with the contents of the [DL3」 Letter
of Financial Support.
◆Please submit the official Bank
Certificate of your financial supporter
written here.
In the case of “Scholarship”
If you receive the scholarship from your country,
home university or any other organization, write the
amount(JPY) per month.
The amount must be consistent with the Certificate of
Scholarship you will submit.
In the case of “Self”
27-(1)Write the amount(JPY) you will bear per month.
27-(2) Fill out as follows:
① "Self"
②③ （Blank)
④ Fill in your latest bank balance in JPY with the
exchange rate by correcting the column as follows.
(Annual income Bank balance
880,000(1JPY=128.99IDR)
Please make sure to submit the official Bank Balance
Certificate of your own account.
[24]-(3) Fill in the expected date of graduation from
your home university.
Applicants from partner universities must not
graduate from their home institution while they are
enrolled in KUIS.
Write about the organization, period, and total hours
you have studied Japanese.
Please circle the applicable one regarding your
current situation of learning Japanese.
In the case of “Supporter living abroad”
27-(1) Write the amount (JPY) you will receive per
month.
The monthly expenses for living in Japan is 80,000
yen at minimum. It is desirable the total supported
amount is more than 80,000 yen.
27-(2)
① The supporter should be the same as the person
you stated in [DL3」 Letter of Financial Support and
the account holder of the official Bank Balance
Certificate you will submit.
③ Fill in both the occupation and the name of the
company.
In the case of self-employed, please fill in the details
of the business.
e.g :
Restaurant management / ×××Restaurant
Farmer / fruit farm
④ Write in JPY with the exchange rate.
If the financial supporter is unemployed or retired
and has no annual income, write the balance of the
deposit in JPY with the exchange rate by correcting
the column as follows.
(Annual income Bank balance
5,000,000(1JPY=128.99IDR)
The amount must be consistent with the Bank
Balance Certificate.
Please select the relationship between you and the
person you wrote in “27-(2)Supporter".
If you financially support yourself, you do not have
to write this column.

If you receive a scholarship, write the name of

granting organization as follows.

■その他 （ABC University）

Others 神田外語大学

Leave “神田外語大学”as it is without deleting.

No need to fill out Section 29,30