MEXT Postgraduate 2018

Indicate which level you want to study in Japan. Mark “/” on Master’s Studies if you want to do Master’s only. Mark “/” on Doctoral Studies if you want to do Doctoral only. MEXT Postgraduate 2018 Mark “/” on both Master’s and Doctoral Studies if you want to do both Master’s and Doctoral.

Application Form: [POSTGRADUATE 2018] Social Science / Master’s Studies *Valid in Malaysia only. / Natural Science / Doctoral Studies

APPLICATION FOR JAPANESE GOVERNMENT (MONBUKAGAKUSHO: MEXT) SCHOLARSHIPS 2018 Research Students

INSTRUCTIONS 1. The application should be typewritten if possible, or neatly hand-written in block letters. 2. Numbers should be in Arabic numerals. 3. Year should be written in the Anno Domini (AD) system. 4. Proper nouns (including address) should be written in full, and not abbreviated. For those without surname, write 5. Please provide present address and telephone number in Malaysia. your father’s name for “Family 6. Use our formatname” to helpand your to speed-up name for “Firstthe short-listing process. Do not change our format. name”. Write Christian name only if it appears in your passport, else write Chinese characters “ 小美” or “Xiao Mei” for “First name” and “-” for “Middle name”. 1. Name in full, in your native language (Sex) Abu Bakar , Siti Fatimah binti 陈凯特林小美 Tan Catherine Xiao Mei Male Ramasamy Letchumy - (Family name/ Surname) (First name) (Middle name) / Female In Roman block capitals (Marital Status) ABU BAKAR , SITI FATIMAH BINTI TAN CATHERINE XIAO MEI / Single RAMASAMY LETCHUMY - (Family name/ Surname) (First name) (Middle name) Married

2. Nationality : Malaysian 2a. Do you have Japanese nationality? No

3. Date of birth : 1987 4 2 30 (Year) (Month) (Day) (Age, as of 1st April 2018)

4. Present status with the name of the university attending or employer Support Engineer, XXXXXX Sdn. Bhd. Lecturer, Universiti Malaya Provide address with postcode and Undergraduate student, Universiti Kebangsaan Malaysia state. 5. Present address and telephone number, facsimile number, e-mail address Present address : No. XX, Jalan Wangsa, Bandar Baru Maju Jaya, Cheras, 68000 Selangor Telephone/Facsimile number : +6012-XXX-XXXX, +603-XXXX-XXXX (Fax) E-mail address : [email protected] Provide telephone numbers in Malaysia only. 6. Field of study specialized (NOT list of subjects) in the PAST (be as detailed and concrete as possible)

The Embassy of Japan will not provide any guidance on how to fill in items 6 and 7. Do not leave blank.

1 MEXT Postgraduate 2018

2 The Embassy of Japan will not provide any guidance on how to fill in items 6 and 7. Do not MEXT Postgraduate 2018 leave blank.

7. Proposed study program IN JAPAN. (State the name & outline of your major field of study and the details of your study program This section will be used as one of the most important references for selection. Statement must be typewritten [font: Tahoma, size: 10pt] or written in block letters. Additional sheet of paper [maximum 3 additional sheets] may be attached ONLY IF NECESSARY. If you have good command of Japanese [JLPT Level 2 or above], write in Japanese.)

i) Present field of study

ii) Your research theme after arrival in Japan

iii) Study programme in Japan in detail (STUDY/RESEARCH PROPOSAL)

8. Education background Level of Name and Address Year and Month Period of schooling Certificate (i.e. UPSR, Education of School of Entrance attended PMR,SPM & etc) And and Completion (EXCLUDING Diploma or Degree Remove Class) awarded with MAJOR SUBJECT Elementary Name From 6 yrs Education SRK Bandar Tasik January 1994 UPSR and 1.Elementary Location To School Kuala Lumpur December 1998 0 mths

Secondary Name From Education: SMK Bandar Tasik January 1999 3 yrs PMR You may add one more row and 1.Lower Location for Todifferent school attended 0 mths Secondary Kuala Lumpur for Decemberthe same education 2001 School category. Name From SMK (P) Bandar Selatan January 1999 2 yrs SPM

Location To and Kuala LumpurState SPM/ UEC/ A-LevelsDecember for “Upper2004 Secondary School” if do not have diploma, 0 mths matriculation or foundation studies. Name 2.Upper XXX College From 2 yrs Diploma in Secondary June 2005 Information School Location and Technology Kuala Lumpur To June 2007 1 mths

“Graduate Level” is for undergraduate, i.e. HIGHER Bachelor’s degree only. EDUCATION Name From 3 yrs : YYY University August 2007 Bachelor Degree in 1.Undergraduate and Information Level Location To Technology Kuala Lumpur August 2010 1 mths “Graduate Level” is for postgraduate, i.e. NameMaster’s or PhD only. State “NIL” if not yrs 2.Graduate Level applicable. Do not leave blank.From and Nil Location To mths

TOTAL years of 16 yrs schooling and mentioned above 2 mths

9. TWO recent Employment record. Begin with most recent employment, if applicable. (DO NOT INCLUDE INTERNSHIP OR PART TIME JOBS)

Name and address of organization Period of employment Position TYPE of work XXXXXX Sdn. Bhd. From Support Engineer Provide computer Lot 665, Jalan Wangsa, August 2010 technical support Bandar Baru Maju Jaya To for customers 68000 Cheras, Kuala Lumpur current Nil From Summarize “type of work” in 15 words. State “NIL” if not applicable. Do not leave blank. To

Date of application:

20 March 2017

Applicant’s signature:

______Sign here. Applicant’s name (in Roman block capitals): Name as in passport. SITI FATIMAH BINTI ABU BAKAR CATHERINE TAN XIAO MEI LETCHUMY RAMASAMY

Have you learnt Japanese language before?

/ YES NO

If yes, name of Institute: XXX Japanese Language School

If you are called to sit for the written examination held by the Embassy, do you want to sit for the Japanese language paper (optional)?

/ YES NO

NOTE: Please read our guidelines carefully; follow the instructions and fill-in correctly before submitting. Do not leave any column blank, if you do so, your application may not be considered.

Attachment (please tick):- / REQUIRED One (1) copy of original or certified academic transcript (Bachelor’s/ Master’s only) OPTIONAL One (1) copy of certified degree certificate (Bachelor’s/ Master’s only) * Bachelor’s/ Master’s academic transcripts and degree certificates only. UPSR/ PMR/ SPM/ O-Levels/ STPM/ A-Levels/ Matriculation/ Diploma results, IC photocopies and resume/CVs are not required. Master’s student must submit one (1) copy each of Bachelor’s and Masters’ academic transcripts. 5 MEXT Postgraduate 2018

ANNEX ASCOJA Recommendation

ASEAN Council of Japan Alumni (ASCOJA) aims to foster human resources that can provide leadership as a bridge between Japan and home country even after returning home. In addition to the specialized field of study in graduate school, ASCOJA members also have a chance to deepen their understanding of Japan by learning Japanese language, culture, and through activities such as experiencing customs and exchange with Japanese people during their stay in Japan.

MEXT Scholarship candidates who fulfill ALL the requirements below are eligible for the ASCOJA Recommendation: ☑ Will depart to Japan as “Research Student” in April 2018

☑ Will proceed to Master’s Course (candidates taking PhD courses are not eligible)

☑ Will apply for a university in Tokyo or around the region (where student can participate in ASCOJA’s activities without hindrance). ☑ Will receive 6 months of Japanese language preparatory education at Tokyo Japanese Language Education Center before enrolling into graduate school.

If you are interested to join ASCOJA kindly tick ☑in the box below ☑ YES

□ NO

Signature: Fatimah

Name: SITI FATIMAH ABU BAKAR Date: 20 March 2017

This recommendation is OPTIONAL, and NOT compulsory.

Only candidates who meet ALL of the above requirements are eligible.