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Relation Age Occupation Amount of Yearly Income If you are applying for other scholarships, state the name of the sponsor, duration, amount, etc. Reason to apply for scholarship Date of application Applicant's signature Applicant's name in Roman block capitals Note: 1. Certificate of yearly income per each family members shall be attached with this form. 2. The amount of scholarship per month is 80,000 Yen for master course student and 100,000 Yen for doctor course stu.

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