[1]. PERSONAL INFORMATION

First Name :
Family Name :
Email
Telephone Number -
Age years old
Sex Male Female
Marital Status Single Married
 
[2] ACADEMIC INFORMATION
Year of Graduation
University/Institute
Major Field
GPA (minimum 3.00) (Example : 3.7)
Major Field of Further Education Plan
   
[3] NON ACADEMIC INFORMATION
Japanese Language Proficiency Test (JLPT)(1)

If you dont have JLPT Score/Test, please choice how many hours you have been study Japanese(2)
TOEFL Score
(P=Paper based   C=Computer based)
Total Years of Working Experience
Employeement/Occupation
   
Note :
(1) Certificates should be submitted after being selected as candidate
(2) Will be reviewed after being selected as candidate
   
[4] ACCEPTANCE BY JAPAN's UNIVERSITY

Thesis approved by Japanese professor, and accepted as a research student based on lecturer's recommendation.
Thesis approved by Japanese professor, and accepted as a research student based on own effort.
Have thesis for master and still communicating with Japanese Professor to get informal consent as a research student.
Not yet applying to Japanese professor as a research student.

Note : (3) Letter of acceptance and e-mail correspondence to be submitted after elected as candidate
[5] OTHERS
Have you applied other scholarship program in the past? Yes No
Are you applying other scholarship program? Yes No
How do you know Panasonic Scholaship Program? From newspaper.
From magazine.
From campus news.
From Panasonic's website
Do you want use your application also for Job application in Panasonic Group ? Yes No
 

I certify that all of the information and data made in this application are true, and correct, and are made in good faith. I also realize that all submissions are subject to verification.