AC-FS For FY 2015 Asia Center Fellowship Program Application Instructions 1. Purpose In order to enhance joint or cooperative projects in a wide variety of fields including arts and culture, sports, academic studies, and intellectual exchange in the Asian regions, fellowships will be provided for individuals who are planning to carry out research activities and forming networks/platforms in their field(s) of expertise outside their home countries. 2.Objectives The objective of the Japan Foundation Asia Center is to encourage the people of Asia, including Japan, to better enhance the sense of affinity and symbiosis as neighbors living together in Asia through exchange and joint activities. In order to realize this objective, the Asia Center mainly carries out projects that aim to achieve the following four purposes. (1) To expand areas of exchange and enhance mutual understanding To expand the sphere of exchange and to deepen the understanding of Asia in Japan and other Asian countries of their neighboring countries through mutually introducing diverse cultures within the Asian regions, and creating opportunities for a wide range of exchange, discussions, and encounters. (2) To foster human resources who are the agents of culture, and facilitate the establishment and expansion of institutional systems and measures To foster human resources in Asia and to facilitate the development of “soft” infrastructure (institutional structures, measures, etc. in the cultural fields) required for the protection and development of cultures of the various countries and regions, through exchange and cooperative activities. (3) To enhance the formation of new networks and the building of sustainable bases and platforms for exchange To form new networks that connect agents of culture of the countries of Asia, and to build sustainable bases and platforms for exchange that generate autonomous, sustainable discussions and cooperation for the purpose of resolving mutual problems and achieving common goals. (4) To enhance the creation of new values and movements, and the raising of issues and proposals aimed at the future To advance collaborative activities in Asia such as cooperation in cultural and artistic fields, and joint research aimed at resolving mutual concerns. And then, to expand areas for exchange through transmitting new values, movements and proposals from Asia to the world. Among the above four goals, the Asia Fellowship Program offers support especially for those venturing in activities described in (2) - (4), and who have clear project objectives and plans. 3. Eligible Projects (1) Eligible Fields ・ Activities in the fields of arts and culture, sports, and intellectual exchange are eligible. These include; visual arts, performing arts, film, video arts, architecture, protection and utilization of cultural heritages, sports, academic research (anthropology and social sciences), media and journalism, arts management, cultural policies, civil society activities etc. ・ For those working in academic fields who intend to visit Japan for Japanese studies, please apply for the Japan Foundation Japanese Studies Fellowship. ・ Activities in the field of Japanese-language education (study of Japanese and methods of teaching Japanese, compilation of Japanese-language learning materials, etc.) are not eligible for this Fellowship. (2) Eligible Activities A wide range of activities are eligible such as research, writing academic articles, papers and reports, “reportage,” interviews, data collection, production of works, meetings for the building of new networks and platforms of research, etc. Applicants ‐1‐ AC-FS must meet the following requirements. (a) Applicants must have a clear objective and goal to be achieved, as well as a clear activity plan. (b) The activities must match the objectives of the Asia Center. (c) Applications must have joint/cooperative elements which transverse national borders. (d) Applicants must be able to illustrate the results in a presentable form. (e) The result must not remain an individual achievement, but must have contributing elements to society as a whole. (f) Applicants must have a clear plan with regard to transmitting and promoting the results. (3) Eligible Countries ・ Eligible countries for the activities are Japan and the 10 members of ASEAN. It is possible for the activities to be conducted in multiple countries. Applicants outside of Japan must include Japan as one of their activities sites. ・ Activities that are conducted in the following situations are not eligible: 1) in the country where the applicant holds nationality, citizenship, or permanent residency, 2) in the country where the applicant currently resides and/or is based (hereafter “the Residing Country”). ・ Activities that do not involve overseas travel are not eligible. 4. Contents of the Fellowship (1) Term (a) Long term (2 months (60 days) – 12 months) (b) Short term (21 days - 59 days) ・ The duration in brackets shows the minimum and maximum lengths of time of the Fellowship. Lengths shorter or longer than those indicated will not be allowed. ・ In principle, the duration of the Fellowship must be continuous. Dividing the fellowship period into multiple times is not allowed. ・ The Fellowship will be provided for activities in countries other than the Residing Country. In principle, applicants must continuously stay in the country other than the Residing Country throughout the fellowship period. (Activities that involve multiple countries should be conducted without returning to the Residing Country.) If there is the need for the applicant to return to the Residing Country in order to pursue his/her activities, please clearly state the reason(s) in the initial activity plan in the application. Daily stipend during the return to the Residing Country will not be provided by this Fellowship. ・ Should the applicant need to temporarily leave the country of activity for reasons unrelated to the Fellowship activity, he/she must notify the Japan Foundation and obtain permission to do so before departure. (2) Grant Overview For selected fellows, the following expenses shall be provided. This Fellowship does not cover expenses of family members or others accompanying the fellow. (a) Round-trip international airfare (discount economy class) ・ Round-trip airfare from the Residing Country to the country/ies where the activities will take place (including all airport use taxes, fuel charges, etc.) ・ In cases where the activities are carried out in multiple countries, it will be understood that the applicant will stay in the various countries continuously, and so in principle a multi-stop ticket between the Residing Country and the countries involved will be the maximum amount provided. (b) Stipend Region A Region B Long term (per month *) 433,000 yen 350,000 yen Short term (per diem) 17,800 yen 14,400 yen Category of Countries Japan Brunei, Cambodia, Indonesia, Laos, Singapore Malaysia, Myanmar, the Philippines, Thailand, Vietnam ‐2‐ AC-FS * Fellowship duration of less than one month will be calculated by the day. (c) Preparation Stipend Long term 77,000 yen Short term 65,450 yen (d) Overseas Travel Insurance (3) Method of Grant Payment The applicant is requested to open a bank account to which it is possible to transmit payment from Japan. In principle, grant will be transferred monthly for long term fellows, and the full grant will be transferred in one payment for short term fellows to the designated account. 5. Application Period and Fellowship Commencement (1) Deadline for Application First Round: By December 1, 2014 Second round: By June 1, 2015 (2) Commencement of Activity First Round: Activities that start between June 1, 2015 and May 31, 2016 Second round: Activities that start between December 1, 2015 and May 31, 2016 6. Application Requirements (1) Eligible Subjects ・ Applicants must either be a resident of Japan or an ASEAN country, and be nationals, citizens, or permanent residents of Japan or an ASEAN country. (Those who are nationals of countries that do not have diplomatic relations with Japan, despite having permanent residency in countries that do, are not eligible) ・ Applicants who intend to conduct activities that match the objective of the Asia Center mentioned in 2 and which are within the fields listed in 3-(1) above. ・ Eligibility includes the following: artists, curators, arts management professionals, producers, researchers, NPO administrators, journalists, authors, critics, sports specialists, etc. ・ The applicant’s sufficient background in the relevant field and capabilities to conduct the proposed activities is one of the important criteria for the screening. The following points (among others) will be comprehensively taken into consideration. - Academic degrees in relevant area of study (Masters or above) or equivalent research or administrative experience - Publications - Past activities and achievements (2) Language Proficiency The applicant must have sufficient command of English or Japanese to give activities reports etc. to the Japan Foundation. Proficiency in other languages is not required for eligibility, but in cases where it is judged that a certain level of proficiency in the relevant language is essential to conduct the activities proposed in the application, there may be cases where evidence of proficiency will be requested. (3) Proof of acceptance It is essential to have proof of acceptance from the hosting institution and or cooperating individuals of the country in which the activities will take place. In cases where acceptance has not yet been determined at the time of application, please include the details of the hosting institution(s) and individual(s) who you have planned acceptance, and the state of your preparations at the time of the application. (4) Previous recipient of a fellowship Previous recipients of fellowships from the Japan Foundation such as the Japanese Studies Fellowship or the Abe Fellowship will be given lower priority in the application for this Fellowship. (5) Projects of the following nature are not eligible ‐3‐ AC-FS (a) Projects in the fields of natural sciences, medicine, or engineering (b) Projects whose objective is to obtain credits at an advanced educational institution (c) Projects that are for political or religious purposes (d) Projects that are for profit-making or fund-raising purposes (e) Projects that are for language–learning purposes (f) Projects that are geared for industrial training (g) Projects that are geared for administrative training 7. Selection Policy Screening will involve reviewing the following points. ・ Accordance with the objectives of the Asia Center ・ Clarity in objectives and goals of the project ・ Elements of collaborations that transverse national borders ・ Potential to broadly spread the achievements after the end of the Fellowship ・ Necessity of on-site residence under the activity plan ・ Specificity, reasonableness, and efficiency of the activity plan and likelihood of achieving the goals within the activity period proposed in the application ・ Sufficient prior achievements in relevant fields and recognition that proposed activities are an extension of previous work and achievements ・ Potential of applicant for subsequent activities ・ Degree of contributions possible to the development and the building platform of relevant fields through the achievements and networks gained from the Fellowship 8. Obligations of Fellowship Recipients (1) Commitment to proposed activities ・ During the period of this Fellowship, recipients must commit to activities proposed in the application and not undertake external jobs. (2) Prohibition of receiving other grants ・ It is forbidden for recipients to simultaneously accept another scholarship or grant. (3) Submission of final report ・ Recipients are required to submit a final report describing the achievements gained from the activities within two months after the end of the Fellowship. (4) Notation of credit for the results ・ Recipients are required to clearly acknowledge the support of the Japan Foundation Asia Fellowship in the results, ex. publications. 9. Other Points to Note (1) Visas ・ In the case that a visa is required for the country where the activities will take place, recipients are required to carry out the necessary procedures. We advise that applicants confirm the necessary visa type in advance before the application. Visa applications require time to be processed, so we also advise applicants to apply for the necessary visas in advance. ・ The Japan Foundation shall provide documents (in both English and Japanese) necessary for visa applications. (2) Announcement of Fellows ・ For those who have successfully been selected as Fellows, information related to the Fellows’ names, areas of expertise, affiliated organs, activity contents, country or countries where the activities will take place, term of the Fellowship, etc. will be announced through the website of the Japan Foundation, etc. (3) Announcement of reports and results ‐4‐ AC-FS ・ In regard to the final reports submitted by Fellows and the results of the Fellowship, the Japan Foundation plans to widely announce them to the public through venues such as the Japan Foundation website. ・ Should the Fellow not submit the final report, the Fellowship may be cancelled whereby the recipient is expected to return entire grant paid under the Fellowship including airfares, stipend, etc. (4) Responsibilities of Fellows ・ The Fellow shall be responsible for all causes and effects resulting from the activities during the duration of the Fellowship. The Japan Foundation shall not be responsible or liable for any illnesses or accidents etc. that occur during the term of the Fellowship. We advise that Fellows take all due care in regard to ensuring safety, preventing accidents, etc. during the term of the Fellowship by confirming security conditions in the country or countries where the activities will take place. 10. Application Procedure (1) Application documents The documents needed for the application are as in (a) - (e) below. Please submit documents (a) - (d) as one set, the one original and one copy, to the designated office for submission, as in (2) below. The two reference letters (e) must be sent directly from your two referrers to the designated office of submission as in (2) below. Application form (use the designated format) (a) Application Form (attachments; free-style format) (b) Personal history (C.V. of the applicant) (c) Letter of agreement from host organization/collaborators (d) Information and contact details about the host organization/collaborators Reference letters (use the designated format) (e) Two reference letters (2) Place for submission Applications from Japan Please submit one original and one copy of the set of application documents by sending as a registered post or by delivery service (takkyubin) to the Japan Foundation Asia Center (Tokyo Headquarters.) Applications sent by E-mail, fax, or delivered in person, will not be accepted. The Japan Foundation Asia Center, Fellowship Section 4-4-1 Yotsuya, Shinjuku-ku, Tokyo 160-0004 Tel. +81-3-5369-6025 Applications from outside Japan Please submit one original and one copy of the application. Applications via E-mail or fax will not be accepted. Country of Application Brunei Darussalam Place to submit application The Embassy of Japan in Brunei Darussalam Address: House No. 33, Simpang 122Kampong KiulapBandar Seri Begawan BE1518 Brunei Darussalam Tel: +673 222 9265 ‐5‐ AC-FS Cambodia Indonesia Laos Malaysia Myanmar Philippines Singapore Thailand Vietnam Embassy of Japan in Cambodia Address: NO.194, Moha Vithei Preah Norodom, Sangkat Tonle Bassac, Khan Chamkar Mon, Phnom Penh, Cambodia Tel: +855 23 217161 The Japan Foundation, Jakarta Address: Summitmas I, 2-3F, Jalan Jenderal Sudirman, Kav. 61-62 Jakarta Selatan 12190, Indonesia Tel: +62 21 520 1266 Embassy of Japan in the Lao PDR Address: Sisangvone Road, Vientiane, Lao PDR Tel: +856 21 414400 The Japan Foundation, Kuala Lumpur Address: 18th Floor, Northpoint Block B, Mid-Valley City, Medan Syed Putra, 59200, Kuala Lumpur, Malaysia Tel: +60 3 2284 6228 Embassy of Japan in Myanmar Address: No.100 Natmauk Road, Bahan, Township, Yangon, Myanmar Tel: +95 1 549644 The Japan Foundation, Manila Address: 23F, Pacific Star Building, Sen. Gil Puyat Avenue, corner Makati Avenue, Makati City, Metro Manila, 1226, Philippines Tel: +63 2 811 6155 The Embassy of Japan in Singapore Address: 16 Nassim Road, 258390 Singapore Tel: +65 6235 8855 The Japan Foundation, Bangkok Address: Serm Mit Tower, 10F, 159 Sukhumvit 21 (Asoke Road), Bangkok 10110, Thailand Tel: +66 2 260 8560 4 The Japan Foundation Center for Cultural Exchange in Vietnam Address: No. 27 Quang Trung Street, Hoan Kiem District, Hanoi, Vietnam Tel: +84 4 3944 7419 (3) Points to Note (a) Applications not made on the designated application forms will not be considered for selection. Also, the application documents and attached materials (including reference letters etc.) will not be returned. (b) Applications submitted after the application deadline will not be accepted. (c) In the case of several applications being made by the same applicant, all applications will be considered invalid. 11. Results Notification (1) Notification of the selection results Results will be informed in April, 2015 for first round applicants, and in October, 2015 for second round applicants. (2) We will not answer any inquiries related to the selection result or conditions during the selection process. 12. Disclosure of information ‐6‐ AC-FS (1) Details of projects supported by the Japan Foundation (e.g., the name of the applicant, project descriptions) will be made public in the Kokusai Koryu Kikin Jigyo Jisseki (Detailed Annual Reports of the Japan Foundation), on the Japan Foundation's website, and in other public-relations materials. (2) When a request for information based on the "Law Concerning the Disclosure of Information Held by Independent Administrative Institutions, Etc." (Law No. 140; December 5, 2001), is received, materials such as submitted application forms will be disclosed (unless stipulated by law as not to be disclosed). 13. Handling of personal information (1) The Japan Foundation handles personal information appropriately in accordance with the Law Concerning Access to Personal Information Held by Independent Administrative Institutions (Law No. 59 of 2003). The Japan Foundation’s privacy policy can be referred to on the following website: http://www.jpf.go.jp/e/policy/privacy.html (2) The Japan Foundation uses personal information on the application materials for screening, implementation, and evaluation procedures of the project. They may also be used for the following purpose: - Details of the fellowship, such as fellows’ name, gender, job and position, affiliation, project duration, and project description , etc. are published in the Kokusai Koryu Kikin Jigyo Jisseki (Detailed Annual Reports of the Japan Foundation), the Annual Report, on the Japan Foundation's website, in other public-relations materials. They are also used in compiling statistics and released to the press for publicity purposes. - There may be cases in which these information are released to Ministry of Foreign Affairs of Japan, Embassies or Consulates-General of Japan, etc. at the place where participant lives in order to applies for a visa, etc. - There may be cases in which these information are released to the insurance company or their representatives, etc. in order to cover your activity during the Fellowship period by an overseas traveler’s personal accident insurance, etc. - There may also be cases in which copies of applications, including documents containing some personal information, are provided to outside consultants in order to facilitate the screening process and the evaluation of the results of projects. - There may also be cases in which the Japan Foundation sends questionnaires to the addresses written on this form after the project has ended. - There may also be cases in which the Japan Foundation uses the information written on the application form to contact the applicants to inform them of other Japan Foundation activities. (3) Applicants are requested to inform all individuals whose personal information appears on the application materials of the above-mentioned policy. (4) Information may be released to other fellows for the purpose of exchange of information among them. (5) There may be cases in which the project reports and other related publication are released to the public. (6) There may be cases in which the Japan Foundation provides a copy of application forms to hosting institution(s) and individual(s) to the extent necessary for conducting activities. 14. Contact The Japan Foundation Asia Center, Fellowship Section 4-4-1 Yotsuya, Shinjuku-ku, Tokyo 160-0004 Tel. +81-3-5369-6025 Fax: +81-3-5369-6036 E-mail: [email protected] ‐7‐ AC-FS The Japan Foundation Asia Center Application Form for Asia Center Fellowship Program Domestic application For FY 2015 For official use 事・大・総 Direct overseas application Date: □ First Round (Deadline: December 1, 2014) □ Second Round (Deadline: June 1, 2015) □ Long term □ Short term 1. Applicant (1) Name (*as shown in passport) Family name Given, Middle name Family name Given, Middle name Name (in English) Name (in mother tongue) Title □Prof. □Dr. □Ms. □Mr. □Other( ) (2) Date of birth / Sex / Nationality, etc. Date of birth (MM/DD/YY) / □Nationality □Citizenship □Permanent residency / Sex (Country) (3) Residential address / Contact details Postal code Address Country: E-mail (Tel) Telephone/Fax (Mobile) (Fax) (4) Current occupation Institution/ Affiliation Position Postal code Address Country: E-mail (Tel) Telephone/Fax (Fax) (1) □Male □Female 2. Personal history (Please attach a detailed C.V.) (1) Academic history Year of Degree Issued Degree Institution (2) Employment history Year Employment history (3) Major achievements (Thesis, publications, productions, projects, etc.) Year Achievement history (4) Membership in societies, organizations, etc. (2) Field of study 3. Record of activities overseas (List up to five main activities) (Activity 1) Period Location Activity Details (Activity 2) Period Location Activity Details (Activity 3) Period Location Activity Details (Activity 4) Period Location Activity Details (Activity 5) Period Location Activity Details (3) 4. Overview of project: (For items marked with an asterisk, please append details separately.) (1) Project title (2) Field Field Details □Visual arts (Painting, sculpture, photography, video, film, design, craft, etc.) □ Performing arts (Theater, contemporary dance, classical dance, music, etc.) □ Cultural heritage, traditional culture □ Cultural policy, arts management □ Architecture □ Sports □ Media / Journalism □ Civil society (Philanthropy, NPO/NGO activities, community activities, social enterprise, etc.) □ Humanities (Literature, history, arts, cultural anthropology, sociology, religious studies, etc.) □ Social sciences (Political studies, economics, sociology, international relations, etc.) □ Other (4) (3) Summary of project (*Please also complete section 8. Contents of project (detailed).) (4) Fellowship period Period (MM/DD/YY) / (Total / months and / ― / days) (5) Schedule From (MM/DD/YY) To (MM/DD/YY) Activities (Please include host organization and/or collaborators) City / Country (6) Guarantors (*If consent has been granted for the acceptance of the applicant, please attach a copy of the letter of agreement.) Country Host organization / collaborators Status □ Consent granted □ In negotiations □ Consent granted □ In negotiations □ Consent granted □ In negotiations □ Consent granted □ In negotiations (5) (7) English proficiency Conversation □Excellent □Good □Fair □Poor Reading □Excellent □Good □Fair □Poor Writing □Excellent □Good □Fair □Poor Proficiency tests Type: □TOEFL Score: ( □TOEIC ) □IELTS □Other ( ) (8) Japanese proficiency Conversation □Excellent □Good □Fair □Poor Reading □Excellent □Good □Fair □Poor Writing □Excellent □Good □Fair □Poor Proficiency tests Type: Score: ( □JLPT □Other ( ) ) (9) Other languages If other languages are necessary for your project, please input information about the language, your operational capability in the language, and the status of your preparations. Language Current operational capability / status of preparations, etc. 5. References (*Please provide the names, affiliation, and contact information of your two referrers.) (Referrer 1) ・Name: ・Institution: ・Position: ・E-mail: ・Tel: (Referrer 2) ・Name: ・Institution: ・Position: ・E-mail: ・Tel: (6) 6. Bibliography, case studies, etc. related to the project that you are applying for 7. Past fellowships awarded by the Japan Foundation (year, name of program, grant amount) I certify that all the information provided in this application is true and correct. Date_____________ _ (7) Signature________________________ 8. Contents of project (detailed) Project title *Please provide the following information. (1) Background of project (2) Objectives (3) Contents (4) Status of preparations (5) Partners/collaborators (6) Expected results (7) Plans to publish/disseminate the results (8) Plans for contributing to promoting cooperative and collaborative projects and to the building of networks/platforms in Asia (8) *8. Contents of project (detailed) Continued *Please include a separate attachment where necessary. (9) <Attachments> Please attach all of the following documents. □ Personal history (C.V. of the applicant) (*Where necessary, please attach documents on past achievements.) □ Letter of agreement from host organization/collaborators □ Information (overview of the organization, C.V., etc.) and contact details about the host organization/collaborators <Reference letter> □ Reference letters (two letters) *Please pass the attached template for the reference letter to your two referrers, and request that they send the letter to the same recipient for your application form (that is, the Japan Foundation overseas office, Embassy of Japan, or the headquarters of the Japan Foundation in Tokyo) by December 1, 2014 for the first round, and by June 1, 2015 for the second round. (10) 推薦書 REFERENCE FORM The Japan Foundation Asia Center Fellowship Program 下記申請者は国際交流基金・アジア・フェローシップを受け ることを希望し、貴殿の推薦を得たいとしております。 つきましては、申請者の当該プロジェクトに取り組む資格、 その成功の見込み、必要性及び重要性、貴殿と申請者の専門分 野におけるかかわり等について日本語又は英語でご記入の上、 2014年12月1日/2015年6月1日必着で下記太線枠内の国際交流基 金海外拠点、日本国大使館または直接国際交流基金東京本部に 原本をご送付ください。 選考結果は2015年4月/10月に本人に通知します。推薦者への 結果通知は行っておりませんので、予めご了承ください。 The person named below wishes to apply for the Japan Foundation Asia Center Fellowship Program. The applicant would like you to write a letter of reference. Please assess the applicant’s competence to carry out the proposal as described, as well as the importance and impact of the project, and describe the relationship between you and the applicant in the special field. Please send the original form to the Foundation overseas office or Japanese diplomatic mission whose address appears below in the box outlined in bold lines, or directly to the Foundation Headquarters in Tokyo. The deadline is December 1, 2014/June 1, 2015. The result of the screening will be announced in January/October 2015 by the Foundation. Please note that the Foundation does not inform referees/recommenders of the results of screening. 〒160-0004 東京都新宿区四谷4-4-1 国際交流基金アジアセンター Tel: +81-3-5369-6025 Fax: +81-3-5369-6036 The Japan Foundation Asia Center 4-4-1 Yotsuya, Shinjuku-ku, Tokyo 160-0004 Tel: +81-3-5369-6025 Fax: +81-3-5369-6036 以下の宛先に送付願います。Please send this form to the address as below. □ 本部 / Headquarters □ 海外拠点・在外公館 [ ] The Japan Foundation overseas office or Japanese diplomatic mission [ 住所 address [ 締め切り Deadline □ 2014年12月1日 / December 1, 2014 □ 2015年6月1日 氏名Name (Family name) 申請者 Applicant ] ] / June 1, 2015 (First name) 所属機関 Institution プロジェクト名 Project title 連絡先Contact information 氏名Name 評価記入者 Referee/ Recommend er 現職Position 所属機関Institution 所見(本欄のみならず、署名済みの書類を添付いただいても結構です。 )Comments (You may either use this space or attach a signed letter.) 注:太線枠内は申請者が記入のこと。Note: the applicant should fill in boxes outlined in bold lines. (11) 推薦書 REFERENCE FORM The Japan Foundation Asia Center Fellowship Program 下記申請者は国際交流基金・アジア・フェローシップを受け ることを希望し、貴殿の推薦を得たいとしております。 つきましては、申請者の当該プロジェクトに取り組む資格、 その成功の見込み、必要性及び重要性、貴殿と申請者の専門分 野におけるかかわり等について日本語又は英語でご記入の上、 2014年12月1日/2015年6月1日必着で下記太線枠内の国際交流基 金海外拠点、日本国大使館または直接国際交流基金東京本部に 原本をご送付ください。 選考結果は2015年4月/10月に本人に通知します。推薦者への 結果通知は行っておりませんので、予めご了承ください。 The person named below wishes to apply for the Japan Foundation Asia Center Fellowship Program. The applicant would like you to write a letter of reference. Please assess the applicant’s competence to carry out the proposal as described, as well as the importance and impact of the project, and describe the relationship between you and the applicant in the special field. Please send the original form to the Foundation overseas office or Japanese diplomatic mission whose address appears below in the box outlined in bold lines, or directly to the Foundation Headquarters in Tokyo. The deadline is December 1, 2014/June 1, 2015. The result of the screening will be announced in January/October 2015 by the Foundation. Please note that the Foundation does not inform referees/recommenders of the results of screening. 〒160-0004 東京都新宿区四谷4-4-1 国際交流基金アジアセンター Tel: +81-3-5369-6025 Fax: +81-3-5369-6036 The Japan Foundation Asia Center 4-4-1 Yotsuya, Shinjuku-ku, Tokyo 160-0004 Tel: +81-3-5369-6025 Fax: +81-3-5369-6036 以下の宛先に送付願います。Please send this form to the address as below. □ 本部 / Headquarters □ 海外拠点・在外公館 [ ] The Japan Foundation overseas office or Japanese diplomatic mission [ 住所 address [ 締め切り Deadline □ 2014年12月1日 / December 1, 2014 □ 2015年6月1日 氏名Name (Family name) 申請者 Applicant ] ] / June 1, 2015 (First name) 所属機関 Institution プロジェクト名 Project title 連絡先Contact information 氏名Name 評価記入者 Referee/ Recommend er 現職Position 所属機関Institution 所見(本欄のみならず、署名済みの書類を添付いただいても結構です。 )Comments (You may either use this space or attach a signed letter.) (12)
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