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[{"$nulls":11},"Form 1"]
[null,"２０２０年度 首都大学東京大学院 人間健康科学研究科\n「アジアの高度先端医療者育成」外国人留学生特別選抜\n入学試験出願資格認定申請書（放射線科学域）"]
[null,"2020 Tokyo Metropolitan University Graduate School of Human Health Sciences \n“Asian Human Resource Development Project for Medical Professionals” International Student Special Selection\nApplication for Individual Application Qualification Screening （Department of Radiological Scienｃes)"]
[]
[]
[null,"(注)　・提出いただいた書類は返却しません。"]
[null,"  Note: Once submitted, this application will not be returned for any reason."]
[null,"　　 　・ 「※整理番号」欄は、記入しないこと。"]
[null," 　　　     Please leave the \"University Use Only\" section blank."]
[null,"　　 　・ 「学歴」欄は、高等学校から、最終学歴（在学中を含む）まで年次順に記入してください。"]
[null,"    　　　  In the \"Educational History\" section, list every school you have attended in chronological order, beginning with senior high school \n    　　　   (include any currently enrolled schools as well)."]
[null,"　   　・ 「職歴及び研究歴」欄には、従事期間及び職務分野についても記入し、現在に至る場合はその旨明記してください。"]
[null,"  　　　    In the \"Work Experience and Research Achievements\" section, write the period of employment and field of work for each job.\n             If you are working at the present, please write the detail. "]
[null,"       ・ 「学術的業績」欄には、資格認定に際して参考となる活動等を記入してください。"]
[null,"  　　　    In the \"Academic Achievements\" section, write the activities related to application qualification screening."]
[null,"　   　・ 欄が不足の場合は、「裏面に続く」と記入し、裏面に追加記入してください。"]
[null,"    　　　  If you need more space,  write \"Continued on the back\" and continue to do on the back side of the form."]
[null,"氏　　名\nName","　　　　　　　   　　　　　　　   　　　     ,   　　　　　　   　　　   　　　　　　　　　　   　　   　　　　　　　　　　　あ\n　　　　   　　　　   　　　（Family name）    　　　　   　   　　　 （First name） 　      　　　（Middle name）"]
[]
[]
[null,"生年月日\nDate of Birth","　　　　　　　　　　　　　 　  　       　　　　　　　　　　　　　　　　　　　  　　　　　　　　　　　　 　あ\n  　　　　　　　Day        　　　　　　　　　　　 Month     　　　　　　　　 　　　　  Year"]
[]
[]
[null,"連絡先\nContact  Detail","Address"]
[null,null,"Postcode　　　　　－　　　　　　Country                              "]
[null,null,"TEL：（　　　　　　　）　　　　　　　　　　　　　　　E-mail："]
[null,"学　　歴\n\nEducational History","学校名\nName of School",null,"学部・学科・研究科名\nName of Faculty or Department",null,null,null,"期　　間\nPeriod (Month/Year)",null,null,"状　　況\nStatus"]
[{"$nulls":8},"from",null,null,"　□ Graduation（卒業・修了）"]
[{"$nulls":11},"　□ Withdraw（中退）"]
[{"$nulls":8},"to",null,null,"　□ Expected Graduation"]
[{"$nulls":11},"　　　　　　　（卒業（修了）見込）"]
[{"$nulls":8},"from",null,null,"　□ Graduation（卒業・修了）"]
[{"$nulls":11},"　□ Withdraw（中退）"]
[{"$nulls":8},"to",null,null,"　□ Expected Graduation"]
[{"$nulls":11},"　　　　　　　（卒業（修了）見込）"]
[{"$nulls":8},"from",null,null,"　□ Graduation（卒業・修了）"]
[{"$nulls":11},"　□ Withdraw（中退）"]
[{"$nulls":8},"to",null,null,"　□ Expected Graduation"]
[{"$nulls":11},"　　　　　　　（卒業（修了）見込）"]
[null,"職　歴\n及び\n研 究 歴\n\nWork Experience\nand\nResearch Achievements","在職（従事）期間\nPeriod\nof Work Experience (Day/Month/Year)","勤務（従事）先名称・住所\nEmployer・Office Address",{"$nulls":6},"職位\n（職務分野）\nPosition\n(Field)"]
[null,null,"from","名称\nEmployer"]
[]
[null,null,"to","住所\nOffice Address",{"$nulls":6},"（　　　　　　　　　　　　　　）"]
[]
[null,null,"from","名称\nEmployer"]
[]
[null,null,"to","住所\nOffice Address",{"$nulls":6},"（　　　　　　　　　　　　　　）"]
[]
[null,null,"from","名称\nEmployer"]
[]
[null,null,"to","住所\nOffice Address",{"$nulls":6},"（　　　　　　　　　　　　　　）"]
[]
[null,"資　　格 / 免　　許\nQualifications /Licenses","名称（種別）\nName of Qualification / License\n Grades / Classes / Types",null,"取得（免許）年月日・番号\nAcquisition Date(Day/Month/Year) ・Certification/License No.",{"$nulls":5},"取扱（認定）機関\nCertification/License\nIssuing Authority/Organization"]
[{"$nulls":4},"                        ・№"]
[{"$nulls":4},"                        ・№"]
[null,"学術的業績\n（日付・内容）\nAcademic Achievements (Day/Month/Year ・ Detail)"]