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[{"$nulls":11},"Form 1"]
[null,"２０２１年度 東京都立大学大学院 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"]
[null,"2021Tokyo 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 "]
[]
[]
[null,"(注)・提出いただいた書類は返却しません。",null,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,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\n    ください。",null,null,"   *In the \"Educational History\" section, list every school you have attended in chronological\n    order,beginning with senior high school (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\n    至る場合はその旨明記してください。",null,null,"   *In the \"Work Experience and Research Achievements\" section, write the period of employment\n   and field of work for each job. 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,null,"   *In the \"Academic Achievements\" section, write the activities related to application \n    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,null,"   *If you need more space,  write \"Continued on the back\" and continue to do on the back side \n    of the form."]
[]
[null,"学　　域\nＤｅｐａｒｔｍｅｎｔ","　　　□理学療法科学域　　　　　　　　　　　　□作業療法科学域　　　　　　　　　　　　　　　　□放射線科学域　　　　　　　　　　　　　　\n　　　　　Department of Physical Therapy　　　　Department of Occupational Therapy　　　　　Department of Radiological Sciences"]
[null,"氏　　名\nName","　　　　　　　   　　　　　　　   　　　     ,   　　　　　　   　　　   　　　　　　　　　　   　　   　　　　　　　　　　　  .\n　　　　   　　　　   　　　（Family name）    　　　　   　   　　　 （First name） 　      　　　（Middle name）"]
[]
[]
[null,"生年月日\nDate of Birth","　　　　　　　　　　　　　 　  　       　　　　　　　　　　　　　　　　　　　  　　　　　　　　　　　　 　.\n  　　　　　　　Day        　　　　　　　　　　　 Month     　　　　　　　　 　　　　  Year"]
[]
[]
[null,"連絡先\nContact  Detail","Address"]
[null,null,"Postcode　　　　　－　　　　　　Country                              "]
[null,null,"TEL：（　　　　　　　）　　　　　　　　　　　　　　　E-mail："]
[null,"       "]
[null,"学　　歴\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"]
[null,"Elementary Education\n（初等教育）\nElementary School\n（小学校）",{"$nulls":6},"from",null,null,"　□ Graduation（卒業・修了）"]
[{"$nulls":8},"(         /          )",null,null,"　□ Withdraw（中退）"]
[{"$nulls":8},"to",null,null,"　□ Expected Graduation"]
[{"$nulls":8},"(         /          )",null,null,"　　　　　　　（卒業（修了）見込）"]
[null,"Secondary Education\n（中等教育）\nLower Secondary School\n（中学）",{"$nulls":6},"from",null,null,"　□ Graduation（卒業・修了）"]
[{"$nulls":8},"(         /          )",null,null,"　□ Withdraw（中退）"]
[{"$nulls":8},"to",null,null,"　□ Expected Graduation"]
[{"$nulls":8},"(         /          )",null,null,"　　　　　　　（卒業（修了）見込）"]
[null,"Upper Secondary School\n（高校）",{"$nulls":6},"from",null,null,"　□ Graduation（卒業・修了）"]
[{"$nulls":8},"(         /          )",null,null,"　□ Withdraw（中退）"]
[{"$nulls":8},"to",null,null,"　□ Expected Graduation"]
[{"$nulls":8},"(         /          )",null,null,"　　　　　　　（卒業（修了）見込）"]
[null,"Higher Education\n（高等教育）\nUndergraduate Level\n（大学）",{"$nulls":6},"from",null,null,"　□ Graduation（卒業・修了）"]
[{"$nulls":8},"(         /          )",null,null,"　□ Withdraw（中退）"]
[{"$nulls":8},"to",null,null,"　□ Expected Graduation"]
[{"$nulls":8},"(         /          )",null,null,"　　　　　　　（卒業（修了）見込）"]
[null,"Graduate Level\n（大学院）",{"$nulls":6},"from",null,null,"　□ Graduation（卒業・修了）"]
[{"$nulls":8},"(         /          )",null,null,"　□ Withdraw（中退）"]
[{"$nulls":8},"to",null,null,"　□ Expected Graduation"]
[{"$nulls":8},"(         /          )",null,null,"　　　　　　　（卒業（修了）見込）"]
[null,"Total years of schooling given above    （以上を通算した全学校教育修学年数）\nas of 1st April 2021     （2021年4月1日現在）",{"$nulls":6},"years\n年"]
[]
[null,"職　歴\n及び\n研 究 歴\nWork Experience\nand\nResearch Achievements","在職（従事）期間\nPeriod\nof Work Experience (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\n取得年月日・番号\nQualifications /Licenses\nAcquision Date\nLicense No.","Physical Therapy",null,"Occupational Therapy",{"$nulls":4},"Radiological Sciences"]
[null,null,"Acquision Date",null,"Acquision Date",{"$nulls":4},"Acquision Date"]
[null,null,"License No.",null,"License No.",{"$nulls":4},"License No."]
[null,"学術的業績\n（日付・内容）\nAcademic Achievements (Day/Month/Year ・ Detail)"]