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[null,null,"1. 個人情報／Personal Information"]
[null,null,"氏名（Name）","姓（Family Name)",null,"（Middle Name)",null,null,"名（Given Name)"]
[null,null,"アルファベット\nAlphabet"]
[null,null,"カタカナ\nKatakana"]
[null,null,"漢字\nKanji\n（If Applicable)"]
[null,null,"生年月日\nDate of Birth\n（dd/mm/yyyy)",null,null,"性別\nSex"]
[null,null,"国籍\nNationality",null,null,"出生国\nPlace of Birth"]
[null,null,"パスポート番号\nPassport No.",null,null,"パスポート有効期限\nPassport Expiry Date\n(dd/mm/yyyy)"]
[null,null,"所属先名称\nName of Home Institution"]
[null,null,"学部・学科\nFaculty and Department",null,null,null,null,null,"学年\nYear"]
[null,null,"住所情報／Address Information"]
[null,null,"国\nCountry",null,"郵便番号\nZip Code","住所／Address"]
[]
[null,null,"住所 続き／Extra Field for a long Address"]
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[null,null,"自宅電話番号\nHome　Phone",null,null,"携帯電話番号\nCell Phone"]
[null,null,"メールアドレス\nE-mail Address"]
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[]
[null,null,"2．緊急連絡先／Emergency Contact Details"]
[null,null,"緊急連絡先／Emergency Contact"]
[null,null,"名前\nName",null,null,"本人との関係\nRelationship",null,null,"電話番号\nPhone Number"]
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[null,null,"住所／Address"]
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[null,null,"メールアドレス\nE-mail Address"]
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[null,null,"3．食事制限と健康状態／Food Restrictions and Health Condition"]
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[null,null,"アレルギー・食事制限等あれば記入して下さい／Please inform us if you have any food restrictions."]
[null,null,"1) そばアレルギーはありますか／Are you allergic to buckwheat (or soba noodles)?"]
[null,null,"   "]
[null,null,"2) その他の食事制限やアレルギーについて／Other food restrictions and allergy information"]
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[null,null,"健康状態で特筆すべきことがあれば記入してください／Please inform us if there is anything YNU should know about your health condition."]
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[null,null,"4. 日本語学習歴および能力／Learning Experience of Japanese & Japanese \n    Language Ability"]
[null,null,"  該当する方にチェックして下さい／Please check either below."]
[null,null,"     1)　日本語を学習したことがある／I have studied Japanese before."]
[null,null,"　   2)  日本語を学習したことがない／I have never studied Japanese."]
[null,null,"日本語学習歴／ Learning Experience of Japanese"]
[null,null,"機関名\nName of Institution",null,null,"学習期間\nPeriod of Study （mm／yy）",null,null,null,"受講時間合計\nTotal Class Hours"]
[null,null,null,null,null,"開始／Start",null,"～","終了／End"]
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[null,null,"日本語学習で使ったことのある教科書／Japanese Textbooks used in the above period"]
[null,null,"　　　　　日本語学習で使ったことのある教科書／Japanese Textbooks used in the above period"]
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[null,null,"日本語能力検定受験／Japanese Language Proficiency Test (JLPT)"]
[null,null,"A：　該当する方にチェックして下さい／Please check either below."]
[null,null,"　　　１） 日本語能力試験を受験したことがある／　I have taken the JLPT before."]
[null,null,"      ２） 日本語能力試験を受験したことがない／  I have never taken the JLPT."]
[null,null,"B： １）の場合、合格・不合格を選択の上、受験年・得点を記入して下さい／　If 1) is applicable, please choose pass/fail and write the year of the test and your total score."]
[null,null,"レベル／Level",null,"合格Pass／不合格Fail",null,null,null,"年／Year","総得点／Total Score"]
[null,null,"N5"]
[null,null,"N4"]
[null,null,"N3"]
[null,null,"N2"]
[null,null,"N1"]
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[null,null,"5．アンケート／Questionnaire"]
[null,null,"YNUサマープログラム2018を何で知りましたか（複数回答可）／How did you know about YNU Summer Program 2018?  (Choose all that apply)"]
[null,null,"          チラシを見て／Read about it in a leaflet."]
[null,null,"          横浜国立大学のウェブサイトを見て／Read about it on the website of Yokohama National University (YNU)"]
[null,null,"          大学の先生や事務スタッフから聞いて／Heard about it from professor(s) or administrative staff at your\n          university /YNU"]
[null,null,"          友人・知人から聞いて／Heard about it from a friend or an acquaintance."]
[null,null,"          その他／Other   (                                                                                              )"]
[null,null,"日本で開催されるサマープログラムに期待することは何ですか（複数回答可）／What do you expect to achieve by attending a summer program in Japan? (Choose all that apply)"]
[null,null,"    　　  日本語力の向上／Improving  ability in Japanese"]
[null,null,"           日本の文化体験／Experiencing Japanese Culture"]
[null,null,"    　　　日本の大学の講義・ゼミの体験／Experiencing Lectures and Seminars at a Japanese University"]
[null,null,"    　　　日本の大学生活の体験／Experiencing Student Life at a Japanese University"]
[null,null,"    　　　日本人家庭での滞在体験（ﾎｰﾑｽﾃｲ）／Experiencing Homestay with Japanese Family"]
[null,null,"   　　　 大学院進学のための進学相談／Having  Academic Counseling to advance to Graduate School"]
[null,null,"    　　　日本人の友達作り／Making Japanese Friends"]
[null,null,"    　　　その他／Other   (                                                                                             )"]
[null,null,"YNUサマープログラムを選んだ理由は何ですか（複数回答可）／What made you choose the YNU summer program among other programs? (Choose all that apply)"]
[null,null,"　　　　  プログラムの内容／Content of the program"]
[null,null,"　　　　  開催時期／Time (7/3-7/13) of the program"]
[null,null,"　　　　  開催期間／Duration (2 weeks) of the program"]
[null,null,"　　　　  開催場所／Location (Yokohama) of the program"]
[null,null,"　　　　  費用／Cost of the program"]
[null,null,"　　　　  その他／Other　[                                                                     ]                                                "]
[null,null,"横浜国立大学大学院への進学を検討している方に質問します／This is a question for those who are considering taking graduate courses at Yokohama National University."]
[null,null,"サマープログラム期間中に進学相談を希望しますか／Would you like to have academic counseling during the summer program? (以下にチェックしてください／Please check either below）"]
[]
[null,null,"                                         ","        希望する　(Yes)　　　　　　　　　　　　　　　",null,null,null,"　　　　希望しない　（No)"]
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[null,null,"希望する場合は、研究分野を具体的に教えてください／If Yes, please describe the specific field you wish to study."]
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[null,null,"6. 宣誓／Declaration"]
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[null,null,"以上記入したすべての情報に間違いはありません。"]
[null,null,"I declare that all the information stated above is correct."]
[null,null,"（以下にチェックして下さい／Please check below）"]
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[null,null,"            　　　　                                       同意する（Agree)                             "]
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[null,null,"氏名 (Name)",null,null,null,"日付 (Date) （Date/Month/Year)"]

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