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[null,"1. 個人情報／Personal Information"]
[null,"氏名（Name）","姓（Family Name)",null,"（Middle Name)",null,"名（Given Name)"]
[null,"アルファベット\nAlphabet"]
[null,"カタカナ\nKatakana"]
[null,"漢字\nKanji\n（If Applicable)"]
[null,"生年月日\nDate of Birth\n（dd/mm/yyyy)",null,null,"性別\nSex"]
[null,"国籍\nNationality",null,null,"出生国\nPlace of Birth"]
[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,"所属先名称\nName of Home Institution"]
[null,"学部・学科\nFaculty and Department",null,null,null,null,"学年\nYear"]
[null,"住所情報／Address Information"]
[null,"国\nCountry",null,"郵便番号\nZip Code","住所／Address"]
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[null,"住所／Address"]
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[null,"自宅電話番号\nHome　Phone",null,null,"携帯電話番号\nCell Phone"]
[null,"メールアドレス\nE-mail Address"]

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[null,"2．緊急連絡先／Emergency Contact Details"]
[null,"緊急連絡先／Emergency Contact"]
[null,"名前\nName",null,null,"本人との関係\nRelationship",null,"携帯電話番号\nCell Phone"]
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[null,"住所／Address"]
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[null,"メールアドレス\nE-mail Address"]
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[null,"3. 日本語能力／Japanese Language　Ability"]
[null,"日本語学習歴／Japanese Learning Experience"]
[null,"機関名\nName of Institution",null,null,"学習期間\nPeriod of Study （mm／yy）",null,null,"受講時間合計\nTotal Class Hours"]
[null,null,null,null,"開始／Start","～","終了／End"]
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[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,"日本語能力検定受験／Japanese Language Proficiency Test (JLPT)"]
[null,"A：　該当する方にチェックして下さい／Please check either"]
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[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。\nIf 1) is applicable, please choose pass/fail and write the year of the test and your total score."]
[null,"レベル／Level",null,"合格Pass／不合格Faiｌ",null,null,"年／Year","総得点／Total Score"]
[null,"N5"]
[null,"N4"]
[null,"N3"]
[null,"N2"]
[null,"N1"]

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[null,"4. アンケート／Questionnaire"]
[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）\nWhat do you expect to achieve by attending a summer program in Japan? (Choose all that apply)"]
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[null,null,null,"（　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　）"]
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[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）\nWhat made you choose YNU summer program among other programs? (Choose all that apply)"]
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[null,null,null,"（　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　）"]
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[null,"5. 食事制限と健康状態／Meal Restrictions and Health Condition"]
[null,"アレルギー・食事制限等あれば記入して下さい。\nPlease inform us if you have any meal restrictions."]
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[null,"健康状態で特筆すべきことがあれば記入して下さい。\nPlease inform us if there is anything YNU should know about your health condition."]
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[null,"6. 宣誓／Declaration"]
[null,"以上記入した全ての情報に間違いはありません。"]
[null,"I declare that all the information stated above is correct."]
[null,"（以下にチェックして下さい／Please check either bellow）"]
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[null,"氏名：\nName：",null,null,null,null,"日付：\nDate："]