NAME:

Registration Form
I. Official Education
Please list, in chronological order, all schools attended from elementary school to your current or most recent school, including
university. DO NOT include nursery, kindergarten or language schools.
12 years of official education are required (or must be scheduled to be completed by the time of enrollment).
Please write the school name in English.

Period of Attendance
Name of School School Medium of School Address Start Date End Date
Years
Category Instruction (City, Country) Attended
Year Month Year Month

ABCD Elementary School Elementary Japanese Tokyo, Japan 2005 4 2010 8 5

EFGH International School Elementary English Hawaii, USA 2010 9 2011 6 1

EFGH International Middle School Middle English Hawaii, USA 2011 9 2014 6 3
2
IJKL Foreign Language High School Senior High Korean Seoul, ROK 2014 6 2017 3
prospective

Total Years of Education: ( ) years

II. Other Attended Schools

Please list any other schools that you have attended (e.g. language schools, specialized institutions).
Period of Attendance
School Medium of School Address Years
Name of School Start Date End Date
Category Instruction (City, Country) Attended
Year Month Year Month

III. Employment History

If you are currently working or have been employed previously, please enter your work details and job descriptions below.
If you are presently employed, please submit a letter of employment.
Do not include part-time work.
Period of Work
Name and Address of Company Title From To
Year Month Year Month

1
 NAME:
Registration Form

IV. Application for Tuition Reduction Scheme

To apply for this scholarship, international students must meet both of the following requirements.
1) Students must possess the status of residence of “Student” by the time of enrollment.
2) Students need financial support from the University to pursue their studies at the University

With full understanding of the above concepts, please answer following questions.
The answers you fill in below will not influence the admission result.

Do you wish to apply for the “Ritsumeikan University Tuition Reduction

1 ☐ Yes ☐ No
Scholarship for Privately Financed International Students”?

Do you intend to hold the status of residence of “Student” during your studies
2 ☐ Yes ☐ No
at Ritsumeikan University?

V. Status of Residence in Japan

Do you have a status of residence in Japan? ☐ Yes ☐ No

[If, Yes]
Year Month Date
Specify your status Valid Until

[If, No]

Do you wish Ritsumeikan University to apply for the Certificate of Eligibility for
☐ Yes ☐ No
Status of Residence on your behalf?

VI. Interview Information

Skype ID

VII. Declaration
I hereby declare that all of the information I have provided is true and that the documents I have submitted are not forgeries.
If any forgeries or false information are found before or after enrollment, I understand that my acceptance will be revoked, and no
appeals will be allowed under any circumstances.

Date:
aMondaya Name :