For GRIPS use: Application ID

APPLICATION FOR ADMISSION 2024-2025

(Please type or print, and use normal text, NOT “ALL CAPITAL LETTERS.”)
Please complete each section as fully and accurately as possible. Paste your photograph or
Please respond to all questions. insert your digital image
The information you provide is essential in reviewing your application. taken within the last three
months, providing a clear,
Please note that if you provide any false or misleading statement or incomplete or
front view of your entire
inaccurate information in your application, your application may not be screened, face.
you may be denied admission or, if you have been admitted, you may be dismissed from GRIPS.
(30 mm wide x 40 mm
high)
PERSONAL DATA

1. Full name:
As written in your passport, from left to right, top to bottom (English alphabet only)

2. Date of birth: 3. Age (as of April 1, 2024):

Month/Day/Year

4. Gender: ☐ Male ☐ Female

5. Nationality:

6. Program you are applying for (Please tick one box only).
Master’s Programs
☐ One-year Master’s Program of Public Policy (MP1)
☐ Two-year Master’s Program of Public Policy (MP2)
☐ Macroeconomic Policy Program (One year Program) for externally funded or self-financed applicants only
☐ Macroeconomic Policy Program (Two year Program) for externally funded or self-financed applicants only
☐ Public Finance Program (Tax)
☐ Public Finance Program (Customs)
☐ Maritime Safety and Security Policy Program for externally funded or self-financed applicants only

Five-year Ph.D. Programs

☐ Policy Analysis Program (PA)

Three-year Ph.D. Programs

☐ GRIPS Global Governance Program (G-cube)
☐ Science, Technology and Innovation Policy Program (STI)

7. Funding (Please tick one box only)

How do you plan to finance your studies at GRIPS?

Note: Items 1 and 2 below are only available for overseas applicants.
☐ 1) I would like to be considered for a scholarship allocated through GRIPS. (E.g., MEXT, ADB, WB, WCO)
☐ 2) I have completed JICA’s entry process for the JICA Scholarship.
☐ 3) I will obtain funding from other institutions. (E.g., home country scholarship, MEXT extension)
☐ 4) I will finance myself.
 If you select “I will obtain funding from other institutions.” or “I will finance myself.”, you are required to
submit a financial statement at the time of application as proof that you have adequate funding to cover
the total cost of your studies (JPY 2,800,000).
Note: Scholarship applicants who are willing to pay for their own admission if they do not receive a
scholarship must provide a financial statement at the time of application.

8. Employment status: ☐ Employed ☐ Unemployed

9. Present employer (name of organization):
(Does your organization belong to a central or regional authority? ☐ Central ☐ Regional ☐ Neither)
(Upon admission to GRIPS, ☐ I will be given study leave by my employer. ☐ I will quit my job.)

10. Present position, department/section:

11. Work address:

Postal code: Country:

Phone: -
Country code – complete number

12. Residential address:

Postal code: Country:

Phone: -
Country code – complete number

13. Preferred mailing address:

☐ Work ☐ Residence ☐ Other, namely (Fill in the following fields.)
Address:

Postal code: Country:

Phone: -
Country code – complete number

14. E-mail 1:

E-mail 2:

*Please use the same E-mail address(es) as in your Online Registration Form.
APPLICATION INFORMATION

15.
- List the names of the undergraduate and graduate institutions you attended or are currently attending in
chronological order.
- Enter the names of the degrees you received and the dates of enrollment at each institution.
- If your official transcript of academic records or graduation/degree certificate states your GPA, honors,
class, or rank, enter this information as it is shown in your transcript or certificate. If your GPA is 2.9 and
the maximum GPA is 4, you should enter 2.9/4. If your GPA is 1.25 and the maximum GPA is 1, you should
enter 1.25/1. If your university does not use a GPA system, provide the graduating evaluation in the system
used by your university (e.g., A:55, B:3, C:0, Excellent:3, Good:10, etc.). If nothing is available, enter N/A.
Please note that we will verify it with the official transcripts that you will send us by post.
- The field(s) “Year & month of graduation” must be completed in accordance with the date(s) on which your
degree(s) was (were) awarded/conferred, as stated in your official graduation/degree certificate(s).
- If there is insufficient space for entering all the institutions you have attended, please add new rows as
needed.

Period of attendance Duration

(from) (to) of
From primary to secondary Month, year Month, year schooling
education
(before tertiary education) years
and
months

Year & Honors/

Year & Duration
Tertiary Full name of institution & month of Name of class/rank/
month of of GPA
education location (city & country) graduatio degree division
enrollment schooling
n (if available)

years
and
Undergraduate
months
level
(Bachelor’s)
years
and
months

years
Graduate and
level months
(Master’s/
Doctoral) years
and
months

Total number of years and months of education * years

(from elementary education to undergraduate/graduate and
education inclusive) months
*Calculate and write the total number of years and months of education you will have completed (as
detailed above) at the time of your enrollment at GRIPS.

16. English proficiency:

One of the following test scores is required. Please note that English test scores are valid for two years
from the test date, and therefore, tests must have been taken within two years of the time of
enrollment at GRIPS.

☐ TOEFL iBT:
Score Month/Day/Year

☐ IELTS Academic:
Score Month/Day/Year

Other information: ☐ Undergraduate education instructed in English

☐ Graduate education instructed in English
 Location of the accredited institution where you have completed or expect to complete an
undergraduate/graduate degree:
☐ The USA, the UK, Canada, Australia, New Zealand, or Ireland
☐ Other country

17. List below two persons familiar with your academic and/or professional abilities, from whom you have
requested letters of recommendation.

1.
Name Position and affiliation

2.
Name Position and affiliation

18. List your current and previous employment (up to five positions) in reverse chronological order,
starting with your most recent position. Exclude part-time work and internship.

Dates Duration
Organization, type, Job title and description
(from) (to)
& city (maximum 20 words) Year and months
Month, year Month, year
year
and
month

year
and
month

year
and
month

year
and
month

year
and
month

year
Total number of years and months
and
of work month

19. Please write the following information for applicants for five-year and three-year Ph.D. programs.
a) Tentative title of your research proposal

b) Proposed supervisor

c) Title of your master's thesis or its equivalent

CERTIFICATION
I certify that to the best of my knowledge all information given above is correct and complete, and I understand
that any omission or misinformation may invalidate my admission or result in dismissal.

Signature of the applicant Month/Day/Year

Please submit this form to the Admissions Office along with other supporting documents
by courier or registered mail.