Budget Estimation Sheet (Form 4)

経費支弁書／Budget Estimation Sheet (Form 4)
DiRECT 2016. 7
6
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7
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1
本人署名（日本語または英語）/ Write your name (either English or Japanese)
2
費用負担をする人や組織の名前を記入：留学生本人氏名、仕送り送金者氏名、奨学金名、指導教員名（TA/RAの場合）
This part should be written in such as: your name, name of sponsor, name of scholarship, or name of supervisor (if the income
comes from TA/RA work)
3
留学生本人と②で書いた人との関係を記入。②で奨学金名を書いた場合は空欄でよい。
This part should be described a relationship between you and a person/institution mentioned in ②. If your income is based on a
scholarship, leave this part blank.
4
授業料の月額金額は44,650円を記入。授業料免除申請中の場合、金額記入して「免除申請中」と記入
Write “44,650 yen” for monthly tuition amount . If you applied for tuition fee waiver and has not received the result yet, write
the amount and “tuition fee waiver” in a space.
5
住居費は共益費込みの金額を記入（水道光熱費は含まない）
Housing expenses should include common service fee. (Not including utility expenses)
6
同意書以外に銀行預金通帳の写しも提出
Submit a photo copy of bankbook showing bank balance along with the agreement of the allowance.
7
国費留学生の場合、収入を証明する添付書類は不要
Attachment of the document to prove income is not required for MEXT scholarship students.

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