Заявка на стажировку в Японию j_2013
.docJapan's Assistance for the Management Training Program in the Russian Federation
Application Form
(Please print in block letters in English)
Photo 3x4 cm |
1 |
Name (Last name. First name, Middle name) |
English (as in passport) |
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Russian |
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2 |
Home address |
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3 |
Home telephone, mobile telephone, fax number and |
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4 |
Sex and citizenship |
male |
female, |
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5 |
Date of birth |
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(_____yrs old) |
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6 |
Marital status |
single |
married |
____children |
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7 |
Religion (if any) |
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8 |
Ex-serviceman, reservist? |
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9 |
Type, number and date of expiry of travel passport |
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10 |
Departure airport on the way to Japan |
Moscow Khabarovsk Vladivostok Yuzhno-Sakhalinsk |
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11 |
Past overseas studies |
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12 |
Foreign language proficiency |
English |
Speaking Reading Writing |
excellent excellent excellent |
good good good |
poor poor poor |
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Japanese |
Speaking Reading Writing |
excellent excellent excellent |
good good good |
poor poor poor |
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13 |
Most recent academic institution attended |
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13.1 |
Degrees as written in the Diploma on retraining within the Presidential Program |
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13.2 |
Principal academic institution attended |
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14 |
Date at graduation |
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15 |
Name of employer company |
English |
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Russian |
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16 |
Date of employment |
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17 |
Address of employer |
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18 |
Telephone and fax number of employer |
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19 |
Number of employees |
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20 |
Present rank and position |
English |
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Russian |
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21 |
Date of appointment to present position |
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22 |
Description of company's business and applicant's responsibilities |
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23 |
What would you most like to learn through this program? |
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24 |
How would you apply your learning experience from this program at your job? |
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Date: _____________________,
Signature: __________________