ࡱ> jmim R7bjbjj2j2ENXbXb   NNNbbb8\b%KFE;E;E;tJvJvJvJvJvJvJ$kM!PZJENE;:|E;E;E;JG"J=<=<=<E;NtJ=<E;tJ=<=<rET6FvJB;E`JJ0%KE{P;vPF{PLP$NFE;E;=<E;E;E;E;E;JJ=<E;E;E;%KE;E;E;E;PE;E;E;E;E;E;E;E;E; R X: 0000 0000000Form 12 Benefit-Type Scholarship Cover Sheet (To be submitted by students applying for certification of independent living and privately financed international students) Student ID No. (Examinee number) : Student s Name: 00 00000000000 Name of the recipient: Relationship to the applicant: How to complete Form 12: Please enter the details of the benefit-type scholarships in the table below, and attach copies of the scholarship certificates or other documents indicating the scholarship periods and amounts. It is not necessary to enter the details of scholarships that are no longer received, or loan-type scholarships. If you have been (or will be) awarded multiple benefit-type scholarships, please enter the details of all of the scholarships in the table below. 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Annual Income field: Please round down the total amount above to the nearest thousand yen and enter that amount.Please make A4 size copies of the scholarship certificates, etc., attach this cover sheet to the copies, and staple them together in the same orientation and in the order that the scholarships are entered in the table above.     Staple the documents in the upper left corner. Scholarship certificates or other documents indicating the scholarship periods and amounts. 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