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u . u { r u <d , t rvu e a A v-u o 6d'atli11,lur?larduu'r.rfiufifivl1uvl:'lu?1[n5un'lTnnta0ntiluBt?1:un1:tJn0u:x

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rirrn{au,rlrtrlunriar{orr?'}:rrfiu{ o ndor{onrTu fr'rvirurnutfiuul{1rJrl:urvrn{r]u nqur

. lcq:1 ua! 16unrann'l:i6uvr1{

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IrJ:n n :a n{aualno tiar n udrrYu tr n r\,

(orb) nr:iu:acdrunrur (Quatifications)

a) t \uv o en:rfi fi virurn u16iu n r::-u:o{eirunrur Id :n:vu

(s'm) tj:vifin'r:?i'l{1u (Work Experience). J a v A o , A r !.va

aEU',luu: u?0)n1 :vl1.l1uvfl 'luu11a{u1u :?:J0{?uvruacnl uuu.ivlvllu Lo:u

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:ruan.rddvirufinau:l :sBur?n1 rac:'l0au16unrdu:ri'unr:f,nou:ufivirurnobiiuIa JJ e u d(oc) :raavtd u ofr rfr u'ti0ntiua'rnln'lrEnau:x (Details of Desired Fietd of Training)

- :cualunrflnau:xfivirurj:ca{r{ociunr:flnau:u- e d I t) J v a a J . t .- 06u1u1ara.:1u14:0u:!aun1:fuvrtnu??o{nua1t1n'l:rlnau:!ylyrluu:ua{n0v5un1:g

flnau:r, a1?"1n1:Anaurudviruau-n: :?il6{rfiEBralunr:a:l-n: Ioun:an{o4aa':ludo{'ir.:t!

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- n:rfirio.rdr.r (o) uac (t ) i,hi'hirfiu.ryro hj:rr1{n:vn1urfi!r6!

- n'l:oBu1usa{vilulueirud in:trdr6'rglunr:fr'rriulauavfior:rurnr:iur{rirulnr:{n1:

fiaaflnuil:cmy?a{nlrfinou:lr su rfia,:tsT:tlr rr-ltfu tahiviru:cu{anrrusir.!"1 oLi't,l40

ast0aflltastntlu

(or) rJ:vaunr:niluarrndrirurJ:ca{iosiunr:flnauix (Experience in desired fietd of training)

- nalfivirualJrl:vaunr:niroryirunrud:vq'lurirto (o) lud'rud (oc)

(ocr) n'trua'til'r:nd1un'tur (Language Abitity)oJeryJae,!,

rirrn5a'rulrulunrial{an?rttfr rurtlvarfrunrruaur:ndrunru'tl,o.lyitu l{.rnrur{r]uunu

nru1d{nqu

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riJuhjnrurnurir tf.rd rdalvinr:finou:lrfioil:vlatda.ran rclfivirufirr:mn:on{alavt!.-o,Cr{r

LUA?UUOlrn?1ULUU!:.1

(oc) nr:tiuuRlu"l (Language Study)

}J:o:vq:ruasr6uqrnr:riuunlulB-{nqu uavluionrtrtlr1u

(ox) :vt;ctraTlun"r:finou:rdri",raru'r:ouiri:l (Period Avail.abte for Training)dqsa

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:1{n"lerua? tlfiun:n?:FtgtstauJa.:8l:tulruyiry{0d1x1:0ta5uxn:uo.:nu0rgr,!rnruatnrn

(

I.

2O1B Hiroshima lnternational Cooperation ProjectTrainee lnvitation Guidelines

Since 1996, the City of Hiroshima has been conducting the Hiroshima IntemationalCooperation Project. Utilizing our city's experience and know-how, we are undertakinginternatiohdl cooperation activities on the municipal level to work towards solving urbanproblems in Asian countries.

About the Training ProgramEstablished in I996, the Hiroshima International Cooperation Project has trained 29participants from 12 Asian countries since then. Past participants have utilized thevaluable experiences gained through the training and have also played a direct and

indirect role in promoting friendly relations with the City of Hiroshima after returningto their home countries.We are currently seeking one participant for 2018 who is interested in becoming aproject trainee.

il. Length of TrainingTraining will take place over a period of approximately 60 days falling between Friday,June29 and Saturday, September 29,2018. Training period will be decided by the Cityof Hiroshima taking into consideration the trainee's wishes.

Number of trainees requiredI person

Ilost InstitutionThe kainee will be hosted by the City of Hiroshima.

Contents of TrainingThe content and duration of training (mainly in the environmental field in topics suchas waste treatment) will be decidsd by the City of Hiroshima taking into considerationthe trainee's wishes.

u. Eligibility Criteria for TraineesCandidates for this prograrn should:I) Be an official of an Asian province, municipality orother local govemment body.

(Govemment bodies who are members of Mayors for PEacel are preferred.)2) Be able to converse in Japanese or English to understand the content of training

program.

3) Be eager about and committed to training by the City of Hiroshima. Also, afterreturning home, actively use the knowledge attained during training at theparticipant's own local government and continue to develop the friendshipbetween both countries and local govemments.

4) Be willing to cooperate with the City of Hiroshima snd follow the City'sinstructions.

t Mayors for PeaceOrganized by the Cities of Hiroshima and Nagasaki, Mayors for Peace is an organizationworking to abolish nuclear weapons with over 7,500 member cities around the world.

IIL

IY.

v.

11

5) Be able to obtain the approval and recommendation of their department head toreceive training in the City of Hiroshima for 60 days.

6) In principle, be between 20 and 39 years of age when arriving in Japan. (This ruledoes not apply if an agreement has been reached between the dispatchinginstitution and the City of Hiroshima or under other special circumstances.)

7) Have completed secondary education (high school education) in their home

country.8) Be reliable individuals who are physically and mentally sound. (As the training

will take place over a long period and may pose a risk to pregnant women,pregnancy is regarded as a disqualiffing condition for trainee participation.)

9) Not have any legal problems or criminal record that would prevent entry to Japan.

I0) Have not previously participated in the program.

VII. ConditionsforTrainingI) Trainee Selection

The trainee will be selected and decided by the City of Hiroshima based oncandidate applications.

2) Trainine ConditionsIn general, training will take place from Monday to Friday with Saturdays,Sundays and Japanese national holidays as non-working days. Daily training hourswill run from I0:00-12:00 and l3:00-16:00 for five hours aday.Private apartment lodging will be aranged by the City of Hiroshima.

3) Expenses and Discontinuation of TrainingThe City of Hiroshima will cover costs related to the training including round-tripairfare, living expenses, training expenses, and transportation expenses in Japan.

However, if a trainee, without compelling reason, discontinues the training beforethe end of the training period to retum to thetrainee's home country in principleall the training costs shall be paid by the trainee or by the organization in thetrainee's home country which recommended the trainee for this program.Trainees will generally not be permitted to return to their home country fortemporary visits during the period of training unless there is an acceptedcompelling reason and a re-entry permit is granted. In the rare case that atemporary return trip by a trainee to his/her home country is approved, the costs

shdll be borne by the trainee.4) OverseasTravel Exoenses

The City of Hiroshima will provide the trainee with a round-trip ticket between adesignated international airport in the trainee's country and an international airportin Japan. The trainee shall bear the cost of transportation to the designatedintemational airport in the trainee's home country. However, the cost of departingthe trainee's home country at the designated international airport, expensesincurred at in-transit stops (such as overnight accommodation fees), and the cost oftraveling in Japan between the international airport and Hiroshima City shall beborne by the City of Hiroshima. The trainee must follow the route of theinternational flight that is designated by the City of Hiroshima.

V[I. Application Processln the case where direct applications are made, the applicant shall submit theApplication for Trainee (Attachment l), the Written Pledge (Attachment 2), and theMedical Checkup Sheet (Attachment 3) by no later than Wednesday, February 28,

2

2018, to the CLAIR Singapore which has responsibility for handling mattersconcerning the trainee's country.

*Any personal data contained in the application form shall only be used for mattersrelating to this training program.

IX. Important Preparations forTraining Following Selection as Traineel) The City of Hiroshima will send the Notification of Acceptance via the related

official organization to the selected trainee.2) The trainee whose acceptance has been confirmed shall submit the following

documents in preparation for entering Japan according to the instructions of theCity of Hinoshima:. 6 photographs (4 photos,4cm long x 3cm widq,2 photos, 4.5cm long x 3.5cm

wide taken within the past 6 months). Post-training return-te'job guarantee form (original and duplicate, I each). Personal identification (one copy)*Persons without a passport are asked to apply for one immediately upondcceptance to the program and then asked to submit a copy of the passport as soonas it is issued.

3) For the trainee, a basic level of conversational Japanese is necessary as English is

not used very much in daily life in Japan. The trainee must study Japaneselanguage diligently before coming to Japan.

4) In cases when a pregnancy is discovered after acceptance to the program, the Cityof Hiroshima or CLAIR should be promptly notified.

*Note: Immigration Control and Refugee Recognition Act states that dependents oftrainees participating in this program may NOT qualify for dependent status eligibilityin Japan.

3

(Aachment l)

ftr@mpfr

GH<arWfhiintEh$6Ivlords)

4mhrgX3onwide

@ Natioutity

@ se'x

@ PatelPtmofBirth

@ PiaryRestictiors:

Hiroshima fntemational Cooperation Proj ect

Trainee Application Form

O AplicmtNanro Pleaseffi orprintyournarne inltle$andardalphabetfomx

Nanr as it ryears officially in pur fportI

Sumame(FanilyNane) GvenNan(s)

Fanale s/ Checktherypropniatebor

(Including those relating to religiots reasons)

@ tr{aritatsans I\,&nid Single s/ Cheiktheryprofriatebotc

o fi:ll contactdehils in

@ fUneaaaress

Fu[homeaddressrtel$rrcnurnber,ardmnhtirfonnationinpr:rhomeornrtyincaseofmanergenry

Ir4ale

or

Worlplace

Hovincial / Mturicipl Corqnment NrnePWartnst

Wod<AddrcssZPCode

,Yor:r Positor/Title

FarNunbaWoftTelephorr

Mobile) Bmail

TelephoneContactPe,rson Oositionfmt)0.Iarne) Fa<Number

Horrre

Ad&essZXPCode

HomeTeleptmrre

Facnunber

Your PersfflalE-mail

EuryerryC-onbds

(2peopte)

Name

Name

Reldion

Reldion

TeUFar

Telffax

@oo a Yes No t/ Ctpcktre box.

@ HaveyouwabeuroJryan? Yes No / Checkfterypropridebox.

indice ard

@ Baucationat Institutions Atended:

Nameofkrstitution DarsAttended Spaialization Qualificationemed

@ Qualificaions @tease inAcre ifyouhaveany Wecial language T'^tificationl eb)

Type ofQualificaion DateReceived

@ wo*

C-ounty/HostingOrganlzalon TrainingPeriod Training Cqfiems @leas be specific)

DateoflssuePasqportNunber

DdeofExpirationIss:ing

Auhodty

Dabs Ernplopr Posifion / Description of Wod<

@ Have received overseas before? Yes No 3/Che&lhe box.

tl

E

@ Peta*ofOesireaf:eU

O Please provide a &ailed ad qpecific description of lorn work experiene focuirg ryon aspects

relaing to yorr desired field oftaining in Japan (Ifttn rye pmvidod is insuffcient pleas r:se additional

*eetsofpper)

Pleaseindicaepurdesiredfieldoftainingasvrcllasdaaild ryecificreasonsforpr.rapplicaion(fthe sp povidd is insrfrcient, please r:se additional strm ofpaper)

O FoCIrsfoE uptrr your desked field of taining please outlirre tbe rurcnt situaion and pressing

issues that m:st be addressed in your local govemmant aea-

@ Please indicate qpecific details of wtra you wor:ld like to leam ra[rile in Japan- Please include

details of institutions you would like to visi! evenB you wor:ld like to attend, technologies youwouldliketo$udy, etc)

@ Please indicdehowyouwillryplywhdyouleamwhile inJapanto yourwodcrryonretunringtoyourowncmnty.

erDesired Field of Training :

@ inDesiredField Olease summaize item (l) ofsection @ )

@ / Checktlp

@ I-aneuagBstrdy Sleasespeorpintindehil)

languagePuiod/Frequency

ofStdyMethod/Contentof

StrdyInstitution

aumabnEarned

Japanae

Fnelish

tanguagesc{h€r t}anycur rno&ertmgpe

@ Perioa avaitaUte frr Trainirg / /2018 & I l2A],8by lr/*rft Yrr DEy lvls*r Yq

* The taining p€dod is approximdely 60 days, ad will be decidd by tp City of ltroshinn aking intoconsidemtion yowindividual circumshncs.

Dates kailsofbrperience

JaFnese

LisEning oNonenGreetings

o DailyC-orwersation

s Can urdeffiard JapanesemdioorTVn Alnrod complefe udsshrding

o].trone

o Creetinp ard basic senbnces

o Basic daily mnversation

o Ceneial topics (simple eplanation)o Speech debate ard koa&a$ing

Speakiog nNonenGreetings

o DailyC-onversation

a Expressing pur opinion aboutgerreral @ics in Japanese

n No [urble mmmunieting inJapanese

oNoneo Greuinp and basb senences

n Basic daily Conrrersation

o Basic oplanatiorL report ardFanslation

o Ermression rour ooinion withoutdifficulty-

Reading nNoneoHiragana oKaakanan SomeChinese&ara.fiers (-_Hers)o A lirb under$anding of naxrypersn AImd cornplee urderstarding of

ne1t$xDers

oNoneo Basic sentences widr dicrionary

s Basic sqthm suctr as letters

o Gerpral senterres tsed in rnuspapero Adrarcsd sentsrces used in rnwspaper

Writing oNorenHiragana oKatakana

nsorneChinesectraraaens ( ieilers)

r: Simphsenbnces

n Able to express pur qinion canpldely

oNoneo Basic sentsnces with dicionaryo Basicsentencesstrctr as htters

o Basic sqrbne in Genetal topi,cso Making sumnnry and describing your

opinion

Eneiish

I hereby apply fu tre position of "Trained'with ttr atbched Written Pledgs and lGdil:al Chdfl+ Forun Ipledgs tld &e aborrc shted inforrnation is tue and fuual-

-DayMorfh Year

SigrmrcofApplicant

(To be filled out by ttre ryplicant's supervisor)

I herefu certi$tlat tre above Application Fonn and Medical Checkrp Fon:rn are accur&. I also beliet/e the

applicantto bea s.ritable cardidefortiristailingprogran, arid reomrnendthe applicartu*roletreartedly.

_Day _ Itdorft Year

&ganizdionNarne

Address

Far

NrneofDepertrmrtHead

Signaue of Depataent Head

Td

(Attachment 2)

Written Pledge

If I am selected as a trainee on the Hiroshima International Cooperation Project, I hereby

pledge that I will abide by the following:

1. Observe Japanese laws.

2- Observe the instructions of the City of Hiroshima.

3. Will not enter any false information in documents submitted to the City of Hiroshima.

4. Will carry out the training as eamestly as instructed and abide by the rules and regulations

of the city of Hiroshima.

5. Will not carry out any political activities or similar acts.

6- Will not do any work for remuneration.

7 - Will personally bear any expenses incuned in'excess of the amoturt of allowances

provided to me by the City of Hiroshima and will not request for an increment in

al]owances paid to me by the Cig of Hiroshima.

. Also, if I discontinue my training before the designated period is completed and return to

my home country without a compelling reason, I will personally bear all incurred

expenses during the training.

8. Will personally repay all debts incurred during my stay in Japan-

9. Will not raise objections should the City of Hiroshima deem that it would be difficult to

continue with the taining and order that the status of cooperation and exchange tainee be

discontinued.

10- Will utilize the know-how and technical skills acquired during the training into my own

. country in order to contribute to its prosperity, as well as to promote friendly ties between

my home city and Japan and Hiroshima City after completion of the training.

Name ofApplicant

Signature ofApplicant

Date I IMonth Day Year

(Attachment 3)

Medical Checkup Form

Name ofApplicant

Date of Birth Sex Male / Femele (Please circle one)Year Month Day

CurrentAddress

1. Weighl

2. Height_3. Intemal Examination

-

4. X-ray

5. Chest Problem

6. Eyesight V/ith glasses: Left _ Right

Without glasses: Left _ Right

7. Color Blindness

8. Blood Pressure

9. Urine Test

10. Hearing

I 1. Blood Sedimentation

12. Tuberculin Reaction Positive Neeative

13. Past Illnesses

14. Chronic Illnesses

15. Allergies

16. Dietary restrictions

17. Blood typE

18. Other

19. Do you drirk alcohol? No Yes

20. Do you smoke? No Yes

(If yes, drinks per day/week/month)

(f yes, cigarettes per daylweek/month)

I hereby certify that the above details are tme and correct.

Name of Physician

Signature ofPhysician

Date I IMonth Day Year

Hospital

Address

I

Hiroshima lnternational Cooperation ProjectApplication and Form Guidelines

Trainee Application Form (Attachment l)Type or print in Japanese or English. Each applicant must fill out the application byhimself.CI ApplicantName

Write your name as it officially appears in your passport. Then write your name

again to clarify your given and family names.

@ NationalityWrite your nationality as shown in your passport.

@ sexCheck one box.

@ Date / Place of BirthWrite your date of birth in the year, month, day format. Write yotrr place of bi*has it appears on your birth certificate.

@ Dietary RestrictionsPlease list foods you cannot eat, including any restrictions due to medical orreligious reasons.

@ Marital Status

Check one box.

A Occupation (Workplace). Conceming the workplace address, please clearly type or print the district,

municipality, region and country name in the space indicated.

' Conceming your official title or position, pleas6 indicate your current leveland your classification such as clerical staff, engineer, researcher, curator, orteacher.

. In case CLAIR needs to contact you directly, please include your telephone/mobile phone and fax number as well as your e-mail address.

n In the event you are unable to be contacted, please list a contact personalong with their name, job title,/position, telephone and fax number.

@ Contact InformationPlease accurately type or print your cunent address, telephone/fax number, and

in case of an emergency, a contact telephone number for your home country.*After your selection is decided, the City of Hiroshima will directly contact theapplicant regarding the submission of documents necessary to apply for a visaand status of residency certification. Therefore, please fill in atl the requiredinformation.

O Passport InformationCheck one box. You must have a passport before being accepted as a trainee. Ifyou do not have.a passport you must apply for a passport immediately uponnotification ofacceptance as a trainee.

@ Past Visits to Japan

Check one box. If you have visited Japan before, include all details of yourvisit(s) to Japan-

O Educational Institutions AttendedPlease fi[ out the section in chronological order.

@ QualificationsIf you have any language qualifications, be sure to include them.

l.

2

@ Work ExperienceDescribe past work experience. Include the dates and positions held.

@ Overseas TrainingCheck one box. If you have had overseas training experience, fill in where youwere posted, for how [ong, and details of the kaining you received.

@ Details of Desired Field of Training

" Write the desired field of training related to local administration.. Use sheets (1) and (2) to give a detailed and specific statement of your job

experiencr related to the desired field of training, the fields of training youare applying for, and also the reasons for your application.

. [f the space provided is insufficient, please use additionalsheets ofpaper.

. Your description will be important reference material in determining youracceB.tance and also the tule of trainine you will do in the CiB of Hiroshima.Therefore, please provide a clear and detailed statement for the City ofHiroshima.

@ Experience in desired field of trainingPlease briefly summarize item (l) of section @.

@ LanguageAbilityPlease check the most appropriate description of your English or Japanese

language abitity.*Recently there have been some cases of trouble arising as a result of inaccuratereportins of lansuase ability by applicants. In order for you to have a productivetrainine exErience. it is very important that you fill in this section accuratel.v.

@ Language StudyPlease provide all the necessary details concerning the extent ofyour pastlanguage training in English and/or Japanese-

@ Period Available for TrainingThe City of Hiroshima will decide on the period oftraining taking intoconsideration your individual circumstances. Please fill in the period that you are

able to train for.

Medical Checkup Form (Attachment 3)Some research programs have been disrupted because trainees have failed to reportpast illnesses (13) and chronic illnesses (14) truthfully. Trainees are covered by basicoverseas travel insurance, but trainees will be responsible for costs if theirapplication is not accurately written or if there are any changes in facts from the timethey submit the medical checkup form up until they anive in Japan- Those who applyshould contact the City of Hiroshima immediately and take precautions with theirhealth.

Personal Data Protection Act (PDPA) Consent Form

(Hiroshima lnternational Cooperation Proiect!

Collection and Use of Personal Data

We hereby inform you that:a) When you take part in our programs and activities, we ask you to submit to us your personal

data for the purposes stated below.

b) We will use your personal data only in the circumstances stated below. Unless otherwise

required by the laws and regulations, J.CLAIR Singapore will not disclose your personal data tothird parties.

c) Your personal data will be removed as soon as it is reasonable to assume that it will no longer

be required in the program or activity you participated.

J.CLAIR Singapore

Personal Data Protection Officer

Deputy Executive Director Takashi Nabeoka

Notices

L. Purposes for the Collection of Your Personal Data

For the confirmation of your identity for this program, CLAIR Headquarters and the hosting

local goveinment requires your lt?ffi€, passport number, nationality, date of birth, date of issue

and expiry of your passport, work history and medical examination report.

We require your mobile phone number in case we need to contact you when you are travelling

or in the event of emergency situations.

ln addition, we take photographs during the program as photographic record and sometimes

post pictures of an event in an article of our mail magazine and website.

2. Use of-Your Personal Data

The personal data which.you submit to us will be disclosed to CLAIR Headquarters and your

hosting local governmeht.

During the program, we will contact you on your mobile phone number when necessary.

During the program, we take photographs as photographic record and sometimes post pictures

of an event in an article of our mail magazine , website, and brochures.

Please completeand sign in theright column

I have read and agreed to the above.

(D) /(M) l(Y)

Professional affiliation:Name:

Signature: