dies JICA

Knowledge Co-Creation Program

(Group & Region Focus)

GENERAL INFORMATION ON

Capacity Development of Leaders with Disabilities for UNCRPD (UN Convention on the Rights of Persons with Disabilities)

Implementation

IMEMEICWattlAncOMISOrcab010 Wel) —0—fitt lielt JFY 2017

NO. J17-04219 / ID. 1784532

Course Period in Japan: From September 27t ', 2017 to 9th November 2017

This information pertains to one of the JICA Knowledge Co-Creation Program (Group &

Region Focus) of the Japan International Cooperation Agency (JICA), which shall be

implemented as part of the Official Development Assistance of the Government of

Japan based on bilateral agreement between both Governments.

'JICA Knowledge Co-Creation Program (KCCP)' as a New Start

In the Development Cooperation Charter which was released from the Japanese

Cabinet on February 2015, it is clearly pointed out that "In its development

cooperation, Japan has maintained the spirit of jointly creating things that suit partner

countries while respecting ownership, intentions and intrinsic characteristics of the

country. concemed based on a field-oriented approach through dialogue and

collaboration. ft has also maintained the approach of building reciprocal relationships

with developing countries which both sides leam from each other and grow and

develop together" We believe that this 'Knowledge Co-Creation Program' will serve

as a center of mutual learning process.

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1. Concept Background

Since the UN Convention on the Rights of Persons with Disabilities (UNCRPD) has

been adopted in 2008 at the United Nations, now it has been ratified by 172 countries

and regional integration organizations.

According to World report on disability produced by WHO, about 15% of the world's

population have some form of disability. The number of people with disabilities and their

families, especially living in developing countries, has been increasing caused by civil

wars, malnutrition, lack of medical care and rehabilitation. Moreover, they have been

suffered from poverty due to systematic problems such as lack of employment,

deprivation of rights, and social problems including prejudice or discrimination.

Although the UNCRPD clearly stated persons with disabilities have equal rights to

others and live in the society with dignity, many challenges have remained. Thus

realization of the UNCRPD is an urgent task, and persons with disabilities are expected

to play an active role in this process.

In addition, September in 2015, at the meeting of United Nations, Sustainable

Development Goals (SDGs) has been adopted instead of MDGs. The slogan of this new

goal is "No one will be left behind". Needless to say, persons with disabilities are

included in the slogan. In order to achieve the aboye goals, persons with disabilities

must be involved in the development process and they have to participate in the

improvement stage of domestic laws, regulations, projects and systems.

Japan ratified the UNCRPD in January 2014. During the preparatory process towards

ratification, persons with disability and their organizations played a leading role in

domestic systematic reforms such as the formation of "the Act for Eliminating

Discrimination against Persons with Disabilities", disability policy reforms and other

necessary activities. The participants are expected to learn from those experiences and

adopt them to their local needs.

This course aims to strengthen the capacity of leaders with disabilities in contributing to

the UNCRPD implementation in their respective countries.

For what?

This program aims to transmit knowledge and skills to the participants and enable

him/her to contribute to the implementation of the UNCRPD and improvement of living

standards of persons with disabilities in their countries.

For whom?

This program is designed for persons with disabilities who are a middle-ranking officer

at their organization with a total of 5 to 20 years of experience in the disability field. In

addition, they must demonstrate a clear intention to work for their organization upon

returning from Japan. In detall, persons with disabilities who have been active as

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leaders in the aboye mentioned organizations for more than five years and are planning

to work in the field of disability for more than three years are desirable.

How?

In this program, the participant will obtain knowledge and skills through the means of

lectures, site visits, workshops and discussions on a wide range of issues related to the

implementation of the UNCRPD and contribution to creating society for ah.

Outcomes of the training will be synthesized in their Final Report, submission of which

will mark the end of the training in Japan and help to shape their activities after they

return to their own organizations. Participants will also deliver a presentation based on

their Final Report before leaving Japan.

Description Title (J-No.): Capacity Development of Leaders with Disabilities for UNCRPD (UN Convention on the Rights of Persons with Disabilities) Implementation (J1704219)

Course Period in JAPAN September 27 to November 9, 2017

Target Regions or Countries Bhutan, Colombia, Egypt, Fiji, Lesotho, Myanmar, Swaziland, Tajikistan, Turkmenistan

Eligible / Target Organization Governmental or non-governmental organizations of/for persons with disabilities, where persons with disabilities are the leading figures in their organization

Course Capacity (Upper limit of Participants) 9 participants

Language to be used in this program: English/ASL(American Sign Language)

Course Objective: This program aims that the participants learn practical methods to implement the UNCRPD. And their capacity to contribute to the implementation of the UNCRPD is strengthened.

Overall Goal The goal of this program is the participants enable him/her to contribute to the implementation of the UNCRPD and improvement of living standards of persons with disabilities in their countries.

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9. Expected Module Output and Contents: This program consists of the preliminary phase and the core phase. Details of each phase are presented in the following tables:

9.1 Prelimínary Phase in the participant's home country (August 2017 to September 2017) Participating organizations make required preparation for the Program in the respective country.

Expected Module Outputs Activities

To prepare Personal/ Organizafion Report (Annexl)

Ah l applicants are requested to prepare

Personal/Organizafion Report on the subjects given in

ANNEX-1 and submit it together with Application Form. This

report will also be orally presented during the training course

in Japan.

9.2 Core Phase in Japan (September 27 to November 9, 2017) Participants dispatched by the organizations attend the program implemented in Japan

Expected Module Outputs Subjects/Agendas Methodology

To understand disability from a viewpoint of human rights and equality based on the UNCRPD

* Ice Breaking (To know each other)

* Peer Counseling

* Personal/Organizational

Report/Presentation

* Facilitator Skill Training

* Right of Quality Life (Featuring Sports)

discussion,

workshop,

exercise, and presentation

To analyze the current situation of the implementation of the UNCRPD in respective countries and identify challenges to be addressed based on the perspective of "disability and development"

*Workshop (Abuse Prevention)

* UN Convenfion on the Rights of Persons

with Disabilities

*Mobility Rights (Transportation Accessibility

and Universal Design)

* System of Personal Assistant Services

* Community Based Inclusive Development

(CBID)-theory and practice

lecture , workshop, discussion, and role-playing

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To learn strategies and measures for promoting the participation of persons with disabilities in the society as well as the policy-making * process in Japan

" Social Participation of Persons with

Disabilities in Education and Employment

* History of Japanese Disability Movement

" Japanese Policy and System for Persons

with Disabilities

To Realize Act for Eliminating

Discrimination Against Persons with

Disabilities

lecture, discussion, and site visit

To acquire skills for managing organizations

*Organizafional Management

* Role of the Japan Disability Forum (JDF)

* To Learn Different types of Disabilities

" Role of Japanese DPOs (JDF members) in

Internafional Networks

lecture and site visit

To acquire skills for building networks at regional/nafional/international levels and for developing appropriate approaches for building such networks in their own countries

" History of Independent Living Movement

* Philosophy of Independent Living

/Negotiation Skills/How to Support Making

Self-decision

" Building networks with Government Offices

and DPOs

*Communication Skill Training

* Regional Training (visiting areas outside

lecture, discussion, and site visit

Tokyo)

To develop a final report on the implementation of the UNCRPD in their own countries

* Reflection

" Small Group Training

<Final Report>

The participant reflects what he/she has

learned through the training. Moreover,

he/she is expected to demonstrate how

he/she will reflect his/her learnings in his/her

work.

Proposal writing skills

Presentation skills

Final Report presentation

At the end of the program in Japan, the

participant will make a presentation about

what he/she has learned to other participants

and related persons in this program (on Final

Report presentation day).

discussion,

lecture,

exercise, and presentation

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<Program Outline in 2016> Please see the schedule of the oroQram.

Time Program Lecturer Venue

9 28 Wed Arrive'

29 Thu

10:00-12:30 Orientation Briefing TIC TIC

13:30-14:30 Orientaban Mr. Yoshhiro Mitsuoka(JSRPD) TIC

14:30 Individual interview JSRPD TIC

30 Fri 9:30-16:15 Orientation Orientation TIC TIC

10 1 Set Field trip EDO-TOKTO MUSEUM etc.

Various places

in Tokyo

metropolitan

2 Sun

3 Mon 10:00-12:00

Workshop Ice Breaking

(To know each other) Mr. Yoshihiro Mitsuoka(JSRPD) TIC

13:00-15:00

4

10:00-13:30 Experience

Tue Mr.

Exploring Japanese Public

Transportaban: Accessibility

Check in Tokyo Metropolitan

City

Ms. Ryoko Yamazaki (CIL Kodaira).

Tatsuaki Saruwatari(Studio IL

Elunkyo)

Public

Transportabon

14:30-16:30 Lecture Right te Mobility and

Accessibility Issues in Japan TIC

5 Wed 10:00-17:00 Workshop ' Peer Counseling

Ms. Kaoru Ito(Hachictii Support

Center for Persons with Visual &

Hearing Impairrnen(s).

Mr. Yoshihiro Mitsuoka(JSRPD)

TIC

6 Thu 10:00-15:00 Workshop Facilitator Skill Training Mr. Yoshinori Ikezumi(International

People's Health Council) TIC

7 Fri 10:00-15:00 Workshop Facilitator Skill Training

Mr. Yoshinori Ikezumiarrtemational

People's Health Council) TIC

15:00-16:00 Discussion Refiection Mr. Yoshihiro Mitsuoka(JSRPD) TIC

8 Sat

9 Sun

10 Mon 1000-16:00 Presentation Personal/Organizational

Report Presentation Participants TIC

11 Tue 10:00-17:00 Workshop Abuse Prevention Workshop

Mr. Mime lwamoto(CIL Assist

MIL), Ms. Mami Goibuchi(DPI Japan

Advocacy Center)

TIC

12 Wed 1)00-17:00 Workshop Abuse Prevention Workshop

Mr. Hajime Iwamoto(CIL Assist

MIL). Ms. Menú Goibuchi(DPI Japan

Advocacy Center)

TIC

13 Thu 10:00-12:30 Lecture

UNCRPD8Act for Eliminating

Discrimination against Persons

with Disabilities

Mr. Takanori SaKDPI Japan) TIC

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13:30-16:00 Lecture

Disabilities Network ̂-To

Realiza Act for Eliminating

Discrimination Against Persona

with Disabilities—

Mr. Koji OnoudOPI Japan)

•

TIC

14 Fri

10:00-12:00 Lectura

Japanese Policy and System

for Persons váth

DisabilitiedMinistry of Health,

labour and Welfare)

Mr. Hitoshi AkiyamdMHLW) TIC

13:30-15:30

Japanese Welfare Service for

Persona with

DisabilitiedShiniuku City

Office)

Lectura TIC Mr. Kazuaki NemotdShinjuku Ward

Office)

15:30-16:30 . Reflection Mr. Yoshihiro Mitsuoka(JSRPD) TIC

15 Set

16 Sun

AM Move to Osaka

13:30-16:30

Support for persona with .

disabilities in the event of

emergency

Yume Kaze Foundation KOKOPLAZA .

17 Mon 10:30-13:30 Visit

Observation of Inclusive

education in Japan HAMAKAZE Elementary School

Hamakaze

school

14:30-16:30 Lecture Inclusive Education in Japan Ms. Reiko IchildOsaka University

of Economics and Law) Kobe city

18 Tue Lecture Lazan about IL concept CIL Muchu CIL Muchu

19 Wed Lecture Leam about IL concept CIL Muchu CIL Muchu

20 Thu Lecture Leam about IL concept CIL Muchu CIL Muchu

21 Fn AM Lecture Refiection CIL Muchu CIL Muchu

PM Hack to Tokyo

22 Set

23 Sun

24 Mon

10:00-12:00 Lecture CBR/CBID Mr. Yutaka Takamine(NPO

Empowennent Okinawa) TIC

14:00-16:00 Lecture

Employment and works for

persona with disabilities in

Japan

Mr. Akira TerashimdUrawa Univ.) TIC

25 Tue

10:00-12:00 Lecture Employment support for

persona with disabilities

Mr. Jun Nakamurz(Frontier

Challenge. Ltd/Thankstemp

Co.Ltd.)

T1C

13:30-16:00 Visit

Observation of welfare

employrnent of persons with

disabilities in Japan

Mr. Hiroshi Takahardftl Business

School) TIC/ftl

26 Wed 10:00-16:00 Lecture/disc

ussion

Leaming Different Types of

Disabilities- Mental disabilities Ms. Makiko Kato(Koraru Taito) • Koraru Talto

27 Thu

9:30-12:00 Visit Leaming Different Types of

Disabilities- Dealblind

Tokyo Support Cantar for the

Deafblind

Tokyo Support

Center for the

Deafblind

14:00-16:00 Visit Leaming Different Typos of Social Welfare Corporation Social Welfare

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Disabilities- Intellectual

Disabilities

Musashino Corporation

Musashino

28 Fri

10:00-12:00 Lecture.

Leaming Different Types of

Disabilities- Visual

Impairments

Mr. Mitsugu Reii(Japan Federation

of the Blind)

13:30-15:30 Lecture

Leaming Different Types of

Disabilities- Hearing

Impairments

Mr. Takeo Ogura(Japanese

Federation of the Dea0

15:30-16:30 Discussion Reflection Mr. Yoshihiro Mitsuoka(JSRPD)

29 Sat

30 Sun

31 Mon 10:00-1400 Expedence Sports Expedence Tokyo Metropolitan Sport Center

for the Disabled

Tokyo

Metropolitan

Sports Center

for the Disabled

11 1 Tue Small Group Training

2 Wed Small Group Training

3 Thu Holiday

4 Fri 10:00-16:00 Workshop How to write reporte &

Presentation skills

Ms. Sarajean Rossitto(Delts

International) TIC

5 Sat

6 Sun

7 Mon 10:00-16:00 Workshop Summarization and project

management

Mr. Naoya Suzuki(NPO Incubation

Net) TIC

8 Tue 10:00-16:00 Workshop Summarization and project

management

Mr. Naoya Suzuki(NPO Incubation

Net) TIC

9 Wed 10:00-16:00 Workshop Ms. Satomi Nasu(JSRPD) TIC

10 Thu 10:00-16:00 Workshop Human Relations Ms Satomi Nasu(JSRPD) TIC

11 Fd 10:00-16:00 Workshop How to write reporte &

Presentation skills

Ms. Sarejean Rossitto(Delta

International) TIC

12 Sat

13 Sun

14 Mon 10:00-12:00 Lecture/Vosit

JICA Projects and JICA

Volunteers JICA Social Security Team

JICA

Headquarter

14:00-16:00 Discussion Reflection Mr. Yoshihiro Mitsuoka(JSRPD) TIC

15 Tue 10:00-16:00 Presentation Final Report Presentation Participante TIC

13:00-16:30 Evaluation Session TIC TIC

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kis Conditions and Procedures for Application 1. Expectations from the Participating Organizations:

This program is designed primarily for organizations that intend to address

specific issues or problems identified in their operation. Participating

organizations are expected to use the Program for those specific purposes.

In this connection, applying organizations are expected to nominate the most

qualified candidates to address the said issues or problems, carefully referring

to the qualifications described in section111-2 below.

Applying organizations are .a?so expected to be prepared to make use of

knowledge acquired by the nominees for the said purpose.

As this program is designed to facilitate organizations to come up with concrete

solutions for their issues, participating organizations are expected to make due

preparation before dispatching their participants to Japan by carrying out the

activities of the Preliminary Phase.

Participating organizations are also expected to make the best use of the results

achieved by their participants in Japan.

2. Nominee Qualifications: Applying Organizations are expected to select nominees who meet the following

qualifications. Please note that nominees would not necessarily be employed by the

applying organizations, as long as they are selected officially by the organizations

for their specific purposes. However, the nominees must be either persons who are

engaged in the said field or directly related to program subject.

(1) Essential Qualifications

Applicants should be nominated by their government in accordance with the

procedures.

Applicants should be persons with disabilities who are a middle-ranking

officer at their organization with a total of 5 to 20 years of experience in the

disabitity field. In addition, they must demonstrate a clear intention to work for

their organization upon returning from Japan. In detail, persons with

disabilities who have been active as leaders in the aboye mentioned

organizations for more than five years and are planning to work in the field of

disability for more than three years are desirable.

Applicants should not have participated in this training program before.

Language: have a good command of English and sufficient ability to read

program materials, understand lectures, participate in discussion, and write

reports in English. Please attach an official certificate for English ability such

as TOEFL, TOEIC etc, if possible.

Health: must be in good health, both physically and mentally, to participate in

the Program in Japan. Pregnant applicants are not recommended to apply

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dueto the potential risk of health and life issues of mother and fetus.

(2) Recommendable Qualifications Applicants who have in the past participated in any ofJICA's related programs

will be given a lower priority than those who have never received training at

JICA.

Age: between the ages of twenty-five (25) and forty-five (45) years are

preferred, however younger and older applicants will also be considered.

3. Required Documents for Application

Application Form: The Application Form is available at the JICA office (or the

Embassy of Japan). Photocopy of passport: to be submitted with the application form, if you

possess your passport which you will carry when entering Japan for this

program. If not, you are requested to submit its photocopy as soon as you

obtain it.

*Photocopy should include the followings:

Name, Date of birth, Nationality, Sex, Passport number and Expire date.

Nominee's English Score Sheet: to be submitted with the application form. If

you have any official documentation of English ability (e.g., TOEFL, TOEIC,

IELTS), please attach it (or a copy) to the application form.

Personal/Organization Report Ah l applicants are required to write Personal/Organization Report which covers

the topics shown in ANNEX-1 of this General Information (should be written by

the applicant him/herself), and submit it along with the Application Form. As

applicants' Personal/Organization Report will be used for the screening of

applicants, application not accompanied by a Personal/Organization Report will

not be considered as qualified. It is recommended to attach photos of the

organization and acfivities, if available.

*Personal/Organization Report also should be sent to JICA by e-mail to ticthd(alica.qo.(p.

Please include the course title and number, J1704219 in the e-mail title.

For the presentation session in Japan, participants should bring the report to Japan by data in USB memory stícks, or CD-ROMs.

Questionnaire: to be submitted with the application form. Fill in Attachment

ANNEX-2 of this General Information.

Full-body photo: for understanding each participants' disability.

4. Procedures for Application and Selection: (1) Submission of the Application Documents:

Closing date for applications: Please inquire to the JICA office (or the Embassy of Japan).

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(Atter receiving applications, the JICA office (or the Embassy of Japan) will

send them to the JICA Center in JAPAN by Auqust 8, 2017)

Selection:

After receiving the documents through proper channels from your government,

the JICA office (or the embassy of Japan) will conduct screenings, and then

forward the documents to the JICA Center in Japan. Selection will be made by

the JICA Center in consultation with concerned organizations in Japan. The

applying organization with the best intention to utiliza the opportunity of this

program will be highly valuad in the selection. Qualifications of applicants who

belong to the military or other military-related organizations and/or who are

enlisted in the military will be examined by the Government of Japan on a

case-by-case basis, consistent with the Development Cooperafion Charter of

Japan, taking into consideration their duties, positions in the organizafion, and

other relevant information in a comprehensive manner.

Notice of Acceptance Notification of results will be made by the JICA office (or the Embassy of Japan)

not later than Auqust 21, 2017.

Document(s) to be submitted by accepted candidates: Before coming to Japan, only accepted candidates with lower limbs disabilities, who

need assistance at the airport and on the airplane, are requested to submit the

"Request for Necessary Arrangement" (detailed information is provided in the

ANNEX-3 "Request for Necessary Arrangement".) This document should be sent to

JICA by Auqust 25, 2017 preferably by e-mail to ticthd@jica.go.jp

Conditions for Attendance: to strictly adhere to the program schedule.

not to change the program topics.

not to extend the period of stay in Japan.

not to be accompanied by family members during the program.

to return to home countries at the end of the program in accordance with the

travel schedule designated by JICA.

to refrain from engaging in any political activities, or any form of employment for

profit or gain.

to observe Japanese laws and ordinances. If there is any violation of said laws

and ordinances, participants may be required to return part or all of the training

expenditure depending on the severity of said violation.

to observe the rules and regulations of the accommodation and not to change

the accommodation designated by JICA.

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1-1-1 Administrative Arrangements 1. Organizer:

Name: JICA TOKYO

Contact: Ms. Yoko SADAIE (ticthdaiica.qojp)

2. Implementing Partner:

Name: Japanese Society for Rehabilitation of Persons with Disabilities (JSRPD)

Contact: Ms. Satomi NASU

URL: http://wwwisrpd.ip/static/index e.html

Remark: Japanese Society for Rehabilitation of Persons with Disabilities

(JSRPD) was founded to promote the activities of persons with disabilities in

every way possible both within and outside Japan. Via international exchange,

they strive to strengthen ah l relationships devoted to the promotion of

rehabilitation of persons with disabilities.

3. Travel to Japan: Air Ticket: The cost of a round-trip ticket between an international airport

designated by JICA and Japan will be borne by JICA.

Travel Insurance: Coverage is from time of arrival up to departure in Japan. Thus traveling time outside Japan will not be covered.

4. Accommodation in Japan: JICA will arrange the following accommodations for the participants in Japan.

Barrier-free rooms are prepared for wheelchair users.

!JICA Tokyo International Center (JICA TOKYO)

Address: 2-49-5 Nishihara, Shibuya-ku, Tokyo 151-0066, Japan

TEL: 81-3-3485-7051 FAX: 81-3-3485-7904

(where "81" is the country code for Japan, and "3" is the local area code)

If there is no vacancy at JICA TOKYO JICA will arrange alternative

accommodations for the participants. Please refer to facility guide of TIC at its URL,

https://www.iica.qo.lp/tokyo/enqlish/office/index.html

Facilities & Service Guide

https://www.iicamo.ip/tokvo/enqlish/office/c8h0vm00009u1d4m-attifacilities service quide.pdf

5. Expenses: The following expenses will be provided for the participants by JICA:

Allowances for accommodation, meals, living expenses, outfit, and shipping

Expenses for study tours (basically in the form of train tickets.)

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Free medical care for participants who become after arriving in Japan (costs

related to pre-existing illness, pregnancy, or dental treatment are not included)

Expenses for program implementation, including materials

For more details, please see "III. ALLOWANCES" of the brochure for participants

titled "KENSHU-IN GUIDE BOOK," which will be given before departure for

Japan.

6. Pre-departure Orientation: A pre-departure orientation will be held at the respective country's JICA office (or

Japanese Embassy), to provide participants with details on travel to Japan,

conditions of the workshop, and other matters.

V. Other Information Certificate: Participants who have successfully completed the course will be

awarded a certificate by JICA.

Short trip is scheduled in the course, so please bring the small bag for the trip. And

if you have a folding umbrella or a raincoat, we recommend to bring.

If you bring your own pc with you, Wi-Fi is available in the entire buildings.

The following items are necessary for the program. Please bring them with you if

you have.

Sportswear and indoor shoes for the sports activities

Identification for the physically disabled, if you have (you might be able to get

some welfare services in Japan)

White cane for persons visually impaired

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rvi ANNEre ANNEX-1 Format of Personal/Organization repon

ANNEX-2 Format of the Questionnaire

ANNEX-3 Request for Necessary Arrangement only for accepted candidates with lower limbs disabilities

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For al I candidates: to be submitted together with the Application Form

ANNEX-1 Format of Personal/Organization report

Capacity Development of Leaders with Disabilities for UNCRPD (UN Convention on the Rights of Persons with Disabilities) Implementation

(JFY 2017)

Personal/Organization Report

All applicants are required to write Personal/Organization Report which covers following topics. The report should be typewritten on A4 size paper, between 5 to 10 pages. It should be submitted together with the Application Form to the JICA office or the Embassy of Japan in your count and also sent by e-mail in word document to the training officer at JICA Tokyo International Center ticthd@jica.go.jp. Please include the course fitle and number, J1704220, in the e-mail title. Make sure to bring the report to Japan by data in USB memory sticks, or CD-ROMs.

Attach some photos of your organization and your activities, if available.

1. Description of your organization 1-1. General information

Name of your organizaban Type of your organization (governmental, local governmental, non-governmental, private) Background, mission, vision, activities Organization chart Staff and volunteers (number, paid or non-paid, with or without disabilities, type of disabilifies) Registered members (individuals/organizations, number, membership fee) Financial resources of your organization Weakness and strength of your organization Attach herewith a brochure or annual report of your organization if any.

1-2. Your activities in your organizaban Your job title Describe the details of activities that you are responsible for. Explain why and when you started working in this organizafion. Explain problems or difficulties that you face in your organization

2. Country Data 2-1. General information

Total land area Capital City Total population Ethnic groups Language Religion

2-2. Disability related information

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Definition / classification of disabilities Population of persons with disabilities (Type of disability, age, cause, gender) Major laws and regulations concerned with persons with disabilities, if any (Name / title, registered year, descripfion)

Financial assistance for persons with disabilities, if any Disability-related organizations and their activities

3 We would like you to share your feeling about the status of persons with disabilities in your community. Also please describe the current situation of the implementation of the UNCRPD in your country.

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For ah l candidates: to be submitted together with the Application Form

ANNEX-2

Capacity Development of Leaders with Disabilities for UNCRPD (UN Convention on the Rights of Persons with Disabilities) Implementation

(JFY 2017)

QUESTIONNAIRE

Ah l the applicants are required to fill in this form, and submit it along with the Application

Form and Personal/Organization Report to the JICA office or the Embassy of Japan in

your county. This is very important for NECESSARY ARRANGEMENT.

Ñame: Mr. /Ms.

first name / middle name / Family

name

Ñationality:

Address:

E-máil address:

TEL: FAX: MOBILE:

Date of Birth: / Age:

Description of Impairment:

Mark with (o) the corresponding type of your disability and self-help device/support,

which you use in your daily life.

( ) Visual ( ) White cane

( )AsSistance/Guide dog

.( ) Enlarged print --Font ( ) and Size ( points)

( ) English Braihle transpription contract (Grade two (2))

( ) English Braille Transcription uncontract (Grade one (1))

( ) Electronic Data -JAWS Screen Reading software

( ) Electronic Data —Other software (Please specify)

( ) Others(Please specify

( ) Hearing

( ) Hearing aid

( ) American Sign Language

.( ) Other,s(

(3) ( ) Physical-Lower limbs

( ) Electric wheelchair Length ( cm), Width ( cm), Height

cm)

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Weight of wheelchair ( kg), Seat Width ( cm), Seat Depth

( cm)

( ) Manual wheelchair Length ( cm), Width ( cm), Height ( cm)

Weight of wheelchair ( kg), Seat Width ( cm), Seat Depth ( cm)

( ) Crutches

( ) Others(

( ) Physical-Upper limbs

( ) Psychiatric

( ) Intellectual

( ) Others (Please specify)

7 For the participants with visual and/or hearing impairments (1) Are you traveling with an assistance/guide dog?

( ) NO ( ) YES

(2) If you request other special arrangement at the airport and on the airplane during the trip, please specify.

Please specify arrangements that are necessary while you are in Japan, if any. (Concerning accommodation, transportation, and others)

Food Restriction

Mark items which you cannot eat or drink because of your religious beliefs,

vegetarianism, or health condition (not your food preference).

) Pork

) Beef

) Chicken

) Fish

) Shellfish

) Egg

) Alcohol

) Others (Please specify)

Smoking ( ) NO ( ) YES

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For only accepted candidates with lower limbs disabilities

ANNEX-3

Capacity Development of Leaders with Disabilities for UNCRPD (UN Convention on the Rights of Persons with Disabilities) Implementation

JFY 2017

Request for Necessary Arrangement

The accepted candidates with lower limbs disabilities are requested to submit "Request for Necessary Arrangement "(Annex 3) to the JICA office (or the Embassy of Japan) in your country by Auoust 25, 2017. This ANNEX 3 is necessary for the airline company to prePare.

Please note that the airline company may inquire you through JICA office (or the Embassy of Japan) in your country some additional information. And please note that you may be requested to submit the medical certificate and you need to cover the cost.

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Request for Necessary Arrangement To be filled out bv vassener.

Name: Age: Sex:

1. Do you need the wheelchair service at the airport?

Yes E ONecessaty for assistance to/from the cabin seat (WCHC) not ascend/descend stairs, but can walk in the cabin (WCHS)

ascend/descend stairs, but can not walk long distance (WCHR)

O Can

OCan

No •

OAdvanced age OInjury

O Illness(Medical Form is required in the case of hospitalization) Name of Illness ( )

2.The reason of using wheelchair When have you been diagnosed with this illness?

( ) Have you undergone any surgery? If yes, please provide the date.

( ) OAftereffects of injury/illness

( ) 3. Are you currently on any medication? If yes, please advise what kind of medicine.

( ) 4. Do you Travel with your wheelchair?

DRIVEN 721' POWER

Yes E 4- OFoldable

4-0

No 1

1.- ONon

own

OWet OWet ODry

Foldable

cell battery /Spillable/Non Sealed Type(WCBW) cell battery /Sealed Type

(nickel-cadmium) battery (WCBC)

to

to be

SIZE of the wheelchair: Length cm / Width cm MANUAL

LONon

--> Foldable

Foldable

system? ONo ElYes

with spillable under certain conditions,

driven wheelchairs

check your wheelchair

/ Height cm / Weight kg

(If yes, it is categorized as "dangerous goods" and may be limited be brought into aircraft.)

batteries are categorized as "dangerous goods" and are permitted which will be judged by the airline company.

which are loaded into aircraft is limited, depending on cargo compartment

at the check-in counter because it takes time to load it.

1s seat with a gas spring

Power driven wheelchairs brought to aircraft only

The number of power capacity.

You are requested to

5. Can you sit upright during take-off and landing? Is wheelchair service needed in cabin? (WCOB)

E Yes • No

Yes E No

6. Do you need help for taking a meal / using toilet in cabin?

a Yes • No for *If check "Yes" you need prepare a Medical Form oran escort

your travel. 7. Do you need an escort to travel with you?

*If check "Yes", Please write the name of an escort. E Yes • No

Name: OPhysician ONurse 00ther( ) Anime Company may inquire your height and weight because their staff may take you to a seat. If you need to bring medicine to the airplane, you may be requested to prepare a certificate that the medicine is only for your private use and is necessary to take during the flight.

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20122

For Your Reference JICA and Capacity Development

The key concept underpinning JICA operations since its establishment in 1974 has been the

conviction that "capacity development" is central to the socioeconomic development of any country,

regardless of the specific operational scheme one may be undertaking, i.e. expert assignments,

development projects, development study projects, training programs, JOCV programs, etc.

Within this wide range of prograrns, Training Programs have long occupied an important

place in JICA operations. Conducted in Japan, they provide partner countries with opportunities to

acquire practical knowledge accumulated in Japanese society. Participants dispatched by partner

countries might find useful knowledge and re-create their own knowledge for enhancement of their

own capacity or that of the organization and society to which they belong.

About 460 pre-organized programs cover a wide range of professional fields, ranging from

education, health, infrastructure, energy, trade and finance, to agriculture, rural development, gender

mainstreaming, and environmental protection. A variety of programs and are being customized to

address the specific needs of different target organizations, such as policy-making organizations,

service provision organizations, as well as research and academie institutions. Some programs are

organized to target a certain group of countries with similar developmental challenges.

Japanese Development Experience

Japan was the first non-Western country to successfully modernize its society and

industrialize its economy. At the core of this process, which started more than 140 years ago, was

the "adopt and adapt" concept by which a wide range of appropriate skills and knowledge have

been imported from developed countries; these skills and knowledge have been adapted and/or

improved using local skills, knowledge and initiatives. They finally became internalized in Japanese

society to suit its local needs and conditions.

From engineering technology to production management methods, most of the know-how

that has enabled Japan to become what it is today has emanated from this "adaption and adaptation"

process, which, of course, has been accompanied by countless failures and errors behind the success

stories. We presume that such experiences, both successful and unsuccessful, will be useful to our

partners who are trying to address the challenges currently faced by developing countries.

However, it is rather challenging to share with our partners this whole body of Japan's

developmental experience. This difficulty has to do, in part, with the challenge of explaining a body

of "tacit knowledge," a type of knowledge that cannot fully be expressed in words or numbers.

Adding to this difficulty are the social and cultural systems of Japan that vastly differ from those of

other Western industrialized countries, and hence still remain unfamiliar to many partner countries.

Simply stated, coming to Japan might be ene way of overcoming such a cultural gap.

JICA, therefore, would like to invite as many leaders of partner countries as possible to

come and visit us, to mingle with the Japanese people, and witness the advantages as well as the

disadvantages of Japanese systems, so that integration of their findings might help them reach their

developmental objectives.

21/22

CORRESPONDENCE

For enquiries and further information, please contact the JICA office or the Embassy of

Japan. Further, address correspondence to:

JICA Tokyo International Center (JICA TOKYO)

Address• 2-49-5 Nishihara, Shibuya-ku, Tokyo 151-0066, Japan

TEL: +81-3-3485-7051 FAX: +81-3-3485-7904

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Guía para el Diligenciamiento del Formato de Aplicación JICA Knowledge Co-Creation Program

Lea cuidadosamente las indicaciones de esta gula para poderlo diligenciar correctamente. En caso de alguna inquietud puede consultar con la oficina de JICA en Colombia.

1. Partes que conforman el formato de aplicación y que deben ser diligenciadas

Este formato se encuentra orientado para ser diligenciado de manera conjunta tanto por parte del candidato al curso, como por parte de la Institución a la cual pertenece, la cual lo presenta mediante este documento oficialmente ante JICA.

Official Application: Una vez diligenciado debe ser firmado por el Representante Legal de la Institución que presenta al candidato. Part A. Information on the Applyinq Organization: Debe ser diligenciado o en su defecto aprobado por el superior inmediato del candidato que se encuentra aplicando al curso. Part B. Information About the Nominee including Medical History and Examination: Debe ser diligenciado por el candidato al curso.

2. Cómo diligenciar el formato de aplicación

Lea detenidamente la información de la convocatoria teniendo en cuenta el folleto proporcionado por JICA "Knowledge Co-Creation Program" (PROGRAMA DE GENERACIÓN CONJUNTA DE CONOCIMIENTO) del curso. Verifique que los objetivos, contenido y requisitos solicitados sean cumplidos y acordes con el área en la cual desempeña su trabajo actual y tenga en cuenta las siguientes recomendaciones:

Para diligenciar en este formato lo relacionado con el nombre y código del curso por favor refiérase al título y código dados en el folleto de JICA para el curso.

Diligencie este formato original en idioma INGLÉS a máquina o en letra de imprenta legible. No se recibirán formatos con enmendaduras, tachones o mal diligenciados. Utilice "X" para marcar la selección correspondiente a la casilla de chequeo "( )"

En caso de ser necesario puede agregar páginas anexas si el espacio dado en el formato no es suficiente

Verifique según las indicaciones dadas en folleto del curso proporcionado por JICA, el tipo de documento que debe acompañar la aplicación (Country Report, Job Report, Questionnaire, etc)

3. Políticas de Uso y Confidencialidad

1) Términos de Uso

Toda información referida a la identidad y datos personales contenida en el presente formato, será catalogada, utilizada y/o analizada con el único propósito de adelantar las labores propias de JICA. Para ello JICA se reserva el derecho al uso de dicha información de acuerdo con sus políticas de privacidad.

2) Limitaciones del Uso y Confidencialidad

JICA no divulgará información sobre la identidad de las personas referidas en este formato, con las siguientes tres excepciones:

En caso que un mandato legal lo solicite expresamente. Previa autorización del autor del documento para ser divulgado a un tercero. En caso que JICA nombre a un delegado para que procese la información, la misma se utilizará de acuerdo a las áreas requeridas.

3) Nota de Privacidad

JICA tomará las medidas necesarias para evitar la fuga, pérdida o destrucción indebida de la información recibida procurando siempre el manejo adecuado de la misma.

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4) Política de Derechos de Autor

Los aspirantes al Programa de Generación Conjunta de Conocimiento de JICA deberían tener en cuenta las siguientes regulaciones referidas a los Derechos de Autor: Articulo 1. Con relación a la preparación de documentos (reportes, plan de acción etc.) y presentaciones (Reportes de reunión, conferencias, etc.)

El contenido de los documentos y presentaciones debe ser debe ser de su propia autoría en principio. En caso de requerir el uso de material elaborado por otro autor (video, fotografías, ilustraciones, mapas, figuras, etc.) que se encuentre amparado por las regulaciones locales o internacionales de propiedad intelectual deberá:

Obtener las licencias o permisos necesarios bajo su propia responsabilidad. En este caso los términos de dichos licencias o permisos deberán contemplar los requerimientos del articulo 2. Conservar la evidencia de la obtención de los licencias o permisos anteriormente mencionados. En caso de ser necesario, bajo su propia responsabilidad, llegar a los acuerdos económicos necesarios con el autor del material para garantizar la vigencia de las licencias o permisos, de acuerdo con los términos de uso establecidos para ello.

Articulo 2. Con relación el uso del material de capacitación y diálogo La propiedad intelectual de los materiales preparados por los participantes Programa de Generación Conjunta de Conocimiento será de los participantes mismos. La propiedad intelectual del material preparado por otros autores seguirá perteneciendo a los autores mismos. El manejo de los textos, materiales complementarios y otros materiales entregados dentro del Programa de Generación Conjunta de Conocimiento de JICA a los participantes, deberá cumplir con el propósito para el cual han sido elaborados por parte de cada autor.

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Knowledge Co-Creation Program under Technical Cooperation with the Government pf Japan

Application Form for the JICA Knowledge Co-Creation Program

OFFICIAL APPLICATION

(To be confirmed and signed by the head of the relevant department / division of the applying organization)

Title: (Nombre del curso tal como figura en el folleto JICA Knowledge Co-Creation Program)

Number: (Código del cu so según el folleto de JICA Knowledge Co-Creation Program))

Country Name:

REPUBLIC OF COLOMBIA

Name of Applying Organization:

Name of the Nominee: (SURNAME Name)

To be completed by General Director of Institution on behalf of Candidate Our organization hereby applies for the training and dialogue program of the Japan International Cooperation Agency and proposes to dispatch qualified nominees to participate in the programs

Date: D/M/Y Signature:

Name:

Designation / Position

Department / Division

Office Address and Contact Information

Address:

Telephone: 1 Fax: 1 E-mail:

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Part A: Information on the Applying Organization

(To be confirmed by the head of the department / division that candidate belongs to)

1. Profile of Organization

Name of Organization:

The mission of the Organization and the Department / Division:

2. Purpose of Application

1) Current lssues: Describe the reasons for your organization claiming the need to participate in the training and dialogue program, with reference to issues or problems to be addressed.

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Objective: Describe what your organization intends to achieve by participating in the training and dialogue program.

Future Plan of Actions: Describe how your organization shall make use of the expected achievements, in addressing the said issues or problems.

Selection of the Nominee: Describe the reason(s) the nominee has been selected for the said purpose, referring to the following view points; 1) Course requirement, 2) Capacity /Position, 3) Plans for the candidate after the training and dialogue program, 4) Plan of organization and 5) Others.

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Part B: Information about the Nominee

(To be completed by the Nominee)

NOTE>»The applicants for Knowledge Co-Creation Program are required to fill in 'Every ;tem". As for the applications for Country Focused Program including Counterpad Program and some specified Programs, it is required to fill in the designated "required" items as is shown below.

1. Title: (Nombre del curso tal como figura en el folleto JICA Knowledge Co-Creation Program)

Fotografía tipo documento del

nominado Tamaño: 4x3 cms

(Obligatorio)

Number: (Código del curso según el folleto JICA Knowledge Co-Creation Program)

Information about the Nominee (nos. 1-9 are ah l required)

1) Name of Nominee (as in the passport — Use CAPITAL LETTERS)

1st Surname 2nd Surname

First Name

Second Name

2) Nationality ( ) COLOMBIAN Other nationality

2a) Place of Birth City Province Country

3) Sex ( )Male ( )Female 3a) Marital Status

( ) Single ( ) Married

5) Date of Bilth (please write out the

month in English as in "April") 4) Religion

6) Do you posses Passport? ( ) YES ( ) NOT Date Month Year Age

Do you posses USA Visa? ( ) YES ( ) NOT .

Passport Expiry (D/MfY)

ID Number (Cédula)

Adjuntar a esta Aplicación copia de/a hoja de datos de su pasaporte vigente. Si es poseedor de VISA USA vigente adicionalmente adjunte copia de la página deja visa.

7) Present Position and Current Duties

Organization

Department / Division

Present Position

Date of employment by the present organization (Fecha de Ingreso)

Date Month Year Date of assignment to t (Fecha de inicio en el presente cargo)

Date Month Year he present position

8) Type of Organization

( ) National Govemmental ( ) Local Governmental ( ) Public Enterprise

( ) Private (profit) ( ) NGO/Private (Non-profit) ( ) University

( ) Other

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Outline of duties: Describe your current duties

Contad Information

Office

Address: City:

TEL: 57/ Mobile (Cell Phone):

FAX: 57/ E-mail:

Home

Address• City:

TEL: 57/ Mobile (Cell Phone):

FAX: 57/ E-mail:

Contact person

in emergency

Name:

Relationship to you:

Address• City:

TEL: 57/ Mobile (Cell Phone):

FAX: 57/ E-mail:

4. Career Record

1) Job Record (After graduation)

Organization City/

Country

Period Position or Title Brief Job Description From

Month/Year To

Month/Year

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Educational Record (Higher Education)(required)

Institution City/

Country

Penad Degree obtained Major

From MI Y To M / Y

Training or Study in Foreign Countries; please write your past visits to Japan specifically as much as possible, if any.

Institution City/

Country

Period Field of Study / Program Title

From M / Y To M / Y

5. Language Proficiency (required)

English Proficiency

( _

Listening ( ) Excellent ) Good ( ) Fair ( ) Poor

Speaking (

(

) Excellent

) Excellent

(

(

) Good ( ) Fair

) Fair

(

(

) Poor

Reading ) Good ( ) Poor

Writing ( ) Excellent ( ) Good ( ) Fair ,,,,, _ ..._.......

( ) Poor

Certificate (Examples: TOEFL, TOEIC)

Mother Tongue

3)0ther languages ( ) ( ) Excellent ( ) Good ( ) Fair ( ) Poor

Excellent: Refined fluency skills and topic-controlled discussions, debates & presentations. Formulates strategres to deal with various essay types, including narrative comparison, cause-effect & argumentative essays. Good: Conversational accuracy & fluency in a wide range of situations: discussions, short presentations & interviews. Compound complex sentences. Extended essay formation. Fair: Broader range of language related to expressing opinions, giving advice, making suggestions. Limited compound and complex sentences & expanded paragraph formation. Peor: Simple conversation level, such as self-introduction, brief question & answer using the present and past tenses.

6. Expectation on the applied training and dialogue program 1) Personal Goal: Describe what you intend to achieve in the applied Knowledge Co-Creation program (required)

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Relevant Experience: Describe your previous vocational experiences which are highly relevant in the

themes of the applied Knowledge Co-Creation program (required)

Area of Interest: Describe your subject of particular interest with reference to the contents of the

applied Knowledge Co-Creation program (required)

"7. Declaration (to be signed by the Nominee) (required) I certify that the statements I naden this forrn are true and correct to the best of my knowledge. If accepted for the program, I agree:

not to bring or invite any member of my family (except for the program whose period is one year or more), to carry out such instructions and abide by such conditions as may be stipulated by both the nominating govemment and the Japanese Government regarding the program, to follow the program, and abide by the rules of the institution or establishment that implements the program, to refrain from engaging in pohtical activity or any form of employment for profit or gain, to retum to my home country at the end of the activities in Japan on the designated flight schedule arranged by JICA, to discontinue the program if JICA and the applying organization agree on any reason for such discontinuation and not to claim any cost or damage dueto the said discontinuation. to consent to waive exercise of my copyright holder's rights for documents or products that are produced during the course of the project, against duplication and/or translation by JICA, as long as they are used for the purposes of the program. To approve the privacy policy and the copy right policy mentioned in the Guidelines of Application

JICA's information secudty policy in relation to Personal Information Protection JICA will properly and safely manage personal information collected through this application form in accordance with JICA's privacy

policy and the relevant laws of Japan conceming protection of personal informaban and take protection measures to prevent divulgation, loss or damages of such personal information.

Unless otherwise obtained approval from an applicant itself or there are valid reasons such as disclosure under laws and ordinances, etc., and except for the following 1.-3., JICA will neither provide nor disclose personal information to any third party. JICA will use personal information provided only for the purposes in the following 1.-3 and will not use for any purpose other than the following 1.-3 without prior approval of an applicant itself.

To provide Knowledge Co-Creation Program to participants from developing countries. To provide Knowledge Co-Creation Program to the participants from developing countries under the Citizens Cooperation Activities.

In addition to 1. and 2. aboye, if the government of Japan or JICA determines necessary in the =irse of technical cooperation. to observe Japanese laws and ordinances during my stay, if violate Japanese laws and ordinances, I will return the total amount or a part of the expenditure required for the training depending on the extend of the violation. to understand that JICA does not assure issuance of Japan entry visa even atter JICA decide to accept me. I understand the Embassy of Japan will decide it according to necessary formalities upon the submission of visa appflcaflon from each participant.

Date: D/M/Y

Signature:

Print Name:

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MEDICAL HISTORY AND EXAMINATION

1. Present Medical Status

(a) Do you currently use any medicine or have regular medical checkup by a physician for your

illness?

[ ] No [ 1 Yes: Name of illness :

Name of medicine: if yes, please attach your doctor's letter (written in English) that describes current status of your illness and agreement tojoin the program.

(b) Are you pregnant?

[ ] No

[ ] Yes: Months of pregnancy (

months)

(c)Are you allergic to any medication or food?

[ ] No Yes: What are you allergic to?

(d) Please indicate any needs arising from disabilities that might necessitate additional

suppod or facilities.

Note: Disability does not leed to exclusion of persons with disability from the program. However, upon the

situation, you may be directly inquired by the JICA official iri charge for a more detailed account of your condition.

2. Past Medical History

Have you had any significant or serious illness?

[ ] No [ ] Yes: Please specify

Have you ever been a patient in a mental clinic or been treated by a psychiatrist?

[ ] No [ ] Yes: Please specify

3. Other Medical Problems

If you have any medical problems that are not described aboye, please indicate below.

I certify that I have read the aboye instructions and answered ah l questions truthfully and completely to the best of my knowledge. I understand and accept that medical conditions resulfing from an undisclosed pre-existing condition may not be financially compensated by JICA and may result in termination of the program.

Date: D/M/Y

Signature:

Print Name:

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Utilice este modelo de carta de Presentación Institucional para completar la documentación requerida en la aplicación, colocando en él los datos que se indican en letra negrilla y

utilizando si es necesario formato membreteado o papelería oficial de su entidad.

Señor SATOSHI MUROSAWA Representante Residente Agencia de Cooperación Internacional del Japón — JICA Colombia

Respetado Señor:

En mi calidad de Representante Legal de (nombre de la entidad), atentamente me permito presentar al señor (nombre completo del postulante), quien actualmente se desempeña como (cargo) y se encuentra vinculado laboralmente desde (año/mes/día), a fin de que sea considerado para acceder a un cupo en el curso de entrenamiento (nombre del curso) a efectuarse en Japón desde el (año/mes/día) hasta el (año/mes/día).

Igualmente me comprometo a nombre de (nombre de la entidad) a brindarle todo el apoyo y colaboración al candidato en mención, para que en caso de ser elegido pueda llevar a cabo la capacitación durante la totalidad del período del curso, sin interrupciones. Esto contempla también, el llevar a cabo todas las gestiones necesarias ante el Gobierno, para que el candidato se desplace a Japón en las fechas y bajo los itinerarios previstos por JICA.

A su regreso el señor (nombre del candidato) será reintegrado a sus labores, sin que su ausencia durante la capacitación sea causa de remoción ni de alteraciones en su vínculo contractual.

El señor (nombre del candidato) se compromete a reportarse ante la oficina de JICA en Colombia, dentro de un plazo no mayor a un mes después de su regreso, para rendir un informe de la capacitación y presentar un plan de acción a seguir sobre las labores de multiplicación dentro y fuera de esta entidad, así como también a llevar a cabo otras actividades que JICA le encomiende en su calidad de ex becario.

Este COMPROMISO INSTITUCIONAL se firma a los XX días del mes de XXXXX de 20XX .

(firma) (firma)

(Nombre) (Nombre) Representante Legal Candidato CC No.