2011

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1 Applicant s ID * NAIST 2017 Master s Course Application Form for Screening of International Students by Special Recommendation Applying to: Admission Full name Graduate school of 2017 Spring Admission / 2017 Fall Admission (Family name) (*Do not fill in.) (Circle your time of enrollment.) (Given name) Photograph 38mm 30mm Taken within the past 3 months, full-faced from shoulders up, no headwear except for religious reasons. Date of birth (Year) (Month) (Day) Sex (M / F ) Qualification for application University graduated (University Attending) (3)-A, (3)-B, (3)-C ( Circle the number of your qualification.) (School) (Department) (Major) (Expected) Graduation date Nationality Current address Contact address in Japan Current Status (Year) (Month) (Day) Zip code: Address: Tel: Zip code: Address: Tel: Mobile: Educational background (Note 1) Year / Month (Entrance) Year / Month (Completion) Curriculum Vitae Name (Location: ) Status (e.g. Primary school student, Undergraduate student, MA student, researcher) Employment record From Year / Month To Year / Month Awards & Citations / / For your educational background, start with elementary school and continue in chronological order. If you were an undergraduate student or a research student in any institute, specify the name of the institute and the length of time. If any falsification in the curriculum vitae is found, admission will be revoked. *Please check as appropriate. Applicants from workplace: I will ( ) resign from my job. ( ) continue working after admission. Financial status for proposed study: ( ) MEXT Scholarship Student ( ) Foreign Government-Sponsored Student ( ) Self-financed Student - 8 -

) (Given name) Photograph 38mm 30mm Taken within the past 3 months, full-faced from shoulders up, no headwear except for religious reasons.

2 Letter of Recommendation To the President of NAIST Name of the student, faculty member or researcher recommended : Reason for recommendation: (Please state in English your reasons for recommending the above-mentioned person as a suitable candidate for the Screening of International Students by Special Recommendation of NAIST, describing his/her suitability with regards to personality and academic achievement. For a current (or graduated) student, please also include comments on academic achievement; for a faculty member or researcher please comment on research achievements.) Date: Recommender s name: Title: (President or dean) Institution: Recommender s signature :

describing his/her suitability with regards to personality and academic achievement.

3 Short Essay (Graduate School of Biological Sciences) Applicant s ID Name (1/2) (Leave blank) The content of my studies as an undergraduate

4 Short Essay (Graduate School of Biological Sciences) Applicant s ID Name (2/2) (Leave blank) Research field/project that I want to work on at NAIST

5 Short Essay Applicant s ID Name (1/2) (Graduate School of Materials Science) Task1 Please explain the content of your undergraduate thesis research.(if you haven t started this, please write about the course content you have studied and the things which were of great interest to you.) Major Preferred laboratory Theme: Please write the content below. Please submit page 2 even if you do not use it. Do not fill in.

(if you haven t started this, please write about the course content you have studied and the things

6 (2/2) Short Essay (Graduate School of Materials Science) Applicant s ID Name Major Preferred laboratory Task1 Please continue on this page. Task2 Please write the research field / project that you want to work on at NAIST The length of each description is not decided. However, please be sure to organize the task1 and task2 within these 2 pages. Do not fill in.

Task2 Please write the research field / project that you want to work on at NAIST The

7 平成 29 年度情報科学研究科受入内諾書 Letter of Acceptance( Only Information Science applicants) 年月日国籍 (Nationality) ( 英語併記 ) 氏名 (Full Name) ( 英語併記 ) 殿本学志願者として相応しい者であると判断し, 入学者選抜試験合格のうえは当研究室への受入れを内諾します After consideration of the documents received thus far, including your research plan, it has been determined that you meet the preliminary qualifications for acceptance as an applicant to the master's course at Nara Institute of Science and Technology. Provided that you pass the entrance examination, you will be accepted as a master s course student at NAIST, in accordance with the details below. 記 (Details) 1 受入課程 ( 英語併記 ) : 博士前期課程情報科学研究科 Course of acceptance: Master s course of the Graduate school of Information Science 2 指導予定教員 ( 英語併記 ): 所属情報科学研究科教授氏名 : Scheduled academic advisor:graduate School of Information Science Full name: 3 英語能力を証明する書類の提出要不要 Submission of document verifying English proficiency Required / Not required 4 その他留意事項 (Other items to note) ( 注 1) 出願期間の 1 ヶ月前までに志望研究室の教授に発行を依頼すること ( 注 2) 志望研究室の教授から,この書類が返送されたら出願書類に同封すること * You must request this letter from the professor of the laboratory you wish to join at least one month prior to the first day of the application period. ** When you receive this Letter of Acceptance, you are required to submit it together with your application documents. (NAIST での指導教員予定者 ) 所属 : 研究室役職 : 教授氏名 : 印

for acceptance as an applicant to the master's course at Nara Institute of Science and Technology.

8 平成 29 年度物質創成科学研究科受入内諾書 Letter of Acceptance( Only Materials Science applicants) 年月日国籍 (Nationality) ( 英語併記 ) 氏名 (Full Name) ( 英語併記 ) 殿本学志願者として相応しい者であると判断し, 入学者選抜試験合格のうえは当研究室への受入れを内諾します After consideration of the documents received thus far, including your research plan, it has been determined that you meet the preliminary qualifications for acceptance as an applicant to the master's course at Nara Institute of Science and Technology. Provided that you pass the entrance examination, you will be accepted as a master s course student at NAIST, in accordance with the details below. 記 (Details) 1 受入課程 ( 英語併記 ) : 博士前期課程物質創成科学研究科 Course of acceptance: Master s course of the Graduate school of Materials Science 2 指導予定教員 ( 英語併記 ): 所属物質創成科学研究科役職 : 氏名 : Scheduled academic advisor:graduate School of Materials Science Title: Full name: 3 英語能力を証明する書類の提出要不要 Submission of document verifying English proficiency Required / Not required 4 その他留意事項 (Other items to note) ( 注 1) 出願期間の 1 ヶ月前までに志望研究室の責任者に発行を依頼すること ( 注 2) 志望研究室の責任者から,この書類が返送されたら出願書類に同封すること * You must request this letter from the professor of the laboratory you wish to join at least one month prior to the first day of the application period. ** When you receive this Letter of Acceptance, you are required to submit it together with your application documents. (NAIST での指導教員予定者 ) 所属 : 研究室役職 : 氏名 : 印

qualifications for acceptance as an applicant to the master's course at Nara Institute of Science and Technology.

APPLICATION FORM FOR ADMISSION

APPLICATION FORM FOR ADMISSION APPLICATION FORM ADMISSION FOR INTERNATIONAL STUDENTS TOYOTA TECHNOLOGICAL INSTITUTE GRADUATE SCHOOL OF ENGINEERING DOCTORAL COURSE 留学生入学志願書豊田工業大学大学院工学研究科博士後期課程 Instruction 記