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