APPLICATION FOR ADMISSION TO THE DOCTORAL COURSE IN STUDIES IN KUROSHIO SCIENCE, GRADUATE SCHOOL OF INTEGRATED ARTS AND SCIENCES KOCHI UNIVERSITY ...
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APPLICATION FOR ADMISSION TO THE DOCTORAL
COURSE IN STUDIES IN KUROSHIO SCIENCE, GRADUATE
SCHOOL OF INTEGRATED ARTS AND SCIENCES KOCHI
UNIVERSITY FOR OCTOBER, 2020 AND APRIL, 2021
(Application Deadlines: July 6, 2020 and December 4, 2020 and January 22, 2021)
http://www.kochi-u.ac.jp/kuroshio/index-e.htmlTHE DOCTORAL COURSE IN KUROSHIO SCIENCE,
GRADUATE SCHOOL OF INTEGRATED ARTS AND SCIENCES
KOCHI UNIVERSITY
APPLICATION FOR ADMISSION TO THE DOCTORAL PROGRAM
(Start of Academic Year: October 1, 2020 and April 1, 2021)
ADMISSION FOR FEE-PAYING INTERNATIONAL STUDENTS
This program is intended for applicants who have graduated from Kochi University and those from
universities that have an Agreement of Exchanges with Kochi University (partner universities) to pursue a
graduate course (doctoral program for the 2020 or 2021 academic year) at the Graduate School of Kuroshio
Science, Kochi University as follows:
1. PROGRAM
(1) The program consists of thesis research and course work. All instruction is either in English or in
Japanese.
(2) The program is a three-year doctoral course. Students are required to gain 14 or more credits and
receive the necessary research guidance and successfully pass the final examination and
dissertation.
(3) Students will be awarded the degree Doctor of Philosophy (Ph.D.) from Kochi University after
completion of the course.
2. MAJOR FIELDS
Applicants are requested to find a suitable supervisor from the list of Fields of Instruction and
Professors at the end of this guide (pp. 5-7) and to contact the prospective supervisor in advance.
3. NUMBER OF STUDENTS
The total number of successful applicants is limited.
4. ELIGIBILITY AND REQUIREMENTS
(1) Nationality: Those who do not have Japanese nationality or the right of permanent residence.
(2) Educational record:
1. Those who hold a Master’s degree or who are expected to complete a Master’s degree from
a partner university by the end of September 2020 (for admission in October 2020) or by the
end of March 2021 (for admission in April 2021).
2. Those who hold a valid degree from a partner university, comparable to a Master’s degree.
3. Those who have a Master’s degree or professional degree, or are expected to receive such a
degree by March 2021, from a foreign educational institution in Japan which has a graduate
course conforming to the educational system of the relevant country and is accredited by the
Minister of Education, Culture, Sports, Science and Technology.
4. Those who have completed a course of study at the United Nations University and have
received a Master’s degree or equivalent or those who are expected to receive the degree by
September 2020(for admission in October 2020) or by March 2021 (for admission in April
2021).
5. Those who have undertaken a course of study at a foreign educational institution, an
educational institution as designated under item 3, or the United Nations University, and
have passed the examinations stipulated in Article 16 (2) of the Standards for Establishment
of Graduate Schools, or equivalent examinations, and have been deemed to possess an
-1-academic ability equivalent to or greater than that of a Master’s degree.
6. Those who hold a Master’s degree or who are expected to complete a Master’s degree at a
non-partner university by the end of September 2020 (for admission in October 2020) or by
the end of March 2021 (for admission in April 2021) and were recommended by a faculty
member of Kochi University (exchange faculty member) who has engaged in joint research,
etc.
(3) Health: Those who are mentally and physically in good health.
(4) Language ability: Those who have sufficient English or Japanese proficiency.
(5) Arrival in Japan: Those who are able to arrive in Japan between October 1 and 5, 2020 (for
admission in October 2020) or between April 1 and 3, 2021(for admission in April 2021).
Notes:
(1) Military personnel and civilian employees of armed forces are not eligible.
(2) If successful applicants are unable to arrive in Japan by the designated date, the offer of
admission shall be withdrawn.
(3) If applicants fail to graduate from their prospective university by September 2020 (for admission
in October 2020) or by March 2021 (for admission in April 2021), their enrollment shall be
cancelled.
5. LIST OF DOCUMENTS FOR APPLICATION
(1) Application form (Form A).
(2) Application form (Form B).
(3) A certified copy of the applicant’s university graduation certificate from the last school attended,
prospective university graduation certificate, or an academic degree.
(4) A certified transcript of the applicant’s academic records from the last school attended, and the
English translation issued by the university concerned.
(5) Transcripts which show that the applicant demonstrated excellent ability at his/her last university
(a specific indication on the transcript, such as GPA, A・B・C (grade), rank (out of the total
number of students), etc.).
(6) A certified copy of the applicant’s birth and family records, citizenship, etc.
(7) An agreement written by a prospective supervisor as listed in the Fields of Instruction and
Professors (pp. 5–7) (e-mail copy is acceptable).
(8) Those who are eligible under “4. ELIGIBILITY AND REQUIREMENTS (2) 6” must submit a
letter of recommendation (free format) written by an exchange faculty member.
(9) An abstract of the applicant’s master’s thesis or equivalent (up to 4 pages, A4 size). If an
applicant is not required by the university concerned to submit a master’s thesis, he or she should
make a statement to that effect and describe any research work undertaken (up to 4 A4 pages). If
applicable, an applicant should submit their publications (copies are acceptable).
(10) A letter of recommendation (Form C) written by the Dean of the applicant’s university, or written
by the head of the division concerned with the applicant. Applicants are also encouraged to attach
references from their supervisor or an equivalent person who knows both the applicant and his or
her work and academic career very well.
(11) A certificate of health (to be completed by an examining physician) (Form D)
(12) Three photographs (6×4 cm, no hat, full-faced photograph taken within six months prior to the
date of application): one of the photographs should be attached to the designated space on the
application form, and the remaining two should be enclosed therein, with the applicant’s
nationality and name written on the reverse side.
(13) The application fee is 30,000 yen and should be paid in cash or by a postal money order when the
application form is submitted.
(Exemption from paying the entrance examination fee applies to those who will graduate from
the master’s course or the first term of the doctoral course at Kochi University in September 2020
-2-(candidates who want to enter the second term of the doctoral course at Kochi University in
October 2020), or in March 2021 (candidates who want to enter the doctoral course at Kochi
University in April 2021).
Notes:
(1) All documents for application should be filled out in English or Japanese and be typewritten and
double spaced on A4 paper.
(2) Applicants should discuss their research plan for the program [directly via email] with their
prospective supervisor at the Graduate School of Kuroshio Science, Kochi University before
application. The Screening Committee will not consider an applicant eligible for admission if
they do not have a proposed supervisor. Applicants should choose a supervisor from the Fields of
Instruction and Professors (pp. 5-7).
(3) Submitted applications that do not contain all of the required documents will be rejected.
(4) The application documents received by Kochi University will not be returned. In addition, the
application fee is not refundable.
(5) The letter of recommendation and reference(s) should include an indication of whether the
applicant’s English and Japanese proficiency is excellent, good, or fair, respectively.
6. PAYMENT OF ENTRANCE FEE AND TUITION FEE
(1) Application fee: 30,000 yen*
Exemption from paying the entrance examination fee will apply to those who will graduate from
the master’s course or the first term of the doctoral course at Kochi University in September 2020
(candidates who want to enter the second term of the doctoral course at Kochi University in
October 2020), or in March 2021 (candidates who want to enter the doctoral course at Kochi
University in April 2021).
(2) Entrance fee: 282,000 yen*
Successful candidates must pay by the following date:
For admission in October 2020: by September 16, 2020 (those who are expected to complete a
Master’s degree at Kochi University by the end of September 2020 do not have to pay this fee)
For admission in April 2021: by March 5, 2021 (those who are expected to complete a Master’s
degree at Kochi University by the end of March 2021 do not have to pay this fee)
(3) Tuition fee for one year: 535,800 yen*.
The fee may be paid in two installments: 267,900 yen* for the first semester and 267,900 yen*
for the second semester.
*If the amount of fees or payments changes, the revised examination fee, entrance fee or tuition
fee shall apply.
7. BENEFITS
(1) Depending on their economic situation, students may be exempt from the full amount or half the
amount of the tuition fee.
(2) The Japan Student Services Organization will bear 35% of the cost of medical treatment.
(3) Several scholarships (other than the Japanese Government (Monbukagakusho) Scholarship) are
available. Students are encouraged to apply.
(4) The International House of Kochi University is available for accommodation for newly arrived
overseas students. Tenants are selected by a committee. Those who are not admitted as tenants in
the International House of Kochi University must find a private apartment, which currently has a
monthly rental charge of about 40,000 yen.
-3-8. SCREENING AND ACCEPTANCE
(1) The Screening Committee decides acceptance or rejection of applicants based on the documents
submitted.
(2) Notification of admission will be sent to applicants by the end of July (for admission in October
2020) or the beginning of January to mid-February (for admission in April 2021).
(3) If any statement on the application form or related documents is ascertained to be false, the
Screening Committee reserves the right to withdraw any offer of admission even after
enrollment.
9. SUGGESTION
Overseas students are encouraged to familiarize themselves with Japan’s climate, customs,
weather and university situation before coming to Japan. Although students can use English in classes
and carrying out research on campus, they will need to use the Japanese language in daily life.
Therefore, students are expected to have sufficient conversational ability in Japanese.
10. SUBMISSION AND INQUIRIES
Applicants are requested to submit the documents listed in 5. LIST OF DOCUMENTS FOR
APPLICATION by registered mail to the Kuroshio Science Office until July 6, 2020 (for admission in
October 2020 or April 2021) or December 4, 2020 and January 22, 2021 (for admission in April 2021)
Further inquiries about the Admission program should be made to the following office by mail, fax or
e-mail:
Kuroshio Science Office, Monobe Campus, Kochi University
200 Monobe-Otsu, Nankoku-shi, Kochi 783-8502, JAPAN
Tel: +81-88-864-5217 Fax: +81-88-864-5134
E-mail: km14@kochi-u.ac.jp
-4-[Fields of Instruction and Professors]
The principal objective of the comprehensive, interdisciplinary Kuroshio Science course is the
education through integrating and providing an overall perspective of a number of specialist
fields. The course focuses on resources, environment and society, medical health science, food
and nursing pertaining to the extensive regions and marine areas (hereinafter, Kuroshio
Region) extending from the countries of Southeast Asia to Northeast Asia and Japan. Kuroshio
Science aspires to promote education and capable people in the following ways.
・ To train researchers and educators to possess a high level of expertise in their respective fields as
well as knowledge of and perspective on different fields
・ To train new types of researchers and educators who gain an understanding of the new concept that
is Kuroshio Science and possess a broad global perspective
・ To provide capable people who lay a foundation based on Kuroshio Science with a broad global
perspective, as well as who can play an active part in regional industry and the business community
・ To implement the fine tuning of education through challenging research and education for active
members of society at all levels
In order to realize the objectives for education and research, Kuroshio Science course is
composed of academic members with a variety of research fields, as listed below. These members can
be “Prospective Academic Adviser” noticed in 5. (7) in page 2
Professor
Area of Research
E-mail
Ecophysiological studies on response to environmental factors
such as ambient temperature and photoperiod in Gerridae insects
including the oceanic sea skater, Halobates. Epidemiology and HARADA Tetsuo
field experiments on diurnal rhythms and sleep habits of haratets@kochi-u.ac.jp
children and ecophysiological students aged 0–30 years and their
relationship to environmental factors in their life.
Ecological studies of species distribution modeling and HIGA Motoki
biodiversity conservation mhiga@kochi-u.ac.jp
Reproductive physiology, ecology and taxonomy of seaweeds in HIRAOKA Masanori
the coastal area of the Kuroshio region. mhiraoka@kochi-u.ac.jp
Research on socioeconomics and fisheries management systems HORI Mina
in small-scale fisheries of Southeast Asia. mina@kochi-u.ac.jp
Applied micro economic study on economic structure in less
IIGUNI Yoshiaki
favorable areas and policy measures for industrial development
iiguni@kochi-u.ac.jp
and environmental conservation in the region.
ITANI Gyo
Symbiotic ecology of marine benthos.
itani@kochi-u.ac.jp
Theoretical studies on animal ecology and life science in the KATO Motomi
Kuroshio region. genkai@kochi-u.ac.jp
-5-Population biological studies on cetaceans, especially for
KISHIRO Toshiya
Bryde’s whales and dolphins distributed in the Tosa Bay and its
kishiro@affrc.go.jp
surrounding regions.
Construction of integrated healthcare and nutrition care systems
KUBOTA Satoshi
and sustainable human society. Biochemical analysis of food
kubota@kochi-u.ac.jp
and marine bioresources.
Cell morphogenesis in giant-cellular algae, with special attention
MINE Ichiro
to the roles of cytoskeletons and cell walls in localized cell
mine@kochi-u.ac.jp
growth.
Study of Kuroshio coastal culture developed with agricultural MIYAZATO Osamu
culture. miyazato@kochi-u.ac.jp
Research on functional materials from Kochi products, such as
MIZOBUCHI Shunji
Citrus junos components and β-glucan from Aureobasidium
mizoshun@kochi-u.ac.jp
pullulans.
Elucidation of roles of viruses (=illumination of their "raison
NAGASAKI Keizo
d'être") in marine ecosystems. Exploration and characterization
nagasaki@kochi-u.ac.jp
of unknown marine viruses.
NAKAMURA Yohei
Ecology of fish in the coastal area of the Kuroshio region.
ynakamura@kochi-u.ac.jp
NANBA Takushi
Drug discovery and research on cell signaling
t-namba@kochi-u.ac.jp
Isotope geochemical research on geofluid involved with
NISHIO Yoshiro
earthquake and volcanic activities and formation of mineral
yoshiro@kochi-u.ac.jp
resources.
Understanding the role of RNA or DNA virus genes and their
involvement both in viral replication and in the disease process. OSHIMA Syun-ichirou
The goal of our research is to understand the molecular s-oshima@kochi-u.ac.jp
mechanisms controlling virus gene expression in the host cell.
Understanding of the relationship among molecular-biological SAKURAI Tetsuya
properties. tetsuya.sakurai@kochi-u.ac.jp
Studies of cell ultrastructure in algae (mainly microalgae), which
SEKIDA Satoko
include researches to elucidate the formation and ultrastructure
sekida@kochi-u.ac.jp
of cell coverings and function of cytoskeleton.
Economic approaches toward optimal use of local resources and
SHINBO Teruyuki
environment in the Kuroshio region: Economic evaluation and
shinbo@kochi-u.ac.jp
policy analysis for environment.
Evaluation of farmlands and forests in upland and mountainous
TANAKA Sota
areas with special reference to soil environments and
sotatnk@kochi-u.ac.jp
ecosystems.
-6-TERAMOTO Maki
Utilization of microbes including their genetic resources.
maki.teramoto@kochi-u.ac.jp
Physical property analysis by nuclear magnetic resonance
YAMADA Kazuhiko
(NMR) spectroscopy and the development of NMR
kyamada@kochi-u.ac.jp
methodology.
YORITAKA Hiroyuki
Research on variation of ocean surface current.
yoritaka@kochi-u.ac.jp
-7-1. Doctoral Course Subjects
No. Subject Credits Remarks
1 Biological Oceanography, Advanced 2
2 Marine Biodiversity 2
3 Advanced Study on Migrations of Fish 2
4 Aquatic Evolutionary Ecology 2
5 Advanced Benthology 2
6 Principles of Molecular Biology 2
7 Molecular Cell Biology 2
8 Advanced Study on Plant Morphogenesis and its Diversity 2
9 Structural and Functional Cell Biology 2
10 Advanced Environmental Physiology of Animals Living in the Ocean Ecosystem 2
11 Advanced Study on the Ultrastructure of Cells 2
12 Instrumental analyses 2
13 Advanced Bioinformatics 2
14 Advanced Studies on Cetacean Population Biology 2
15 Advanced Analytical Chemistry of the Marine Environment 2
16 Advanced Tropical Soil Ecology 2
17 Advanced study of Aquatic Virology 2
18 Advanced Economic Study of the Regional Environment 2
19 Fisheries socioeconomics in Kuroshio Region 2
20 Economics of Less Favorable Areas 2
21 Advanced study on Earth, Environmental, and Planetary Science 2
22 Advance study on Vegetation Landscape 2
23 Advanced Study on Theoretical Biology 2
24 Advanced Study on Archaeology of Japan 2
25 Advanced Physical Oceanography on the Kuroshio 2
26 Advanced study on SeaFloor mineral resources and Environments 2
27 Advanced Study of Bioactive Natural Products 2
28 Advanced study on natural product biosynthesis 2
29 Advanced study of Pharmacology 2
30 Advanced Health Science and Nutrition 2
31 Advanced Study on Cancer Biology 2
32 Advanced Study on Kuroshio Science 2 Compulsory
33 Special Exercise 2 Compulsory
34 Kuroshio Seminar 2 Compulsory
35 DC Seminar 2 Compulsory
-8-Form A-1
Application FormⅠfor the 2020 Academic Year (Start of Academic Year: October 1)
Kuroshio Science Program, Graduate School of Integrated Arts and Sciences,
Kochi University (Doctoral Course)
2020 年度 高知大学大学院総合人間自然科学研究科黒潮圏総合科学専攻（博士課程）入学申請
書
APPLICATION FOR FEE-PAYING INTERNATIONAL STUDENTS (私費外国人留学生用)
INSTRUCTIONS（記入上の注意）
1. Application should be typewritten or written in Roman block capitals.
(記入は，楷書又はローマ字体を用いること) Paste a photograph
2. Numbers should be in Arabic figures.（数字は算用数字を用いること） taken within the past six
3. Year should be written in the western calendar system. months.
(年号はすべて西暦とすること) Write your name and
nationality in block
4. Proper nouns should be written in full, and not be abbreviated. letters on the back of the
(固有名詞はすべて正式な名称とし，一切省略しないこと) photo.
(1) Prospective Academic Adviser（指導予定教員名） (写真 6×4 cm)
(2) ( Name in full (in Roman block capitals, as it appears in your
passport)
(姓名（ローマ字） パスポート表記氏名)
(3) Sex（性別）
□Male (男）
□Female (女)
(4) Nationality
(国籍)
(5) Enter the address for notification of the result of the selection.
（合格通知書等の送付先を下記欄に記入のこと。 ）
・ Name:
・ Address:
-9-Form A-2
Application FormⅠfor the 2021 Academic Year (Start of Academic Year: April 1)
Kuroshio Science Program, Graduate School of Integrated Arts and Sciences,
Kochi University (Doctoral Course)
2021 年度 高知大学大学院総合人間自然科学研究科黒潮圏総合科学専攻（博士課程）入学申請
書
APPLICATION FOR FEE-PAYING INTERNATIONAL STUDENTS (私費外国人留学生用)
INSTRUCTIONS（記入上の注意）
1. Application should be typewritten or written in Roman block capitals.
(記入は，楷書又はローマ字体を用いること) Paste a photograph taken
2. Numbers should be in Arabic figures.（数字は算用数字を用いること） within the past six
months.
3. Year should be written in the western calendar system. Write your name and
(年号はすべて西暦とすること) nationality in block
4. Proper nouns should be written in full, and not be abbreviated. letters on the back of the
(固有名詞はすべて正式な名称とし，一切省略しないこと) photo.
(1) Prospective Academic Adviser（指導予定教員名） (写真 6×4 cm)
(2) Name in full (in Roman block capitals, as it appears in your passport)
(姓名（ローマ字） パスポート表記氏名)
(3) Sex（性別）
□Male (男）
□Female (女)
(4) Nationality
(国籍)
(5) Enter the address for notification of the result of the selection.
（合格通知書等の送付先を下記欄に記入のこと。 ）
・ Name:
・ Address:
- 10 -Form B
Application Form Ⅱ 申請書Ⅱ
APPLICATION FOR FEE-PAYING INTERNATIONAL STUDENTS
(私費外国人留学生用)
(1) Name in full (native language)
(姓名 (自国語))
, ,
(Family name) (First name) (Middle name)
In Roman block capitals
(ローマ字) (Marital Status)（婚姻）
, , □Single (未婚)
(Family name) (First name) (Middle name) □Married (既婚)
(2) Date of Birth (生年月日)
Age Year 19 Month Day
(年齢) (年) (月) (日)
(3) Present Status (name of the university you are attending, or name of your employer)
（現職（在学大学名又は勤務先名まで記入すること。） ）
(4) Present Address, Telephone Number, Fax Number and E-mail Address.
(現住所，電話及びファックス番号又は電子メールアドレス)
Office
Home
Tel Number
Fax Number
E-mail Address
(5) Field of Study you have majored in (describe in as much detail as possible):
（過去に専攻した専門分野：できるだけ具体的に詳細を記入すること。 ）
- 11 -(6) Proposed Study Program in Japan. (State in 600 words or more, the outline of your major
field of study and study program. This item will be used as one of the most important
references for selection. The statement must be typewritten. Additional pages may be
attached if necessary.)
日本での研究計画（この研究計画は，選考の重要な参考となるので，専攻分野・研究計画を
600 字以上で詳細に記入すること。記入は，タイプ又は楷書によるものとし，必要な場合は別
紙を追加してもよい。 ）
Write in Japanese (1,500 characters or more) if you have sufficient knowledge of the
Japanese language. (相当の日本語能力を有する者は，日本語(1,500 字以上)により記入する
こと。)
i) Field of Study (専攻分野)
ii) Study program in Japan in detail (研究計画；詳細に記入すること。)
- 12 -- 13 -
(8) Employment record beginning with the most recent position, if applicable. (職歴)
Name and Address of Organization Period of Employment Position Type of Work
(勤務先及び所在地) (勤務期間) (役職) (職務内容)
From
To
From
To
(9) State the titles or subjects of books and papers (including graduation thesis and master’s
thesis authored by the applicant), if any, with the name and address of the publisher and
the date of publication.
(著書，論文(卒業論文，修士論文を含む)があればその題名，出版社名，出版年月日，出版場所を記入すること。)
(10) Please list the language(s) you have studied other than your native language and state
which of the four skills (i.e., listening, speaking, reading, and writing) you are proficient
at.
Example: English (writing, reading)
Japanese (speaking)
母国語以外の外国語能力を自己評価のうえ，その言語を記入すること。
(例) 英語（書く，読む） 日本語（話す）
(11) Family Background (家族状況)
Accompanying dependents. (Provide the following information if you plan to bring any
family members to Japan.)
同伴家族欄（渡日する場合，同伴予定の家族がいる場合に記入すること。
）
Name Relationship Age
(氏名) (続柄) (年齢)
- 14 -All expenses incurred by the presence of dependents must be borne by the grantee.
You should consider the various difficulties and great expense that will be involved in
finding living quarters for them. Therefore, those who want to bring their families are
well advised to come alone first and then have the family come after suitable
accommodation has been found.
(注) 同伴者に必要な経費はすべて留学生の負担であるが，家族用の宿舎を見つけることは相当
困難であり，賃貸料も非常に割高になるのであらかじめ承知されたい。このため，留学生はま
ず単身で渡日し，適当な宿舎を見つけた後，家族を呼び寄せること。
Is there anyone in your family who has been awarded or is applying for the Japanese
government scholarship? If yes, please give his/her name.
(家族の中に国費留学生に採用されている者，もしくは申請中の者があるか。もし，あるなら
ば，その者の氏名を記入すること。)
(12) Have you been awarded the Japanese Government Scholarship in the past? If so, please
give the period, the name of the university, etc.
(過去に国費留学生に採用されたことがあるか。あるならば，その期間，受け入れ大学名等
を記入すること。)
i) Yes, I have. Period:
(ある) (期間)
University :
(大学名等)
ii) No, I have not.
(ない)
(13) If you are applying to other universities or for other scholarships, give sponsor, month,
year, amount, etc.
(もし，他の大学か他の奨学金に応募している場合は，その名前・期間・金額等を記入するこ
と。)
(14) Person to be notified in the applicant’s home country, in case of emergency.
（緊急時の母国連絡先）
i) Name in full:
(氏名)
ii) Address, Telephone Number, Fax Number, and E-mail Address:
(住所：電話番号・ファックス番号・電子メールアドレスも記入すること。)
iii) Occupation:
(職業)
iv) Relationship:
(本人との関係)
- 15 -(15) Previous Visits to Japan (日本への渡航記録)
Date (日付) Purpose (渡航目的)
From
To
From
To
Date of Application:
(申請年月日)
Applicant’s Signature:
(申請者署名)
Applicant’s Name in Roman block capitals:
(申請者氏名)
- 16 -Form C
Letter of Reference
推 薦 書
To: The Head of the Kuroshio Science Program, Graduate School of
Integrated Arts and Sciences, Kochi University
大学院総合人間自然科学研究科黒潮圏総合科学専攻長 殿
Applicant 推薦される者
Full Name 氏名
Date of Birth 生年月日
Nationality 国籍
Reasons for Recommendation:
推薦者の所見等
Applicant’s English and Japanese Proficiency (mark the following with an X where appropriate)
志願者の英語及び日本語能力について（該当する箇所に X 等を記入してください。）
英語 優 良 可 不可
English □ Excellent □ Good □ Fair □ Poor
Japanese □ Excellent □ Good □ Fair □ Poor
日本語
Date ,
(month)月 (date)日 (year)年
Referee 推薦者
Signature 署名
Name (please print) 氏名
Title and Institution 機関名
Address 住所
- 17 -Form D
- 18 -You can also read
