graduate school of life and environmental sciences ......an application form without a corresponding...

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1 Graduate School of Life and Environmental Sciences, University of Tsukuba Doctoral Program in Sustainable Environmental Studies OCT-General Unofficial English translations 1. Enrolment Quota Program Admission capacity Note Sustainable Environmental Studies 12 Including 2 students from cooperative graduate school system, 2 international students, 2 working students Information on the cooperative program, see “Outline of faculty, 3. Cooperative Program” (Note) 1. Enrollment period is in April. 2. If you are interested in the special admission for working students, please see the guideline for working students. 2. Admission Requirements Applicants must satisfy ONE of the following requirements: (1) Have been granted a Master’s Degree or are scheduled to obtain one by March 2013. (2) Have been granted a Professional Degree or are scheduled to obtain one by March 2013. (3) Have been granted a degree corresponding to a Master’s Degree or Professional Degree in a foreign country, or who are scheduled to obtain one by March 2013. (4) Persons recognized by the Japanese Minister of Education, Culture, Sports, Science and Technology (5) Persons who have been recognized by the graduate school of the University of Tsukuba during the individual screening process as having an ability equivalent or superior to a Master’s Degree or a Professional Degree recipient and who are 24 years old or will be 24 years old in March 2013. (6) Others (See page 17 for details)

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Page 1: Graduate School of Life and Environmental Sciences ......An application form without a corresponding receipt will not to be accepted. 5. Application Procedures (1) The applicant should

1

Graduate School of Life and Environmental Sciences, University of Tsukuba Doctoral Program in Sustainable Environmental Studies OCT-General Unofficial English translations

1. Enrolment Quota

Program Admission capacity Note Sustainable Environmental Studies

12 Including 2 students from cooperative

graduate school system, 2 international

students, 2 working students

Information on the cooperative program, see “Outline of faculty, 3. Cooperative Program”

(Note) 1. Enrollment period is in April.

2. If you are interested in the special admission for working students, please see the guideline

for working students.

2. Admission Requirements

Applicants must satisfy ONE of the following requirements:

(1) Have been granted a Master’s Degree or are scheduled to obtain one by March 2013.

(2) Have been granted a Professional Degree or are scheduled to obtain one by March 2013.

(3) Have been granted a degree corresponding to a Master’s Degree or Professional Degree in a

foreign country, or who are scheduled to obtain one by March 2013.

(4) Persons recognized by the Japanese Minister of Education, Culture, Sports, Science and

Technology

(5) Persons who have been recognized by the graduate school of the University of Tsukuba during

the individual screening process as having an ability equivalent or superior to a Master’s Degree or a

Professional Degree recipient and who are 24 years old or will be 24 years old in March 2013.

(6) Others (See page 17 for details)

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2

Graduate School of Life and Environmental Sciences, University of Tsukuba Doctoral Program in Sustainable Environmental Studies OCT-General Unofficial English translations 3. Application Documents and Forms

The following documents are required:

Prescribed form:

Document/ Form Applicable person Guidelines

1. Application form All applicants Prescribed form

2.

Curriculum vitae

All applicants (Except

foreign applicants)

Prescribed form

3.

Application form for

foreign applicants

Foreign applicants

Prescribed form

4. Professional career Those who have job

experience

Prescribed form

5.

Admission and

photograph tickets for

the examination

All applicants

Use the prescribed forms and attach photographs

in the prescribed blanks (Size 4.0×3.0 cm, facing

front, upper half of the body, and hat off;

taken within three months of applying)

6. Desk admission card All applicants Prescribed form

7. Research plan

All applicants Prescribed form

8. Thesis title

Applicants who submit

thesis

Attach the prescribed form to the front page of

thesis. Photocopy of the form is permitted.

9. Thesis title seal

Applicants who submit a

thesis

Prescribed form. Put on an envelope.

10. Questionnaire for

foreign applicants

All foreign applicants

Prescribed form

11. Self addressed return

label 1

All applicants

Prescribed form

An offer of enrolment will be sent using this label.

12. Application checklist All applicants Prescribed form

13. Self addressed return

label 2

All applicants Put all required documents in an A4 size envelope

attach the address label and send or bring to the

university.

Certificates and documents prepared by applicant:

1. Certificate of

completion (or

impending

All applicants

A certificate must satisfy required conditions to be

accepted (normally issued by the graduate school

from which the applicant has graduated).

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3

Graduate School of Life and Environmental Sciences, University of Tsukuba Doctoral Program in Sustainable Environmental Studies OCT-General Unofficial English translations completion)

2.

Certificate of

academic degree

Graduates from

university in a country

other than Japan

Foreign university graduates must submit a

certificate of degree.

3. Transcript of

academic record

All applicants The transcript must fulfill required conditions to

apply (normally issued by the graduate school

from which applicant has graduated). If the

applicant has credits transferred from other

universities, please attach previous academic

transcripts.

4. Thesis

All applicants

(Except applicants who is

scheduled to graduate

from a master’s program

or higher education than

master’s program)

All applicants are required to submit one of

following ① to ④document to the program

office.

Prepare a envelop and put a thesis title seal

(Prescribed form, No. 9) on the front side and send

thesis attaching the thesis title sheet (Prescribed

form No. 8) by post a as registered mail

(“Kakitome” of Japan Post) to the following

address.

(DO NOT send it with application documents)

Program office of Sustainable Environmental

Studies, Graduate School of Life and

Environmental Sciences, University of Tsukuba

1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8572

①Master’s Thesis (Photocopy permitted)

If the applicant cannot submit it on the designated

period, submit equivalent thesis (a production of

research with prospects of conclusion).

②Applicants who have obtained the master’s

degree last fiscal year or before last year are

permitted to submit new thesis (photocopy

permitted).

③Applicants who did not have to write a thesis to

obtain the master’s degree are permitted to

Page 4: Graduate School of Life and Environmental Sciences ......An application form without a corresponding receipt will not to be accepted. 5. Application Procedures (1) The applicant should

4

Graduate School of Life and Environmental Sciences, University of Tsukuba Doctoral Program in Sustainable Environmental Studies OCT-General Unofficial English translations substitute a equivalent thesis.

④Applicants designated by the Japanese Ministry

of Education, Culture, Sports, Science and

Technology are required to submit a thesis

(photocopy permitted).

5. Abstract of thesis

Applicants who meet the

requirement

Persons who submit a thesis wrote in neither in

Japanese nor in English are required to attach a

abstract of the thesis in Japanese (4,000 characters)

or in English (1,500 words).

6. Outline of research

plan

Applicants who is

scheduled to graduate

from a master’s program

or higher education than

master’s program

Submit an outline of current research including

prospects of conclusion with 4,000 Japanese

characters (A4 paper) by the end of period of

application to the Program office by post (see No.4

Thesis). Write clearly “Outline of research plan”

on the front of an envelope with the name of

graduate school, program, and applicant’s name.

(Applicants who have a published thesis are

required to submit a copy according to the

instruction of No. 4)

7. Acceptance letter of

application

Applicants who meet the

requirement

1) Applicant who is a student of university or of a

graduate school (except expected to graduates in

March 2013) must submit an acceptance letter

from a president or a supervisor.

2) Applicant who works at government and

municipal offices, schools, or private companies as

full time employee must submit the acceptance

letter from an employer. Applicant who will enroll

after resigning his/her positions must submit a

letter of resignation which is signed by the

applicant. In this case, a certificate of retirement

must be submitted.

8. Certificate of

Monbukagakusho

Scholarship

Foreign applicants who

meet the requirement

Foreign students from other universities who have

Monbukagakusho Scholarship must submit a

certificate issued by that university.

9. Return envelope All applicants

Fill in the applicant’s name, address and zip code

on a A4 size envelope, and attach post stamps (350

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5

Graduate School of Life and Environmental Sciences, University of Tsukuba Doctoral Program in Sustainable Environmental Studies OCT-General Unofficial English translations JPY).

(Note 1) Persons who have changed their name by marriage and where their name on the certificate

is different from other identification papers are required to submit a certificate of family register

(Koseki shohon or a copy).

*All personal information obtained from application forms and the entrance examination will be

used only for selection procedures. The personal information of students who have completed

enrollment and would like to apply for Tuition Exemption or Scholarship from the Japan Student

Services Organization, will be used for selection.

4. Entrance examination fee

30,000 JPY (Except Monbukagakusho Scholarship Students) must be transferred from designated

banks.

1) Period of payment: From September 3, 2012 to the end of the application period.

2) Place to pay:

a. Convenience Store (Lawson, Seven-Eleven, FamilyMart, CircleK, Sunkus)

b. Post offices, Banks, Credit Unions, JA (Payment via ATM is not permitted)

3) How to pay

When applicants use a convenience store, previous online registration is needed. Please pay using

the Multimedia Station of convenience stores. To use Post office, Banks, Credit Union, JA, use a

transfer slip to make payment to the designated bank account. To obtain a slip, applicants have to go

to the University or send a Cho-3 envelope with applicant’s zip/post code, address and name with 80

yen post stamp with a return envelope to the following address.

1-1-1 Tennodai, Tsukuba, Ibaraki 305-8577

Division of Educational Promotion, Department of Educational Promotion,

University of Tsukuba

【Convenience Store】

a. Prescribed form is not necessary. Make payment using the special website or a Multimedia Station

at convenience stores.

b. Payment procedure is explained in the attached manual.

c. Applicants will have to pay a transaction charge.

【Post office】

a. Use prescribed form (consists of 5 parts). Write applicant’s name, address and telephone number

Page 6: Graduate School of Life and Environmental Sciences ......An application form without a corresponding receipt will not to be accepted. 5. Application Procedures (1) The applicant should

6

Graduate School of Life and Environmental Sciences, University of Tsukuba Doctoral Program in Sustainable Environmental Studies OCT-General Unofficial English translations using black or blue ballpoint pen in the appropriate blank with ※mark.

Also write the name of the Graduate School for which the applicant is applying.

b. Pay 30,000 JPY over the counter.

c. Check the receipt stamp with the date on the receipt.

d. Applicants will have to pay a transaction charge.

【Banks, Credit Union, JA】

a. Use prescribed form (consists of 5 parts) to make payment to the designated bank account (MUFJ

or Joyo Bank). Write applicant’s name, address and telephone number using black or blue ball-point

pen in the appropriate blank with ※mark.

Write the name of the Graduate School for which the applicant is applying.

b. Put the name of bank (MUFJ or Joyo Bank), branch and account number in the blank of “Bank for

transfer” on each sheet.

c. Pay 30,000 JPY over the counter.

d. Check the receipt stamp with the date on the receipt.

e. Applicants will have to pay a transaction charge.

4) Attach the fee receipt issued by the post office, designated bank or convenience store to the

application form. An application form without a corresponding receipt will not to be accepted.

5. Application Procedures

(1) The applicant should check his/her necessary application documents against the application

checklist, and then submit them using the prescribed envelope to the Division of Educational

Planning and Administration, Department of Educational Promotion directly or by registered mail or

post office express delivery service.

(2) Application period:

September 19 (Wednesday) – September 21 (Friday)

9:00 am – 12:00 pm, 01:00 pm – 03:00 pm

(Application documents must arrive within the period mentioned above. After this period,

any application documents will not be accepted)

(3) Lodgment of application:

Institute of Biological and Agricultural Sciences, Building A, Room 106, University of Tsukuba

1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8577 Japan

(4) After the application documents have been accepted, an admission ticket will be sent to

applicants on September 28(Friday) by mail. If the ticket has not arrived by October 5 (Friday),

please contact the Division of Educational Promotion, Department of Educational Promotion.

(5)Note

Page 7: Graduate School of Life and Environmental Sciences ......An application form without a corresponding receipt will not to be accepted. 5. Application Procedures (1) The applicant should

7

Graduate School of Life and Environmental Sciences, University of Tsukuba Doctoral Program in Sustainable Environmental Studies OCT-General Unofficial English translations 1) Incomplete application documents will not be accepted nor considered.

2) It is not permitted to change your graduate school or program after submitting the application

documents.

3) The application fee is non-refundable.

(Note) For inquiries about curriculums or study field, please contact Program Office of Sustainable

Environmental Studies (TEL: 029-853-4246).

6. Selection process

Applicants will be carefully screened both on their application documents and the results of an

examination.

Date of examination:

Doctoral Program in Sustainable Environmental Studies

Date October 19 (Friday)

Subject Oral Examination(100 points)

Time 9:15 – 12:00

Doctoral Program in

Sustainable

Environmental

Studies

Individual Interview

10 minutes: Presentation on Master’s degree thesis, research plan and

academic activities. The use of notebook computer and OHP is permitted.

15 minutes: Question and answer.

(Note)

1. Applicants are required to contact academic advisors of this program before applying

2. To obtain further information about faculty staffs, please refer the website of the program

(http://www.envr.tsukuba.ac.jp)

3. Applicants who use a notebook computer for their presentation are required to prepare and operate

it by themselves. Inquiries: Program office (Tel: 029-853-4246)

Location

University of Tsukuba

1-1-1 Tennodai, Tsukuba, Ibaraki 305-8572, Japan

(Detailed information is provided in 10. the guidelines for admissions)

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8

Graduate School of Life and Environmental Sciences, University of Tsukuba Doctoral Program in Sustainable Environmental Studies OCT-General Unofficial English translations 7. Notification of the results of examination and entrance procedures

Notification of the results

November 5, 2012, 10:00 am

The result of admission will be announced on the notification board in the parking area in front of

the administrative building. The result will be sent to successful candidates by registered mail.

Entrance procedures:

(1) The successful applicants will be notified by mail and will be informed of the detailed entrance

procedures. The enrollment guideline will be sent to each applicant in the middle of February 2013.

If currently employed the applicant must submit either a directive letter for study, warrant of leave,

or acceptance letter to enter school issued by appropriate authority with the other necessary

documents.

(2) Expenses that must be paid at the enrollment

■ Enrollment Fee 282,000 JPY (non refundable)

■ Tuition Fee for the first period (from April to September): 267,900 JPY

■ Tuition Fee for the second period (from October to March): 267,900 JPY

(Annual Tuition Fee: 535,800 JPY)

(Note 1) If the fee is revised, the new one will be adapted accordingly.

(Note 2) Monbukagakusho scholars are exempt from Enrollment Fees.

(3) It is necessary for international students to have the visa status for study purposes when they

enter the program. If applicants want to study as an international student, they must have a status of

residence of “College Student”.

8. Past examination

There are no examples available. (Oral examination)

9. If an applicant needs special support due to a handicap, please contact the Department of

Education Promotion by September 3, 2012.

10. Notes

For further information, read the guidelines of admission. The guidelines will be available on the

website of the University from October 1, 2012.

11. Information

Page 9: Graduate School of Life and Environmental Sciences ......An application form without a corresponding receipt will not to be accepted. 5. Application Procedures (1) The applicant should

9

Graduate School of Life and Environmental Sciences, University of Tsukuba Doctoral Program in Sustainable Environmental Studies OCT-General Unofficial English translations For further inquiries regarding admission, please contact the Division of Educational Planning and

Administration, Department of Educational Promotion, University of Tsukuba

1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8577

Tel: 029-853-2230/2231

Monday to Friday, 9am – 17pm (Except holidays)

.

Page 10: Graduate School of Life and Environmental Sciences ......An application form without a corresponding receipt will not to be accepted. 5. Application Procedures (1) The applicant should

1

2

Pronunciation inKana

Name

Year

Year

(Note) It is necessary for foreign students to have acquired the status of residence for studypurpose.

Foreign Language

Private 3

CurrentAddress

8 ス C

Student 1 2Applicanwith jobposition

Scholarship(International

Student)

Program code

CurrentStatus

Specialized Field

Number ofapplication

3 4

Application Form for Doctoral Program, University of Tsukuba

4①

※General Enroll in

Autumn

Month

Academic Advisor

Date of Graduation

Basic Subject

YearM

Laboratorycode

Sex

Government-sponsored

1Cooperative

             〔TEL ○○○( ○○○ )○○○○ 〕   〔Cellular phone ○○○( ○○○○ ) ○○○○ 〕

Code(Country)

Nationality

1 University

Examination

NationalPublic 2

Faculty

Others 5Department

Foreign 4

Sustainable

Specialized Subject

                      < Receipt of Entrance Examination Fee >

                  PUT CERTIFICATE OF PAYMENT HERE.

 

Public

MejorOthersForeign

Scheduled to graduate

Graduate School1

Faculty4

Date of GraduationOthers M

onth

National

1 2

Graduate

5

Qualification for A

pply Private

Scheduled to graduate

Others

Graduate

(October)

DayF Age

AdmissionCategory②

Date of Birth

Month

ExamineeNumber

2Private1

Doctor

AdmissionCategory①

Researcher/others

WorkingStudent

Fill in the form writing necessary information or marking ○.Do not write anything in the blank with ※mark.

Contactperson in

Japan

Graduate School code

                    

〔Tel ○○○( ○○○ )○○○○ 〕

Relation

Graduate School ofLife and Environmental

Sciences

Address

Name

[e-mail                        ]

Page 11: Graduate School of Life and Environmental Sciences ......An application form without a corresponding receipt will not to be accepted. 5. Application Procedures (1) The applicant should

履 歴 書 Curriculum Vitae

氏 名

フリガナ

ローマ字

男(M) ・

女(F) Sex

生 年 月 日 Date of Birth

19 年 月 日 年齢 Age

国 籍

Nationality

在留資格 Resident

Status

Family name First Name Middle Name

学 校 教 育

Education

学 校 名 ・ 所 在 地

Name and Address of School

正規の修学年数 Officially Required Number of Years of Schooling

入学及び卒業年月 Year and Month of Entrance and Completion

修業年数 Period of Schooling

専 攻 科 目

Major Subject if any

学 位 ・ 資 格 Diploma or Degree Awarded

初 等 教 育 Elementary Education

小 学 校 Elementary School

学校名 Name 所在地 Location

年 yrs

入学 from 卒業 to

年 yrs

中 等 教 育 Secondary Education

中学及び高校 Secondary School

中学 Lower

学校名 Name 所在地 Location

年 yrs

入学 from 卒業 to

年 yrs

高校 Upper

学校名 Name 所在地 Location

年 yrs

入学 from 卒業 to

年 yrs

高 等 教 育 Higher Education 大 学

Undergraduate Level

学校名 Name 所在地 Location

年 yrs

入学 from 卒業 to

年 yrs

高 等 教 育 Higher Education 大 学 院

Graduate Level

学校名 Name 所在地 Location

年 yrs

入学 from 卒業 to

年 yrs

以上を通算した全学校教育就学年数 Total Number of Years of Schooling as given Above

年 yrs

TOTAL 年 yrs

休学等、在籍中に修学を中断した期間(理由) Periods of interruption of studies, if any from 年 yr., 月 mon.~to 年 yr., 月 mon.( )

研 究 歴 Research Activities (研究生の 経歴を含 む。)

研 究 機 関 名 Name of Research Institution

所 在 地 Address

身 分 Status

研 究 機 関 Duration of Research

年数 yrs

記入は、日本語又はローマ字体を用いてください。 Please type or print in Japanese or English

(外 国 人 出 願 者 用 )

(for foreign applicants)

受験

番号

~ ~

Page 12: Graduate School of Life and Environmental Sciences ......An application form without a corresponding receipt will not to be accepted. 5. Application Procedures (1) The applicant should

受 験 番 号

氏 名

(生年月日)

( 年 月 日生)

志望研究科

専 攻

コース・分野

専攻

生命環境科学研究科

コース・分野

職歴のある者は、過去・現在の職歴及びその職名・職務内容・研究内容についてすべて記載してください。

なお、記載欄が不足する場合は、本用紙をコピーして使用してください。

職 歴 年 月 ~ 年 月

会 社 等 名 常 勤 非常勤

職名・職務内容・研究内容

職 歴 年 月 ~ 年 月

会 社 等 名 常 勤 非常勤

職名・職務内容・研究内容

職 歴 年 月 ~ 年 月

会 社 等 名 常 勤 非常勤

職名・職務内容・研究内容

職 歴 調 書

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Professional career
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Position and contents
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Page 13: Graduate School of Life and Environmental Sciences ......An application form without a corresponding receipt will not to be accepted. 5. Application Procedures (1) The applicant should

(受験票と同一の写真を貼付)

受  験  科  目

外国語等 専門科目 基礎科目

外国語等 専門科目 基礎科目

受験番号

(4cm×3cm)

(受験票と同一の写真を貼付)

・月

  受

 付

 票

・ 写真を貼付し、氏名を記入してくだ さい。・ 「切り取り線」に沿って切り取って  ください。

受験科目

外国語等

専門科目

性別

生年月日

(西暦)

氏名

切り取り線

博士後期 課程

生命環境科学

切り取り線

切り取り線

研究科

写 真 貼 付

(4cm×3cm)

無帽上半身正面3か月以内のもの

志 望 志 望

受  験  科  目

専攻

博士後期

受 験 票

氏  名

生命環境科学

課程 博士後期 課程

研究科

筑 波 大 学 大 学 院

持続環境学

※受験番号

切り取り線 研究科

受験番号

専攻

氏  名

志 望

専攻持続環境学 持続環境学

写 真 貼 付

無帽上半身正面3か月以内のもの

○ ○

受験番号※

氏  名

(H25・10月期) (H25・10月期) (H25・10月期)

机 上 受 験 票写 真 票

《記入要領》

生命環境科学

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Admission Card
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Leave it blank
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Name
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Name
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Name
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Attach two 4cm x 3cm size same photograph of yourself here. The photographs must be less than 3 monthes old.
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Page 14: Graduate School of Life and Environmental Sciences ......An application form without a corresponding receipt will not to be accepted. 5. Application Procedures (1) The applicant should

(10月期)

受 験 番 号

記入上の注意 ※欄は記入しないでください。

① この研究計画書は選考の際の重要な資料となります。できるだけ具体的に書いてください。

② 文字はワープロ、タイプまたは楷書とします。ワープロ打ちしたものをはり付ける場合は、はがれないようにしっ

かりとはり付けてください。

③外国人留学生は、英語で記入することができます。

氏 名 生命環境科学研究科 持続環境学専攻

学 歴

学部 学科 昭和 大学 専攻 年 月 卒業

学群 学類 平成

昭和 修了 大学大学院 研究科 専攻 年 月

平成 修了見込

1)志望理由

2)希望する指導教員名(2名まで)

3)研究課題

4)研究内容

5)研究計画

研 究 計 画 書

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Research Plan
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Academic Background
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Name
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Describe your motive to apply *International students are permitted to write in English.
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Contents of research theme
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Research theme
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Prospective supervisor (Maximum 2 professors)
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Research plan
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University
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Department
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Program
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Main field
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YYYY MM
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Graduate school
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Faculty
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Main field
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YYYY MM
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When you graduated
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Page 15: Graduate School of Life and Environmental Sciences ......An application form without a corresponding receipt will not to be accepted. 5. Application Procedures (1) The applicant should

(博士後期)

ふりがな

氏  名

   2.論文等の種類の欄は、該当する□に「レ」印をつけてください。   3.提出する全ての論文等の表紙に添付してください。(本用紙複写可)

平成25年度筑波大学大学院入学試験論文題目票

□ 卒業論文  □卒業論文の写し

志望生命環境科学 研究科    持続環境学 専攻                (         )分野                (         )領域

論 文 等 の 種 類

(注)1.※欄は記入しないでください。

□ 修士論文   □ 修士論文の写し

□ 新しい論文    □ 新しい論文の写し 

論 文 題 目

受験番号

□ 修士論文に準ずる論文

□ 卒業論文に準ずる論文

 修士課程修了見込者等(任意)   □公表論文   □公表論文の写し

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Leave it blank
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Name
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Pronunciation in Kana
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Program
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Field
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Area
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Master's thesis Photocopy of Master's thesis
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New paper Photocopy of new paper
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Paper equivalent to Master's thesis
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Graduation thesis Photocopy of graduation thesis Paper equivalent to graduation thesis
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Applicant who is scheduled to graduate Publication Photocopy of publication
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Title
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All papers must be submitted accompanied with this form (photocopy permited)
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Title of paper
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持続環境学
Page 16: Graduate School of Life and Environmental Sciences ......An application form without a corresponding receipt will not to be accepted. 5. Application Procedures (1) The applicant should

※郵送の場合

書 留

(論文等在中

持続環境学専攻事務室 御中

 筑波大学生命環境科学研究科

茨城県つくば市天王台一―一―一

ふりがな ※

氏  名 志 望 生命環境科学 研究科              専攻

□ 新しい論文    □ 新しい論文の写し 

□ 卒業論文に準ずる論文

 修士課程修了見込者等(任意)   □公表論文   □公表論文の写し

□ 卒業論文  □卒業論文の写し

□ 修士論文に準ずる論文

〔平成25年度筑波大学大学院入学試験論文等用シート〕

 3 0 5  8 5 7 2

受 験 番 号 (博士後期 一般)

(注)1.※欄は記入しないでください。   2.論文等の種類の欄は、該当する□に「レ」印をつけてください。

論 文 等 の 種 類

□ 修士論文   □ 修士論文の写し

※郵送の場

合は郵便局

で書留便に

すること

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Name
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Owner
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Pronunciation in Kana
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持続環境学
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Master's thesis Photocopy of master's thesis
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New paper Photocopy of new paper
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Paper equivalent to master's thesis
Owner
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Graduation thesis Photocopy of graduation thesis Paper equivalent to graduation thesis
Owner
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Owner
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Applicant who is scheduled to graduate Publication Photocopy of publication
Page 17: Graduate School of Life and Environmental Sciences ......An application form without a corresponding receipt will not to be accepted. 5. Application Procedures (1) The applicant should

受 験 番 号

Examination No.

外 国 人 出 願 者 調 書 Questionnaire for Foreign Applicants

1.筑波大学の志望研究科 生命環境科学 研究科

Graduate Program of the University of Tsukuba you wish to apply for:

志望専攻名、コース・分野名 専 攻 コース・分野

Name of Main Field and Course / Field :

Main Field : Course / Field :

2.氏名 (Name) 国籍 (Nationa1ity)

生年月日 (Birth Date) 19 年 (yr.) 月(mon.) 日(day)

3.現に日本の大学に在籍している場合は、大学、学群・学類(学部・学科)、研究科、専攻及び身分を記入してくだ

さい。

If you are currently enrolled in a Japanese university, please fill in the name of the University, Faculty,

Department, Program, Main Field and your current status.

〔( )内の該当するものに○印〕(Please circle the item that applies to you)

学群・学類 (Cluster / Co11ege)

大 学 学部・学科 (Faculty / Department)

(University) 研究科 (Graduate School)

年次 (Year of study)

専 攻 研究生 (Research Student)

(Main Field) その他 (Other)

4.次の質問にお答えください。〔( ) 内の該当するものに○印〕

Please answer the following questions. (Circle the item that applies to you)

○現に奨学金を受けて(いる。 いない。)

Presently (I am /I am not ) the recipient of a scholarship.

○現に奨学金を受けている場合、その種類は

In case you are receiving a scholarship, this is

[ 日本国政府文部科学省奨学金、その他の日本国政府奨学金(JICA など)、民間奨学金(奨学金名 )、

母国政府奨学金、その他( )]である。

[ A Monbukagakusho scho1arship, other type of Japanese Government scholarship (ex. JICA, etc.),

a private scholarship (name: ), a scholarship offered by the government of your home country,

other( ) ].

(注)本調書は、外国人出願者全員が提出してください。

Note: All foreign applicants are requested to submit this questionnaire.

Page 18: Graduate School of Life and Environmental Sciences ......An application form without a corresponding receipt will not to be accepted. 5. Application Procedures (1) The applicant should

Note: Check the list below and put ○ to the documents you are submitting. Incomplete application documents would not be accepted nor considered.

Note: DO NOT fill in blanks with ※mark.

All applicants Prepare A4-size envelope and attach a seal 2 tothe envelope

Certificates (Prepared by applicants) Check○

Applicants Note

List of application documents for the GraduateSchools of University of Tsukuba All applicants

Seal of returning address 2

Seal of returning address 1 All applicants To send a letter of success

Date of receipt ※ Recipient ※ Checker ※

Required foreign applicants

Acceptance letter of application Required applicants Except expected graduates and part timeemployee. A4

Questionnaire for foreign applicants Foreign applicants

Certificate of Monbukagakusho scholarship

Abstract of thesisApplicants who submit thesiswritten neither in Japanese nor in

Please enclose to the envelope of thesis

Resume of studyApplicants who are scheduled to complete master's courseor higher degree course and scheduled to obtain a degreeequivalent to master's degree

Size A4. Please enclose in an envelope andwrite name of applicant and program in thefront side. Also write "Resume of study fordoctoral program"

All applicants (Except applicants who arescheduled to complete master's course or higher degreecourse, and scheduled to obtain a degree equivalent to

Submit at least one thesis of category 1. to 4. ofthe page 27, No. 13.

Seal for thesis Applicants who submit thesis Please enclose thesis in an envelope and affixthis seal to the front side.

Research plan All applicants

List of thesis Applicants who submit thesis Please attach to a front page

Submit to theAcademicService Officefor Life andEnvironmentalSciences

Thesis

Certificate of graduation (scheduled to graduate) All applicants

Transcript of academic record All applicants

Entrance examination fee (30,000 yen) All applicantsPlease affix on the corresponding space of theapplication form.Exept Monbukagakusho scholars.

A stamped return envelope (Postage stamps of 350yen) All applicants

Professional career Those who has job experience

Admission and photograph tickets for theexamination, Desk admission card All applicants

Curriculum Vitae All applicants Except foreign applicants

Curriculum Vitae of foreign applicants Foreign applicants

Documents (Prescribed form) Check○

Applicants Note

Application form All applicants

List of Application Documents for the Graduate Shools of University of Tsukuba

※ MonbukagakushoScholarship

PrivateDoctoralProgram

GraduateSchool

Life and EnvironmentalSciences Program Sustainable Environmental Studies Name

By PostExaminee Number

Expert Cooperative※

Page 19: Graduate School of Life and Environmental Sciences ......An application form without a corresponding receipt will not to be accepted. 5. Application Procedures (1) The applicant should

殿

殿

1. ※欄は記入しないでください。

2. このシートは「合格通知書」及び「入学手続書類」を送付する場合のあて名として使用

しますので、郵便を受け取ることができる住所・氏名を楷書でていねいに記入してくだ

さい。(日本国内に限ります。)

3. 志願者以外の住所・氏名を記入する場合は、しかく に志願者の氏名を記入してください。

志 望

博 士 後 期 課 程

生 命 環 境 科 学 研 究 科

専攻

氏 名

受 験 番 号 ※

宛名シート①

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Seal of returning address
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持続環境学
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Owner
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Owner
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Name
Owner
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Address Name
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Address Name
Owner
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Page 20: Graduate School of Life and Environmental Sciences ......An application form without a corresponding receipt will not to be accepted. 5. Application Procedures (1) The applicant should

(宛名シート②)

速 達

3 0 5 8 5 7 7

茨城県つくば市天王台一 一 一

留学生区 分

国 費

氏   名

注1: 入学願書に記載した事項を記入してください。注2: この「宛名シート」を角形2号の封筒に貼り,郵送または持参して下さい。

書留速達(

出願書類在中)

御中

教育推進課

住   所

(〒   -    )

                   電話    (   )

 筑波大学教育推進部

私 費出願方法 一般 社会人

生命環境科学 研究科          専攻         分野・領域

編入

志望研究科

郵便局で 書留速達 便にする こと

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持続環境学
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Monbukagakusho Scholarship
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Private
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Owner
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Name
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Address
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Telephone number