| 1. PROGRAM* |
DOCTORAL (October intake) |
| 2. NAME* |
Family name*
First name*
Middle name |
| Name in the applicant's own language |
| 3. DATE OF BIRTH* |
|
| 4. GENDER |
MALEFEMALEPrefer not to answer |
| 5. NATIONALITY / CITIZENSHIP* |
|
| 6-1. COUNTRY OF BIRTH* |
|
| 6-2. COUNTRY OF RESIDENCE* |
|
| 7-1. HIGHER EDUCATION QUALIFICATIONS - BACHELORS / UNDERGRADUATE* |
Country*
University*
Department / Program title*
Degree title* |
| Graduated on* |
| 7-2. HIGHER EDUCATION QUALIFICATIONS II - MASTERS / POSTGRADUATE DEGREE* |
Country*
University*
Department / Program title*
Degree title* |
| Graduation* Graduated onWill graduate on
|
| 9. CONTACT INFORMATION* |
Please include an active email address and a full postal address for contact through application and selection period.
E-mail address*
Re-enter e-mail address for confirmation* |
| Full postal address*
Address in Chinese characters if applicable |
| Telephone country code*
Telephone*
Fax number (if any) |
| 10. PROSPECTIVE ACADEMIC SUPERVISOR* |
Name*
Candidate MUST discuss their research title and proposal with the prospective supervisor prior to application |
| Last contact date* |
| 12-1. FIRST REFEREE* |
Name*
Postal address*
E-mail*
Re-enter e-mail for confirmation*
Telephone* |
| 12-2. SECOND REFEREE* |
Name*
Postal address*
E-mail*
Re-enter e-mail for confirmation*
Telephone* |
13. REFERENCE*
Recommendation Form |
FORM C must be used for recommendation. Please ask two of your academic referees to fill, sign and email us directly by the application deadline. We do not accept reference forms emailed from the applicant.
Email address: intl [at] energy.kyoto-u.ac.jp
Original letter which is sealed and signed by referees must be submitted before enrollment.
|
| 14. Official score report of TOEFL or IELTS including Special Home Edition. |
I have arranged direct delivery of the official score report of TOEFL or IELTS from the ETS or British Council.
TOEFL iBTTOEFL PBTIELTS |
|
My first and native language is English.*
YesNo
|
| 16. CANDIDATE DECLARATION* |
“I hereby certify that all the information given in this application and the attached documents is complete and accurate and I understand that if I have given false or misleading information Kyoto University will not admit me as a graduate student.”
Check here if you agree with the above declaration.
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