uuvln?JoFl?`l3J - กองวิเทศสัมพันธ์ มหาวิทยาลัยเกษตรศาสตร์

a)4
uuvln?JoFl?'l3J
deulru
fi
noriuvrod'lvliud lvrriyura-aunun:nrasri 1:v2.02-942-8725lvtzatT 02-942-8726
ao 0513"
torcs/ 0 3?3
rJ:vrvrrrfir]u
risu
fi'rvfirsruiluuavtc:nrq:fr0
nrnqq"tltfiirlrJ:vs;rfl
riru nori"vrerd'lvliuijleiYtuu6'srJ:v"ura-rfi'udTn:lnr:uanrrJderufinfinBr
2559 Eu Mie
iversity rJ:v rvr nfr r-lu
Un
:sgvura.tr{liru1n:tnr::
1.
:r uav rduo dohJfl
- at fiurru 2560 uia
2 nrnnr:finur 1 EalFr! 2559 - 30 riuuruu 2560
1
nrnnr:finrsr
1
r{JufrfrnrSonriurorilyriilura'uunun:srani
duva4&
r,rC o
2.
rYlfi
: v 6'r rirufr n d n ur
rt u o d
ril
r.J
: v in
vr
nalfill
2559
utavfinrgroqjlu:vrilrYurJicpeprnBtilsirn'jrcYuflfi
t o t n r : tta n tl
6 u u fr a
iln
:
nmrl drunrurd'lnquuravnrur€rlurfl uoeir l6 ur n {arTn:tilfi
nrrui6r,1x1arrr:
v
Ft't'txlAlxt't:flyrlfrrunrrgrfrr]urfiusno qvarur:au6onat:ruit116odrlsr'lfie)
fi
frosrir:ranrunrnflSnlytiilura-urnun:nraninaon:vusuraruriri'lltTn:lnr:r utavllfiiorn
v
aa
Y
a
4
dv
|
d
a 3 s
ra5qfru1n:tnr:r tudr frf otlvnolnanurdnrErsto ru ilYl?vlUlaULnun:fl1AFl:vluvl
4.
6'olatlr:nufruvprtrjfinr*ruanni6EJu
cu
Mie University t6' srrlt:vuvurarfiTn:lnr::vlJi
{x6'u
5.
6'o r a
rll r : n Yr fr n r o ! ri rtdqi r utu
nr
: r{r i r u1n : r n r : uta n n-J F u ubigr
aon
:
u u u t? a
l ldr i
u
ru
Mie University
rJ:v milflo{n1 uanu.Jdclu ru Mie UniversitY
1. Special Auditing Students
fiiorqil:vasrirfiofinrgruannJduu:rs?srtuartritT fifrf,srfinuT od lqsrtJqiud{tu:vdu
rJ3ryryr ort uav :vd'urirufi
n fi
nur
tonar:tl:snounr:afin:
1. 'harTn:rdrirlln:lnr:frRnuanrl6auilvriilurfiutnrgn:nrani
In
un
o.ri
tvr n #Hrfi'ur5)
0drurlrlr^loiufiril,ruo:r'r1#
z
-2-
"trau-n: Application for Admission of Exchange Student 2016 fin:on:ruavu6una:rl:nj
n:r.lfiru
(Lduruv',I oirLfi
rirvun:rr1#)
Questionnaire sheet of Facul.ty of Humanities, Law and Econornics (tanrvliafln:fi
3.
r-J:valrirf;onal-n:lBuulu Faculty of Humanities, Law and Economics) u6o
Questionnaire sheet of Faculty of Engineering (ronrvry'afin:firJ:salri16onarirr:rBuutu
F
acu
lty of
E
n gi n
plication fo r
ee
ri n
g) 0druwvl
rtificate of
o
ilfi
rir r,ru euntri)
ity (ldrrulr^,l
irfi
rirr,ruenrhfr)
4.
Ap
5.
h*aoranrunTv'rfrfrpr (Certificate of enrotlment) ariunlgrdrnqrg (aonToruiir#nuvufluu
Ce
E l.i
gi bi l
o
uavrj:vrrazun)
6.
tu:rucruzunnr:finrgr (Academic transcript) oriuo?lrvirr1u (oon1qu6{rfinvvufiuuuav
l:vrrazua)
7.
Recommendation letter oonlnu r.i'rr,rrirnrnitrvionrurdrlu#.:rio4'al-n: itas6'os:v!fit
To President of Mie UniversiV
B. ?rJcirsfrfrnvrjrn:rrwripr rLurn 4 {xi.x 3 'ilil. druru 3 :l
g. tuur1arorYuvu Mie University Scholarship App[ication Form
10. Questionnaire for
the dormitory
11. ;{rrurnrar"Joisr
2. SpeciaI Research Students
fr
Un
ive
rs
rJ : v a r r{ rfi
im nr-gu
ity Io
tr rtJ o
iu
o
riT
rir rfi u n r :? {aln
raiu fi fi n d d n ur
uodn
T
a'lfr n r : rir fi'u o $a
:s 6'u riru fi
o g"tu
ndn
ur
uvi
t
o { o''r o 1 :
r
riu
ddrj6
n
r*r ru M
i
e
ronar:il:vnaunr:afin:
1. han-n:rdriu1n:rnr:frfrnuanurjduurvrivara-stnrgn:nrani
0druwiloilfirirr,ruerurlri
sauu(
lprunori turtai:rnuo)
2. h:afn:
Application for Admission of Exchange Student 20i6 fin:on:ruavu6uFlalll:fil
n:rfr'ru
3.
(Ldurrvl
o
ilfi
rirvuorrrl#)
Questionnaire sheet of Graduate School of Humanities and Social Sciences (tavlrv
av
q
Y
u
d
,
d 4
v
piarftr:frr.i:varnrdonafn:lo'u'lu
School of Humanities and Social Sciences)
Graduate
raio Or"rtionnaire sheet of Graduate School of Engineering (ravlrv{arin:fir.J:valri
u6 o
na#n : ri
u
ulu Facu l.ty of
E
n
g
i
n
ee
gi
bil.ity
ri n
g)
(tdirulv'i o i:rfi
rirr,ruer
l rl#)
0rirrluv,loirfi rirvunlrl#)
4.
Application for Certificate of
5.
'tt*ansanrunrvlflfrn (Certificate of enrotlment) qfunrurd'tnqu (oon1ers;{rrinvvtfluu
rravil:vrlazua)
E l.i
-3-
6. tl:rulruzunnr:frnrsr
(Academic transcript) ariuoB.rrvirrfu (oonlna;irfinuvrfluuuav
r.J:vvrazua)
7.
Recommendation letter oonTnu ri,rvfirnrnitrraionrul66'ualn-erria:in:
runyfrol:vtfil
v9
To President of Mie University
8.
rr.x
:r.JeirufrfrsrvfiTsr:rnrdor
flu1n 4
UU
g. luarin:toYlyu Mie University
10. Questionnaire for
3
ru. siruru
3
:l
Scholarship Application Form
the dormitory
11. rirrurvrrarjoipr
t ar
ri
t
6
r"[{si r ulunr :
,
rririr uln:r
nr
:
wyu
qvt6'Yunr:unr{uriro::rrfiur
frfrnrilifunr:rYprrfronu{rirrln:rnr:*anlrjduur
v
nr:firul ru Mie University rirurirldsjrudul
.i<
f
,
4
uiu
o
rjrorvr:
oeda
norfiilntor:piruprJrlor frrlnura6uri'rn:orf,vr"lunr:"Lrifiinod
100,000
tu!/t6o!
f.
-l
eu r..l:vrvrn{r-lu
r.i:slrcu 80,000
urrirarnri'arTn:kiiurinu6onl6'Yrr1u Mie University Scholarship
arir:ar4ueirldsiru:rurdo! 20,000
l*rd^orldrd^^6rlora^<dor^
rirfir,i'n rirufruurt nirrJ:vriuarnrv,r
r lrt!^
ru1-J
/
160rr
(rJ:vlrru 6,000
ovkiYlnr:
lril)
C-L^l--^Ll^*
ilu'riflerrd'uov6o16onriafin:firfiurcaruuasrauofionfioarin:iuvru
UC
t :rsrvirrfu
z. aiarTn#tdiunr:rauofiorririuvrufforarur:oiufiosourirl{siT erdrunurostfrr{Judu6'u*:n
tfio{o1ne{an1:fiolr6ulnrrtdiu4uovrj:vnrrtraa'rornfifisnrfiuvrrlr"ririruTnt{n1t.l
ru Mie
University u#r
q
Z' X vA
o
d
a a
F
d
rifi
rifiauloalil'r:nn:ruavu6unufir16:Llpilnupr:rqrnrSllcJdTn:{nr:fi
u
http://www.cie.mie-
u.ac.jp/en/cierlprospective/kind/cooperation.htmt r.r3o15!t.uei'nolirvroa:lnriud
http://www.iad.intaff.ku.ac.th tLav :vwrarisfiouluu http://eoffice.ku.ac.th
6r riuurLr rfi
oTl:nfr rr:rur
dn
(urrfi:tr
nftmMuv
(
n#uvvnvar::ru)
- -:
!n?tvrFlfiilv,{1-J6
-
(nriufi 9 n.vl.
2559)
《日本語版》
平成２８年度（２０１６年度）
学術交流協定校からの短期受入留学生出願要項
 外国人特別聴講学生
 外国人特別研究学生
《English Version》
Application Guide for Exchange Students from
Partner Universities
２０１6
 Special Auditing Students
 Special Research Students
三
重
大
学
Mie University
1
1. Foreign Student Categories
“Foreign student” must not possess Japanese citizenship, and must either possess a visa status
of “student”, or must be able to obtain a visa status of “college student” as stipulated by the
Immigration Control and Refugee Recognition Act by the date of admission.
Foreign students are divided into two categories: Japanese government (the Ministry of
Education, Culture, Sports, Science and Technology) scholarship foreign students and
self-financed foreign students.
(1) Japanese Government Scholarship Foreign Student
Japanese government offers them a scholarship which covers travel expenses to and from
Japan, tuition, and living expenses while staying in Japan. Japanese government
scholarship students are divided into the following three categories:
- A student recommend by a Japanese embassy or consulate general outside Japan
(Embassy recommendation)
- A student recommended by Mie University (University recommendation)
- A student selected by Mie University after arriving in Japan (Domestic selection)
(2) Self-Financed Foreign Student
“Self-financed foreign student” means a foreign student other than Japanese government
scholarship students. Self-financed foreign students are divided into three categories:
foreign-government sponsored students, short-term student exchange program students,
and others.
2. Foreign Student Status
There are the following six types of foreign student status at Mie University.
(1) Special Auditing Student
A graduate or undergraduate student of an overseas exchange partner university with Mie
University who is enrolled at Mie University as an exchange student to audit specific
subjects. For details, please see Application Guide at
http://www.cie.mie-u.ac.jp/en/admission/categories/cooperation/exchange/
For details of Partner Universities and Faculties, please see the list at
http://www.cie.mie-u.ac.jp/en/cier/cooperation/
(2) Special Research Student
A graduate student of an overseas exchange partner university with Mie University who is
enrolled at Mie University to conduct research under the guidance of his/her academic
advisor. For details, please see Application Guide at
http://www.cie.mie-u.ac.jp/en/admission/categories/cooperation/exchange/
(3) Japanese Studies Student
Japanese Studies Student program is intended mainly for Japanese government
scholarship students (Japanese studies students) recommended by embassies or
universities who are enrolled as undergraduate students in faculties or schools of
universities outside Japan which major in Japanese language or culture when they come to
Japan. For details, please see Application Guide at
http://www.cie.mie-u.ac.jp/en/academic/language-culture/
(4) Research Student
This program is for students who conduct research under the guidance of their academic
advisors at Mie University. For details, please see Application Guide at
http://www.cie.mie-u.ac.jp/en/admission/categories/self-financed/
(5) Undergraduate Student
10
This program is for students who wish to obtain a degree by completing four years of
undergraduate full-time classes at Mie University (six years in case of Faculty of Medicine
(department of Medicine)). For details, please see Faculty Application Guide at
http://www.mie-u.ac.jp/exam/
（6）Graduate Student
This program is for students who wish to obtain a degree by completing graduate
full-time classes at Mie University. For details, please visit the following websites.
Application Guide for Graduate School of Humanities and Social Sciences
http://www.human.mie-u.ac.jp/gakubu/daigakuin/
Application Guide for Graduate School of Education
http://www.edu.mie-u.ac.jp/gradschool/
Application Guide for Graduate School of Medicine
http://www.medic.mie-u.ac.jp/gakumu/index.htm
Application Guide for Graduate School of Engineering
http://www.eng.mie-u.ac.jp/department/index.html
Application Guide for Graduate School of Bioresources
http://www.bio.mie-u.ac.jp/en/
Application Guide for Graduate School of Regional Innovation Studies
http://www.mie-u.ac.jp/innovation/
3. Tuition and Entrance Fees
The following table shows annual tuition, entrance and examination fees for foreign students of
the six types of status mentioned above.
Examination
Entrance
Annual
Fees
Fees
tuition
1. Special Auditing Student
Exempt
Exempt
Exempt*
2. Special Research Student
Exempt
Exempt
Exempt
3. Japanese Studies Student
Exempt
Exempt
Exempt
4. Self-Financed Research Student
9,800 yen
84,600 yen
346,800 yen
17,000 yen
282,000 yen
535,800 yen
Master Course
30,000 yen
282,000 yen
535,800 yen
Doctoral Course
30,000 yen
282,000 yen
520,800 yen
5. Undergraduate Student
6.Graduate Student
*For the students mentioned in “Memorandum for joint education program of Japanese language
between Mie University and Tianjin Normal University”, their annual tuition is otherwise
specified.
*Those fees and tuition above are subject to change.
4. Tuition Exemption
High achieving undergraduate and graduate degree students who are unable to pay their
tuition for financial reasons may be exempted from tuition.
5. Scholarship
Mie University international scholarship for students from the universities with exchange
agreement to study at Mie University.
The details are as follows.
1. Eligible universities: The universities which concluded student exchange agreements with
11
Mie University. (Both university-level agreements and those between faculties are
eligible.)
2. Eligible students: International students who study at Mie University for around six
months or more under the exchange student program.
3. The amount of a scholarship: 20,000 yen per month which will be provided for a maximum
period of one year.
4. The number of scholarship students: Maximum 20 persons per academic year.
5. Application procedure: Submit “Mie University Scholarship Application
Form ” (the form attached here) in addition to the Application Form for Special Auditing
Students or Special Research Students to the International Student Office.
*Only one person from each university can apply for this scholarship. Please talk with the
person in charge of exchange program in your university if you wish to apply.
6. Notification of selection results: For applicants of Spring Semester, the results of selection
are usually notified to the students in May. And for applicants of Fall Semester, the
results of selection are usually notified to the students in November.
For additional information, please refer to the following website.
http://www.cie.mie-u.ac.jp/en/news/2009/02/mie-university-international-s-2.html
12
[English Version]
Application Guide for Exchange Students from
Partner Universities
２０１6
●Special Auditing Students
13
Application Guide for Special Auditing Students
(Undergraduate and Graduate Levels)
1. Outline
(1) Special Auditing students are accepted in the beginning of each semester (in April or
October).
(2) Study period at Mie University is one or two semesters.
(3) Accepted students will be exempt from the examination and entrance fee and tuition.
* For the students mentioned in “Memorandum for joint education program of Japanese language between Mie University
and Tianjin Normal University”, their annual tuition is otherwise specified.
(4) Applicants' universities must submit application documents (the form attached here) (a) to (k)
(described in Section 5) at the International Student Office in Mie University.
(5) Special Auditing students must take at least 7 classes in a week. Talk with your advisor
about the schedule.
(6) Special Auditing students must submit their reports to the International Student Office of
Mie University by their study completion date.
2. Qualifications to Apply
・ The applicant must be the undergraduate or graduate student who are enrolled in a
university with a student exchange agreement with Mie University.
・The applicant must have the purpose of auditing specific subjects.
・The applicant must have basic knowledge of either or both Japanese and English. (The
lectures are usually given in Japanese, and some of them are in English. To understand the
lectures, applicants are required to have enough knowledge of Japanese. If the applicants are
unable to understand Japanese, the lectures they can take will be limited.)
3. Period of Application
Admission for April 2016
Admission for October 2016
September 1st – October 25st, 2015
February 1st – March 25st, 2016
4. Where to Submit Application
International Student Office
1st floor, University Research Hall II
Mie University
1577 Kurimamachiya-cho, Tsu city, Mie
514-8507 Japan.
Phone: 059-231-9688 (direct) (from overseas: +81-59-231-9688)
14
5. Application Documents
Applications should be written in either Japanese or English, and if not, it should be
accompanied by Japanese or English translation.
(1) [Forms provided by Mie University]
(a) Application for Admission of Exchange Student, 2016 ※Please attach a photo.
(b) Application for Certificate of Eligibility
※Please send the Excel file to: [email protected]
(c) Questionnaire for the dormitory
(d) (If you choose to enter the Faculty of Humanities, Law and Economics or Graduate School of
Humanities and Social Sciences)
Questionnaire sheet of Faculty of Humanities, Law and Economics and Graduate School of
Humanities and Social Sciences
(e) (If you choose to enter the Faculty of Engineering or Graduate School of Engineering)
Questionnaire sheet of Faculty of Engineering and Graduate School of Engineering.
(2) [Documents acquired by applicant]
(f) Certificate of enrollment (Original) ※Must be written in Japanese or English.
(g) Academic transcript (Original) ※Must be written in Japanese or English.
(h) Recommendation by head of your department or by a person above the position of the head of
your Department (Original) ※Must be written in Japanese or English.
(i) 3 Photos (4 x 3 cm) ※One piece is pasting up on an application ※Please make sure of the size
(j) Copy of passport (If you don’t have for now, send by e-mail after you get it)
(3) In order to apply for Mie University International Scholarship, submit the following form.
(k) Mie University Scholarship Application Form
*Only one person for each universities can apply for this scholarship. Please talk with the
person in charge of exchange program in your university if you wish to apply.
15
[English Version]
Application Guide for Exchange Students from
Partner Universities
２０１6
●Special Research Students
16
Application Guide for Special Research Students
(Graduate Level)
1. Outline
(1) Research students are accepted in the beginning of each semester (in April or October).
(2) Study period at Mie University is one or two semesters.
(3) Accepted students will be exempt from the examination and entrance fees and tuition.
* For the students mentioned in “Memorandum for joint education program of Japanese language between Mie University
and Tianjin Normal University”, their annual tuition is otherwise specified.
(4) Applicants' universities must submit application documents(the form attached here)(a) to (k)
(described in Section 5) at the International Student Office in Mie University.
(5) Special Research students cannot take classes in Mie University officially except Japanese
classes in CIER.
(6) Special Research students must do research at least 10 hours in a week.
(7) Special Research students must submit their reports to the International Student Office of
Mie University by their study completion date.
2. Qualifications to Apply
・The applicant must be enrolled in a graduate school of a university with a student exchange
agreement with Mie University.
・The applicant must have the purpose of doing research at Mie University.
・The applicant must have basic knowledge of either or both Japanese and English. (The
lectures are usually given in Japanese, and some of them are in English. To understand the
lectures, applicants are required to have enough knowledge of Japanese. If the applicants are
unable to understand Japanese, the lectures they can take will be limited.)
3. Period of Application
Admission for April 2016
Admission for October 2016
September 1st – October 31st, 2015
February 1st – March 31st, 2016
4. Where to Submit Application
International Student Office
1st floor, University Research Hall II
Mie University
1577 Kurimamachiya-cho, Tsu city, Mie
514-8507 Japan.
Phone: 059-231-9688 (direct) (from overseas: +81- 59-231-9688)
17
5. Application Documents
Applications should be written in either Japanese or English, and if not, it should be
accompanied by Japanese or English translation.
(1) [Forms provided by Mie University]
(a) Application for Admission of Exchange Student, 2016 ※Please attach a photo.
(b) Application for Certificate of Eligibility
※Please send the Excel file : to [email protected]
(c) Questionnaire for the dormitory
(d) Questionnaire sheet Graduate School of Humanities and Social Sciences (If you choose to enter
the Graduate School of Humanities and Social Sciences)
(e) Questionnaire sheet of Faculty of Engineering and Graduate School of Engineering (If you choose
to enter the Graduate School of Engineering).
(2) [Documents acquired by applicant]
(f) Certificate of enrollment (Original) ※Must be written in Japanese or English.
(g) Academic transcript (Original) ※Must be written in Japanese or English.
(h) Recommendation by head of your department or by a person above the position of the head of
your Department (Original) ※Must be written in Japanese or English.
(i) 3 Photos (4 x 3 cm) ※One piece is pasting up on an application ※Please make sure of the size
(j) Copy of passport (If you don’t have for now, send by e-mail after you get it)
(3) In order to apply for Mie University International Scholarship, submit the following form.
(k) Mie University Scholarship Application Form
*Only one person from each university can apply for this scholarship. Please talk with the
person in charge of exchange program in your university if you wish to apply.
18
Graduate School of Engineering
International Affairs Section
Admission Policy for the Students from Partner Universities
1. The special auditing students (undergraduate) from partner universities to Mie University shall be at least
third grade.
2. Second grade students from partner universities may be accepted under the following conditions.
a. List of the classes of the students’ major already taken and the description of the students’ knowledge on
the major field are required on the application form in order to verify the students’ level of knowledge on
major and their motivation to study in Mie University.
b. Ahead of the permission of acceptance by the International Student Committee and the procedure to
accept by the administrative office, a documentary examination and an interview by Skype are to be made
by the Graduate School of Engineering.
Case 1:
A contact person of the Partner University or International Affairs Section is to conduct a documentary
examination and an interview by Skype.
Case 2:
In the case that the applying student wishes to study at a certain laboratory, a person in charge of the
laboratory is to join the documentary examination and the interview by Skype.
Those who pass the above selection are to be accepted by Mie University. Once the decision of the acceptance
is made, a contact person of the partner university or International Affairs Section shall inform the relevant
partner university (a contact person and the Dean) and the International Student Office in Mie University about
the acceptance of the applying student.
How to be
exchange student
in Mie University
International Student Office, Mie University
From an application to an arrival
inside of （） is for new students from autumn
Sep
（Feb）
Oct
（Mar）
Oct to Dec
• We will send the information of exchange program to partnership universities.
• The person in charge of exchange program must collect all of the documents of
your students by deadline.
• For new students from April, we will arrange the deadline end of
October.(For new students from Oct, It’ll be end of Mar) The person
in charge of exchange program will check these documents and
please send us by air-mail.
• When we get your documents, we will consider your students’
academic advisors. Please wait for our announcement.
（Apr to May）
Jan
• We will go to immigration to get your “Certificate of Eligibility”. It’s
going to take a few weeks.
（Jul）
（Aug）
• We will arrange your students’ dormitories.
• We will send you “Certificate of Eligibility” and “Acceptance Letter” of
your students. Students must go to Japanese embassy with these
documents and get their VISA. Don’t forget the passport.
Mar
• When your students booked their plane ticket, please let us know. We
need to arrange pick-up services from Tsu-Nagisamachi or Tsu-Station.
Feb
（Sep）
Mar to Apr
（Sep to Oct）
• It is about to leave your country. There are several procedures when
you get here.
Attention for the documents
Application
for Admission
of Exchange
Student
• There are 3 sheets in this EXCEL data.
• Please look at the sample, and put your information in it.
• At the bottom of third sheet, you need to write your signature by
handwritten. Other part, you can use your computer to write.
Certificate of
enrollment
• Do not send the copy. Only “Original” is accepted.
• It will be more desirable to have a NAME,GRADE, POSITION, STUDY
PERIOD in this document.
• If this document written in other than Japanese or English, please attach
the thing which translated it into Japanese or English.
Academic
Transcript
• Do not send the copy. Only “Original” is accepted.
• If this document written in other than Japanese or English, please attach
the thing which translated it into Japanese or English.
Recommendation
• This recommendation must be by head of your department or by a person
above the position of the head of your Department.
• Do not send the copy. Only “Original” is accepted.
Questionnaire
sheet
• The student who choose to enter Faculty of Humanities, Law and
Economics, please write “Questionnaire sheet of Faculty of Humanities,
Law and Economics ”
• Faculty of Engineering also need this questionnaire.
• You don’t need this questionnaire if you want to enter other faculty
Application
for Certificate
of Eligibility
• There is one sheet in this EXCEL data. Please put your information on the
yellow part. The person in charge of exchange program need to send this
data to us by e-mail.
Mie University
Scholarship
Application
Form
• If you want to get this scholarship, please write your information in this
application form. *It is not absolutely sure to get this scholarship.
Please make sure you have enough money to study in Japan. *From this
time, only one person for each university can apply for this scholarship.
Please elect one person to apply.
Copy of your
passport
• If you already have your passport, please send us copy.
• If you don’t have one yet, get as soon as possible and send us the data by
e-mail.
Questionnaire
for the
dormitory
• We have several dormitories for international students. Please look at
dormitory guidance from next pages and make your first to third wishes to
live in.
About the Photo
• You need to put your photo on “Application for
Admission of Exchange Student”. We also need two
other photos for spare.
• From 2012, The rule for the photos are much district
than before. If you don’t keep this rule, we might ask
you to resend the photos. Be careful.
• If you give me your photo by electronic data, it is
possible to print out here.
①Photo must be sharp and
clean.
GOOD EXAMPLE
②Do not wear cap or hat.
③All of your hair must be seen
inside the photo.
About
2.5cm
4cm
④Background must be mono
colored.
3cm
⑤You need to look straight
forward to the camera
BAD①
4cm
3cm
BAD②
悪い例③
BAD③
Dormitory
• There are five dormitories for International Student at
Mie University.
1. University Foreign Student’s House
( for female and male students)
2. Foreign Students’ Dorm A (for female)
3. Foreign Students’ Dorm B (for male)
4. Women’s Dormitory for
International Students (for female)
5. Anotsu-ryo Dorm (for male)
Some dorms are only for female or male students.
Also, equipment of the facility, monthly fees are varied
according to the dorms. Please see the detailed information in
the following pages before submitting your choices.
(Please understand that not all the choices are accepted.)
University Foreign Student’s House
( for female and male students)
↑Kitchen & Dining
↑Laundry
•
•
•
↑Room
↑Lobby
A single room is 6,900 JPY per month and a couple room is
for 13,900 JPY per month
Two minutes walk to the campus
This is an furnished dorm with a desk, a chair, a desk lump,
a bookshelf, a wardrobe, a refrigerators, an air conditioner,
a prefabricated bath, curtains, a window screen, a shoebox,
TV connector (No TV), Internet connector (charge
separately) .
Foreign Students’ Dorm A (for female)
Foreign Students’ Dorm B (for male)
↑Kitchen
↑Laundry
•
•
•
•
•
↑Room
↑Shower Room
↑Public Restroom
(each room has a toilet)
Any male personnel mustn’t enter Dorm A.
A single room is 14,000 JPY per month.
A quad room is for 4 people and 7,500JPY per person per
month. You can apply for this room with your friends.
These dorms locate on campus.
This is an furnished dorm with a desk, a chair, a desk lump,
a bed, a wardrobe, a bathroom vanity, a refrigerator, an air
conditioner, curtains, a window screen, TV connector (No
TV), Internet connector (charge separately) .
Women’s Dormitory for International
Students (for female)
↑kitchen
↑Room
↑Laundry
↑Roof (for laundry)
↑Public Space
•
•
•
•
A single room is 5,900 JPY per month.
It locates on campus.
This dorm is for Japanese and international students.
This is a furnished dorm with a desk, a chair, a bed, a
refrigerators, shelves, a prefabricated bath, an air
conditioner, curtains, a window screen, TV connector (No
TV), Internet connector (charge separately) .
Anotsu-ryo Dorm (for male)
Refrigerator→
↑Room
↑Kitchen
↑Laundry
•
•
•
•
•
↑Public
Restroom
↑Public
Bathroom
↑Public Space
A single room is 8,000 JPY per month. In addition, there are
lighting and heating expenses to pay (5000 JPY per month).
It locates about 15 minutes walk.
Most of the residents are Japanese students, therefore, you have
to have ability to communicate in Japanese.
There is no shower available in each room but there is a Japanese
traditional public bath to share.
This is an furnished dorm with a desk, a chair, a bed, an air
conditioner, curtains, a window screen, TV connector (No TV),
Internet connector (charge separately) .
About Scholarship
• There is only one scholarship for
exchange student, which called
“Mie University Scholarship”.
• From this time, only one person for
each university can apply for this
scholarship. Please elect one person
to apply.
• This scholarship gives you 20000JPY
per month for maximum one year.
• Number of this scholarship students
is maximum 20 people for one year.
We will select those students.
※It is not absolutely sure to get this
scholarship. Please make sure you
have enough money to study in Japan.
About Living Expenses
• To live in Japan, The amount of
money that is necessary for a
month is as follows.
Food
20000 JPY
Dormitory Fee
10000 JPY～15000 JPY
Lighting, Water
5000 JPY
Cellphone
7000 JPY
Internet Services
2500 JPY
National Health
Insurance
1500 JPY
Other
10000 JPY
SUM
56000 JPY～61000
JPY
• These are general aims. Please
prepare for the minimum
necessary amount of money.
About Part-time Job
•
When you take a part-time job, you must first apply for the permission.
Once you get the permission, it will be effective no matter how often
you change your part-time job. In case you extend your status of
residence the permission can also be extended. The form can be
obtained from an immigration office counter. Required documents are:
passport and Alien Registration Card. The application is proceeded free
of charge
• You can get this permission by showing “Application for Engaging in
Activities other than Status Qualification” at immigration.
※Application sheet is on next page.
You cannot do these part-time job below:
Cabarets, cafe, nightclubs, dancing halls，bars that offer special
services for customers to entertain, eat and drink, mah-jong
game parlors, pachinko parlors, game centers, bathhouse
businesses with private rooms, and massage service businesses
with private businesses and others.
•
Hours permitted to work for foreign nationals whom the
status of residence of "Student" is limited as follows:
– Regular Students (Undergraduate & Graduate Students): 8 hours
per day and 28 hours per week
– Non-regular Students (Research Students, Special Auditing Students,
and Special Research Students)：8 hours per day and 28 hours per
week
– During Long Vacation (Summer Vacation, Winter Vacation, and
Spring Vacation): 8 hours per day
別記第二十九の四号様式（第十九条の二関係）
日本国政府法務省
Ministry of Justice,Government of Japan
資
格
外
活
動
許
可
申
請
書
APPLICATION FOR PERMISSION TO ENGAGE IN ACTIVITY OTHER THAN THAT
PERMITTED UNDER THE STATUS OF RESIDENCE PREVIOUSLY GRANTED
入国管理局長　殿
To the Director General of
Regional Immigration Bureau
出入国管理及び難民認定法第１９条第２項の規定に基づき，次のとおり資格外活動の許可を申請します。
Pursuant to the provisions of Paragraph 2 of Article 19 of the Immigration Control and Refugee Recognition Act, I hereby
apply for permission to engage in activities other than those permitted under the status of residence previously granted.
※ 上陸許可に引き続き資格外活動許可申請を行うことができるのは，上陸の許可により「留学」
の在留資格を決定された場合（３月の在留期間を決定された場合を除く。）に限られます。
Persons, who are able to file for this application following acquisition of landing permission, are limited to those who
have been granted the status of residence of “Student” based on the landing permission (excluding those who have
been granted a period of stay of three (3) months).
1
国籍・地域
Nationality / Region
2
3
生年月日
年
月
日
Date of Birth
Year
Month
Day
氏
名
Name (in English)
4
性
別
Sex
男
・
女
Male
/
Female
申請人の署名／申請書作成年月日
Signature of the applicant / Date of filling in this form
年
月
日
Year
Month
Day
About Pick-up Services
•
•
•
When you arrive Japan, we can pick you up from TsuNagisamachi.
We will get ready for shuttle bus from Tsu-Nagisamachi to
Mie University for a couple of days. More detail will appear
when the time comes.
We suggest you to arrive at Chubu International Airport
(Centlair). Because, There is high-speed boat from Centlair
to Tsu-Nagisamachi almost per hour(one way:2470 JPY).
After Arrival
After arrival, come to
our office, and we’ll
give you some
documents.
Students will go to the city
hall with tutor and register
the address, also join
National health Insurance
After that, you can open
your bank account in Japan.
After that, you can buy
your cell phone in Japan.
From this
part, student
must do by
themselves.
About Insurance
• To spend secure and safe life while studying at Mie
University, we recommend to purchase some kind of
insurances.
• All international students must join the National Health
Insurance without exception. By joining the National
Health Insurance, the individual medical expense usually
becomes 30%. The city hall staff will give you National
Health Insurance Card. You always need to carry this card.
• There are other insurances called “Damage & Accident
Insurance for Students” and “Liability Insurance for
Students ”. These insurances pay for the unexpected
accidents occurred during lectures, extracurricular
activities such as volunteer activities, other school events.
These Insurances are optional, If you already joined the
insurance in your country, you don’t need to join these.
Japanese Course in CIER
•
•
•
•
•
Every International Students can take Japanese course in CIER.
It is free to take the course
To take Japanese course, you need to take Japanese Placement
Test at the beginning of semester.
To apply this placement test, Let’s go to International Relation
Office after your arrival.
According to the result, the course will be suggested to each
student. On the same day, students will find out their results
and are to take the orientation meeting for their study
courses. In the meeting, faculties will advice each student for
the appropriate courses for their levels and explain how to fill
out the registration card for the courses.
Q&A
Q
A
Can I rent a bicycle from Mie University??
Sorry, we don’t do rental services. Please buy on
your own. It’s about 10000 JPY.
Is there any Wi-Fi connection in Mie University
Yes. We have free Wi-Fi connection in here.
Is there any stores or shops around Mie
University?
We have shopping mall near the university. You
can go there in 10 or 15 minutes by walk.
Is there anyone helps me after I arrived Japan?
Exchange students will have tutor who helps
your life stuff. Also, he or she teaches you
Japanese. In addition we have support circle for
international student. They also help you.
How many classes should “Special Auditing
student” have to take?
You need to take more than 7 classes in a week.
To learn exclusive studies, take classes in your
faculty. Or, you can take Japanese studies classes
in CIER.
※Most of classes in faculties are held in
Japanese.
What should “Special Research Student” do?
Special Research Student must have purpose of
research under your academic advisor. If your
academic advisor agreed, you can take classes.
However, there are no transcript for those
classes.
I already have joined insurance in my country.
Should I join to “National Health Insurance” in
Japan?
Yes. It is responsibility to join “National Health
Insurance”. Please join it.
Can I use gymnasium?
Sorry, gymnasium is only for club activities. We
cannot allow to use for private.
Is it hot in Mie? Or cold?
An average air temperature in winter is about 5
degrees. In summer is 28 degrees.
I am going to Japan in soon, but I feel sick.
However, I already bought plane ticket, so can I
go?
No, please look into the cause and take some
medical assistance. If you had big problem in
your body, you might not be able to return to
your country.
Q
A
When should I arrive to Japan? Before the
semester starts? Or after the semester starts?
If you arrive before semester starts, your room
might not have been vacant yet.
Also, you need to take Japanese placement test
which held on the second week for each
semester.
So, we suggest you to arrive Japan at the first
week of the study period.
I need certificate of enrollment.
We can make those certificate in Japanese or
English. If you want to make other certificate,
we would be happy to provide you some advice
at any time.
My families are coming to Japan. Could they
stay in my dormitory?
Sorry. We won’t allow them to do so. Please tell
your families to stay at the hotels around Mie
University.
Is there any event for international students?
We plan field trip twice in a year. In addition,
many groups hold some events for international
students.
Is there any scholarship for exchange students?
There is only one scholarship for exchange
student, which called “Mie University
Scholarship”.
Should I open bank account in Japan?
It is not necessary, but if you have one, it is easy
to pay your cellphone fees, internet fees etc…
Please close your bank account when you go
back to your country.
I heard that I should make my own stamp in
Japan.
Most of procedures are OK with your signature
by hand. Sometimes, you need your stamp to
contract. Thus, you can make stamp in Japan. It
is not so expensive.
What time does class start?
In Mie University, a period is 90 minutes long
and 5 classes for a day.
First class starts at 8:50 and last class ends at
17:50.
Do you have library in Mie University?
Yes. We have library in here. In there, you can
use computer, group working commons,
learning commons etc…
Can I go to trip while I study in Japan?
Sure you can. If you are not coming back to
dormitory for a while, we want you to write
“Notification of staying out”. Also, if you are
going to abroad, please write “Passage
certificate”.
I almost finish my study in Japan. What should I
do?
When you finish your study, we want you to
submit “The document for returning home” and
“Final report”. Also, you need to break out all
contract before you leave.
Useful Information
• Website for Mie University
http://www.mie-u.ac.jp/en/
• Center for International Education and
Research
http://www.cie.mie-u.ac.jp/en/cier/
• Campus Map
http://www.mie-u.ac.jp/en/about/map/
• Inquires: International Student Office
[email protected]
For further inquires,
please contact the
International Student
Office.♪
ใบสมัครเขารวมโครงการนิสิตแลกเปลี่ยนมหาวิทยาลัยเกษตรศาสตร
สวนที่ 1 รายละเอียดโครงการแลกเปลี่ยน
มหาวิทยาลัยคูสัญญาที่สมัครเขารวมโครงการแลกเปลี่ยน .......................................................................ประเทศ.......................................
ภาคการศึกษาที่สมัคร □ 1 ภาคการศึกษา (ตุลาคม 2559 – มีนาคม 2560) □ 2 ภาคการศึกษา (ตุลาคม 2559 – กันยายน 2560)
□ อื่นๆ................................................................
* นิสิตยินดีรับผิดชอบคาใชจายและปฏิบัติตามเงื่อนไขที่โครงการกําหนดทุกประการ □ ยินดี □ ไมยินดี*
สวนที่ 2 รายละเอียดผูสมัคร
1. ชื่อ (นาย/นาง/นางสาว)...........................................................นามสกุล...........................................................................
Name (Mr./Mrs./Ms.)......................................................... Surname.........................................................................
รู ปถ่าย
วัน/เดือน/ปเกิด....................................................................อายุ.....................................................................................
ติดที่นี่
นิสิตระดับ � ปริญญาตรี � ปริญญาโท � ปริญญาเอก ชั้นปที่.............................................................................
คณะ...................................................................................ภาควิชา..................................................................................
สาขาวิชา...........................................................................รหัสประจําตัว.........................................................................
เกรดเฉลีย่ สะสม................................................................................................................................................................
เบอรโทรศัพทที่สามารถติดตอได.........................................................................อีเมล..........................................................................................
2. ความรูทางดานภาษา
� ภาษาอังกฤษ
� TOEFL ...................... � IELTS......................... � TOEIC.........................
� ภาษาอื่นๆ ..........................................................................................................................................
3. เหตุผลที่สนใจจะเปนนิสติ แลกเปลี่ยน………………….……………………………………………………..………………….…….....................................................
...................................................................................................................................................................................................................................
4. ทานเคยไดรับทุนหรือเขารวมโครงการแลกเปลีย่ นมากอนหรือไม (ถามีโปรดระบุ)................................................................................................
...................................................................................................................................................................................................................................
5. ชื่อผูปกครอง.................................................................................อาชีพ................................................................................................................
ความเกี่ยวของกับนิสิต.......................................................................อีเมล............................................................................................................
ทีอ่ ยู. .........................................................................................................................................โทรศัพท................................................................
6. ชื่ออาจารยที่ปรึกษา........................................................................................ตําแหนง.........................................................................................
อีเมล....................................................................................โทรศัพท....................................................................................................................
7. ผูสมัคร � ยอมรับเงื่อนไขการสมัครตองไมอยูในระหวางการสมัครเขารวมโครงการแลกเปลี่ยนนักศึกษาโครงการอื่นใดของ
กองวิเทศสัมพันธและในระดับคณะจนกระทั่งใบสมัครไดรับการพิจารณาวาเปนที่สิ้นสุดแลวโดยกองวิเทศสัมพันธและมหาวิทยาลัย
เกษตรศาสตร
8. ผูสมัคร � ยืนยันวา ไดทําการสืบคนขอมูลในสวนที่เปนทางดานวิชาการ การใชชีวิตในตางประเทศและเงื่อนไขจายใชจายในการเปน
นิสิตแลกเปลี่ยนที่กําหนดโดยมหาวิทยาลัยคูสญ
ั ญาเปนที่เรียบรอยแลว อีกทั้งไดทําการปรึกษากับคณะตนสังกัดและผูปกครองแลวเชนกัน
ผูสมัครรับทราบถึงขอมูลทีไ่ ดมาและเห็นชอบดวยประการ
9. ผูสมัครขอรับรองวาขอความดังกลาวขางตนเปนจริงทุกประการ หากผูสมัครไดรับคัดเลือกเปนนิสติ แลกเปลี่ยน ผูส มัครยินดีและพรอมที
จะปฏิบัติตามประกาศและขอกําหนดตางๆ ทุกประการ หากมีการตรวจสอบพบในภายหลังวามีขอ ความที่ไมเปนจริงผูส มัครยินดีใหตัดสิทธิ์
การสมัครและเขารวมโครงการแลกเปลีย่ นนักศึกษาโดยไมมีเงื่อนไข และยินยอมใหมหาวิทยาลัยเกษตรศาสตรพิจารณาลงโทษตามที่
เห็นสมควร
ลายเซ็นนิสิต
ลายเซ็นอาจารยที่ปรึกษา
(….....…………………………….………………………….)
............../................./................
(….....…………………………….………………………….)
............../................./................
*กรุณากรอกเบอรโทรศัพท และอีเมล ที่ติดตอได หากไมสามารถติดตอทานได จะถือวาสละสิทธิ์
**กรุณายื่นใบสมัครเขารวมโครงการนิสิตแลกเปลี่ยนฯ ฉบับนี้พรอมกับเอกสารประกอบการสมัครอื่นๆ ดังที่มหาวิทยาลัยคูสญ
ั ญาระบุไว หากเอกสารประกอบการ
งานทุนและเจรจาธุรกิจ กองวิเทศสัมพันธ
สมัครใดๆ ไมครบถวนจะไมไดรบั การพิจารณา
【PAGE1/3】
平成２８年度（２０１６年度）交換留学生入学願書
Application for Admission of Exchange Student, 2016
申請者の基本情報　PERSONAL INFORMATION
姓
Family name
氏名
名
Given name
ミドルネーム
Middle name
ひらがなもしくはカタカナ
Hiragana or Katakana
写真
Photo
(4cm×3cm)
パスポートに記載されている
アルファベット
alphabet written in your passport
漢字　（ある場合）
Chinese characters (if any)
国籍 Nationality
生年月日 Date of birth (year/month/day)
(year)
/ (month) /
(day)
性別 Sex
年齢 Age
男 Male
※
女 Female
現住所 Present address
郵便番号 Postal code
国 Country
州、省、市など State, Province, City, etc
番地、アパートなど Number, Apartment, etc
電話番号 Phone number : +(Country code)
-
メールアドレス　E-mail address :
本国連絡先　Contact person in your country
氏名（姓、名、ミドルネーム） Name (Family name, Given name, Middle name)
続柄　Relationship
住所 address
電話番号 Phone number : +(Country code)
-
メールアドレス　E-mail address :
所属大学　APPLICANT'S HOME UNIVERSITY
大学名 University name
在籍状況 Registered enrollment
学部・研究科 Faculty・Graduate school
入学年月 Admission date (year/month)
(year)
/
学部生 Undergraduate (Bachelor)
大学院生 Graduate (Master, Doctor)
学科・専攻 Department・Division
学年 Grade
（留学後の）卒業予定年月 Expected graduation date (after completing your study at Mie University) (year/month)
(month)
(year)
/
(month)
所属大学の指導教員 Academic advisor of registered university
氏名 Name
職名 Position
※ 年齢は、4月期入学者は2016年4月1日現在、10月期入学者は2016年10月1日現在の年齢を記入してください。
When filling your age, please fill it in as of April 1, 2016 for applicants of Spring semester, and as of October 1, 2016 for applicants of fall semester.
【PAGE2/3】
氏名 Name
所属大学 Home university
学歴　ACADEMIC BACKGROUND
小学校 Elementary School
修業年数 Number of years 在学期間 Period of admission (year/month ～ year/month)
attended
中学校 Middle School
(year)
年 years
/ (month)
～
(year) / (month)
修業年数 Number of years 在学期間 Period of admission (year/month ～ year/month)
attended
(year)
年 years
高等学校 High School
/ (month)
～
(year) / (month)
修業年数 Number of years 在学期間 Period of admission (year/month ～ year/month)
attended
(year)
年 years
大学 Undergraduate School
/ (month)
～
(year) / (month)
修業年数 Number of years 在学期間 Period of admission (year/month ～ year/month)
attended
(year)
年 years
大学院 Graduate School
/ (month)
～
(year) / (month)
修業年数 Number of years 在学期間 Period of admission (year/month ～ year/month)
attended
(year)
年 years
/ (month)
～
(year) / (month)
滞在費の支弁方法　Method of support to meet the expenses while in Japan
本人負担
Self
円/月
JPY/month
外国からの送金
Remittance from abroad
奨学金
Scholarship
渡日時に携行
Carrying from abroad
円/月
JPY/month
円/月
JPY/month
その他
(
Other
)
経費支弁者氏名　Name of supporter
続柄　Relationship
奨学金支給機関　Organization which provide scholarship
返済義務　Responsibility to repay
無し
None
全額返済
Repay all
一部返済
Partial Repayment
学科・専攻希望　SELECTION OF FACULTY/GRADUATE SCHOOL
留学期間 Study period (year/month/day ～ year/month/day)
(year / month / day)
～
留学月数 Length of exchange period
(year / month / day)
か月間 Months
1学期間 1semester
2学期間 2semesters
希望する身分（学部生は特別研究学生を選べません） Desired status (The undergraduate student cannot choose Special Reseach Student)
特別聴講学生 Special Auditing Student
特別研究学生 Special Research Student
希望する学部・研究科 Desired faculty/graduate school
学部 Faculty
研究科 Graduate school
人文学部
Faculty of Humanities, Law and Economics
教育学部
Faculty of Education
医学部
Faculty of Medicine
工学部
Faculty of Engineering
生物資源学部
Faculty of Bioresources
国際交流センター
Center for International Education and Research
希望する学科・専攻 Desired department/division
人文社会科学研究科
Graduate School of Humanities and Social Sciences
教育学研究科
Graduate School of Education
医学系研究科
Graduate School of Medicine
工学研究科
Graduate School of Engineering
生物資源学研究科
Graduate School of Bioresources
地域イノベーション学研究科
Graduate School of Regional Innovation Studies
希望する聴講・研究内容 Desired audit/research topics
希望する研究室・指導教員（人文学部の場合は記入しない） Desired laboratory/academic advisor (Other than Faculty of Humanities, Law and Economics)
第1希望 First choice
第2希望 Second choice　第3希望 Third choice
【PAGE3/3】
氏名 Name
所属大学 Home university
学習計画 STUDY PLAN
三重大学での学習計画 Study plan at Mie University
以上の記載内容は事実と相違ありません。
I hereby declare that the above statement is true and correct.
直筆署名 Genuine Signature
記入年月日 Date of filling (year/month/day)
Application for Certificate of Eligibility
こちらにご記入ください
Please fill in from this part.
SAMPLE
大文字でパスポート表記通りに記入してください。
Please put your name in capitals as your passport says.
氏名
NAME
SAMPLE　TARO
配偶者
Marital status
無(Single)
配偶者がいるかどうか選択してください。
Please tell me your martial status.
本国における居住地
HOME TOWN/CITY
ALABAMA
本国における居住地を州、省、市まで記入してください。
Please tee me your home town/city .
出生地
PLACE OF BIRTH
ALABAMA
出生地を州、省、市まで記入してください。
Please tee me your place of birth .
パスポート情
報
INFORMATION
OF YOUR
PASSPORT
旅券番号
PASS NO.
99999999
＜旅券有効期限＞年
DATE OF EXPIRATION
<YEAR>
2020
＜旅券有効期限＞月
DATE OF EXPIRATION
<MONTH>
6
＜旅券有効期限＞日
DATE OF EXPIRATION
<DATE>
27
上陸予定港
PORT OF ENTRY
FROM
TO
パスポート有効期限の「年」を記入してください。
Please put the year of expiration.
パスポート有効期限の「月」を記入してください。
Please put the month of expiration.
パスポート有効期限の「日」を記入してください。
Please put the date of expiration.
名古屋国際空港(Chubu International Airport)
査証申請予定地
INTENDED PLACE TO APPLY FOR VISA
過去の
出入国歴
PAST ENTRY
INTO/DEPARTUR
E FROM JAPAN
パスポート番号を間違えずに入力してください。現時点で発行して
いない場合は空欄で結構です。
Please put your passport number. If you don't have yet, leave it blank
＜過去＞回数
年
<YEAR>
月
<MONTH>
日
<DATE>
年
<YEAR>
月
<MONTH>
日
<DATE>
ビザを申請する予定の大使館がある都市名をご記入ください。
Please tell me your intended place to apply for visa.
BIRMINGHAM
過去に日本を訪れたことがある場合は、その回数と、最後に訪れた
ときに渡日日と帰国日をご記入ください。
If you have been to Japan before, please tell me how many times you entered
and also tell me the period of your last stay in Japan.
2
2012
8
3
2012
8
12
海外から毎月送金してもらえる額を日本円で記入してください。
Please put the amount of money in JPY that you can get from abroad.
外国からの送金額（円/
月）
AMOUNT(JPY/MONTH)
40000
＜経費支弁者＞氏名
NAME OF SUPPORTER
SAMPLE MOM
海外から送金してくれる方の名前を記入してください。
Who is going to send?
海外から送金してくれる方の住所を記入してください。
Please tell me the address of the supporter.
605 THORNBERRY CV.
住所
外国からの送 ADDRESS OF SUPPORTER BIRMINGHAM ALABAMA,
U.S.A
金
電話番号
REMITTANCE
0123456789
PHONE NO.
FROM ABROAD
滞在費の支弁
方法等
METHOD OF
SUPPORT TO
MEET THE
EXPENSES
WHILE IN
JAPAN
職業
OCCUPATION
年収
ANNUAL INCOME
<PER YEAR>
本人負担
SELF
奨学金の受給
が決まってい
る場合
SCHOLARSHIP
上陸予定空港を選択してください。あくまで予定ですので、必ずこ
の空港を利用する必要はありません。
Please tell me the name of the port you entry. This is just a plan.
海外から送金してくれる方の電話番号を記入してください。
Please tell me phone number of the supporter.
海外から送金してくれる方の職業を記入してください。その他の場
合は選択せずに、ご自身でご記入ください。
Please tell me the occupation of the supporter. If you can not choose from
the list, please put by yourself into the box.
海外から送金してくれる方の年収を日本円で記入してください。
Please tell me annual income of your supporter.
会社員(office worker)
1500000
申請人との関係
RELATIONSHIP
母(mother)
本人負担額（円/月）
AMOUNT(JPY/MONTH)
10000
奨学金支給機関
ORGANIZATION WHICH
PROVIDE SCHOLARSHIP
University of Alabama
奨学金額（円/月）
AMOUNT(JPY/MONTH)
20000
返済義務
RESPONSIBILITY TO
REPAY
無(NO)
申請者との関係をご記入ください。
Please tell me the relationship between you and the supporter.
申請者本人が月々の生活費を支弁する場合は、その額を日本円でご
記入ください。
In the case that you support by yourself, please put the amount in JPY.
奨学金の受給が決まっている場合は、その支給機関をご記入くださ
い。三重大学の奨学金の支給は決定されておりませんので、「三重
大学」とは記入しないでください。奨学金が支給されない方は空欄
のままでお願いいたします。
If you are going to get scholarship, please put the name of organization. Do
not put "Mie University", because our scholarship has not been decided yet.
受給される奨学金に返済義務があるか選択してください。
Please tell me that you need to repay the scholarship back or not.
以上です。お疲れ様でした。
That's it. Thank you for cooperating.
寮についての調査
～Questionnaire about Dormitories～
1
2
3
4
5
氏名（アルファベット）
Your name in alphabet
第１希望（一つ選んでください）
First choice (Choose one)
外国人留学生寄宿舎A(一人部屋)/Foreign Students' Dormitory A (For Single)
外国人留学生寄宿舎A(四人部屋)/Foreign Students' Dormitory A (For 4 persons)
外国人留学生寄宿舎B/Foreign Students' Dormitory B (For Single)
外国人留学生会館(一人部屋)/Foreign Students' House (For Single)
外国人留学生会館(夫婦部屋)/Foreign Students' House (For Couples)
国際女子学生寄宿舎/Women's Dormitory for International Students (For Single)
安濃津寮/Anotsu-Dormitory (For Single)
寮には住まず、アパートを探します/I don't want to live in to a dormitory. I'll look for apartment.
第２希望（一つ選んでください）
Second choice (Choose one)
外国人留学生寄宿舎A(一人部屋)/Foreign Students' Dormitory A (For Single)
外国人留学生寄宿舎A(四人部屋)/Foreign Students' Dormitory A (For 4 persons)
外国人留学生寄宿舎B/Foreign Students' Dormitory B (For Single)
外国人留学生会館(一人部屋)/Foreign Students' House (For Single)
外国人留学生会館(夫婦部屋)/Foreign Students' House (For Couples)
国際女子学生寄宿舎/Women's Dormitory for International Students (For Single)
安濃津寮/Anotsu-Dormitory (For Single)
第３希望（一つ選んでください）
Third choice (Choose one)
外国人留学生寄宿舎A(一人部屋)/Foreign Students' Dormitory A (For Single)
外国人留学生寄宿舎A(四人部屋)/Foreign Students' Dormitory A (For 4 persons)
外国人留学生寄宿舎B/Foreign Students' Dormitory B (For Single)
外国人留学生会館(一人部屋)/Foreign Students' House (For Single)
外国人留学生会館(夫婦部屋)/Foreign Students' House (For Couples)
国際女子学生寄宿舎/Women's Dormitory for International Students (For Single)
安濃津寮/Anotsu-Dormitory (For Single)
布団の要・不要 (5,500円で購入）
Do you need a set of bed? (5,500JPY to buy)
はい。希望します。
Yes, I need.
いいえ。必要ありません。
No, I don't need.
み
えだいがくじんぶんがくぶ
とくべつちょうこうがくせいしゅつがんしゃ
じんぶんしゃかいかがくけんきゅうか
Questionaire sheet
of Faculty of
Humanities, Law &
Economics
P.1
ちょうしょ
三重大学人文学部・人文社会科学研究科・特別聴講学生出願者・調書
ほんにん
にほんご
じひつ
か
（本人が日本語で自筆で書いてください。 Please write in Japanese in your own handwriting.）
じぶん
だいがく
自分の大学 Your
がくぶ
university
がっか
学部Faculty・学科Department
ねんじ
ねんせい
年次Year
み
なまえ
年生名前 Name
えだいがくじんぶんがくぶ
りゅうがく
つぎ
かくにん
A)三重大学人文学部への留学について、次のこと（１～４）を確認してください。
Please be aware of the following details (1~4) about studying at our graduate school.
じんぶんがくぶ
せんもんかもく
えいご
じゅぎょう
のぞ
にほんご
おこな
１．人文学部の専門科目は英語の授業を除き、日本語で行われます。
Except for some English classes, the classes of the faculty are conducted in Japanese.
ちゅう
りゅうがくせい
(注)
にほんごけんしゅう
じゅぎょう
みえだいがくこくさいこうりゅう
おこな
留学生のための「日本語研修コース」の授業は三重大学国際交流センターで行っています。
Japanese language courses are provided for all international students of Mie University at the Center
for International Education and Research (CIER).
じんぶんがくぶ
せんもんかもく
じゅぎょう
う
→
げんそく
http://www.cie.mie-u.ac.jp/
にほんごのうりょくしけん
ごうかく
２．人文学部の専門科目の授業を受けるには、原則として日本語能力試験N1,N2合格、またはそれ
おな
にほんごじょうきゅう
ちから
ひつよう
ひつよう
にほんご
ばあい
じゅこう
ことわ
と同じ日本語上級レベルの力が必要です。必要な日本語レベルがない場合、受講を断ること
があります。
If you wish to participate in regular courses, as a general rule, you are expected to have passed
level N1 or N2 of the Japanese Language Proficiency Test (JLPT) or to have equivalent Japanese
proficiency. Please note that you might not be permitted to register for some courses in the
faculty if your Japanese has yet to reach the above requirement.
にほんごのうりょく
しゅもくてき
りゅうがく
ばあい
すく
がくぶ
じ
むれんらく
３．日本語能力のレベルアップを主目的として留学する場合は、少なくとも学部からの事務連絡を
りかい
にほんごのうりょく
ひつよう
ひつよう
にほんご
ばあい
う
い
理解できる日本語能力（N4 レベル）が必要です。必要な日本語レベルがない場合は、受け入れ
ことわ
を断ることがあります。
If you mainly wish to improve your Japanese proficiency, you are still required to have a good
enough command of Japanese to be able to understand administrative correspondence (JLPT
level N4). Your application may be rejected by the faculty if your Japanese has yet to reach the
above requirement.
りゅうがくきかんちゅう
りゅうがくせい
じんぶんがくぶ
おこな
ぎょうじ
さんか
４．留学期間中、留学生のため人文学部が行う行事に、必ず参加してください。
You are firmly expected to participate in faculty events provided for overseas students.
にほんご
B)日本語について
あ
About Japanese.
＊当てはまる（
）に✔を、
〔
Please enter ✔ in (
)
すうじ
い
〕に数字を、入れてください
where appropriate for you, and write figures (numbers) in 〔
〕
Questionaire sheet
of Faculty of
Humanities, Law &
Economics
P.2
にほんご
1．あなたの日本語レベルについて。Please classify your level of Japanese.
しょきゅう
（
）初級
Beginner
にほんごのうりょくしけん
ちゅうきゅう
（
）中級
Intermediate
（
じょうきゅう
）上級 Advanced
う
2．日本語能力試験を受けたことがありますか。
Have you taken Japanese-Language Proficiency Test ?
）はい Yes （
→（
ひと
）いいえ No
こた
＊「はい」の人は答えてください。Please fill out if you answered “Yes” .
じゅけん
きゅう
受験した級 grade of the test〔N
けっか
結果 Result →（
）合格 Passed
てんすう
（
てん
点数 Points〔
にほんご
〕
ごうかく
ふごうかく
）不合格 Failed
じゅけん
とし
ねん
受験した年 Year taken 〔20
点〕
年〕
がくしゅう
3．日本語はどこで学習しましたか。Where did you study Japanese?
じゅぎょう
）大学の授業で University class
（
）日本語学校の授業で Japanese language school class
（
）独習
（
いま
だいがく
（
にほんごがっこう
どくしゅう
じゅぎょう
Self-education
た
）その他 Other(s) (
にほんご
)
べんきょう
4．今まで日本語はどのくらい勉強しましたか。How long have you studied Japanese?
〔
りゅうがくちゅう
ねん
かげつ
〕年 year(s) and〔
もくてき
きぼう
なん
〕カ月 month(s)
にほんご
じひつ
くわ
か
C) 留学中のあなたの目的・希望は何ですか。日本語で自筆で詳しく書いてください。
What are your purposes and hopes while you are in Japan?
Please write the details in Japanese in your own handwriting.
べんきょう
勉強のこと About your studies
べんきょういがい
勉強以外のこと About things other than your studies
えいご
E)あなたの英語レベルについて
えいごのうりょく
ひつよう
さんこう
しつもん
＊英語能力は必要というわけではありません。これは参考の質問です。
About your level of English.
（）ほぼできない knowing a few words （
*English proficiency is not required. This is a reference question.
しょきゅう
ちゅうきゅう
じょうきゅう
）初級 Beginner （）中級 Intermediate （）上級 Advanced
Questionaire sheet of
Graduate School of
Humanities & Social
Sciences
三重大学人文社会科学研究科・特別研究学生出願者・調書
（本人が日本語で自筆で書いてください。
）
自分の大学院・専攻・課程
年次
年生
名前
A) 三重大学人文社会科学研究科への留学について、次のこと（１～３）を確認してください。
１．人文社会科学研究科の授業は日本語で行われます。英語で行う授業はありません。
２．人文社会科学研究科の授業を受けるには、原則として日本語能力試験 N1（１級）または N2（2
級）合格、またはそれと同じ日本語上級レベルの力が必要です。必要な日本語レベルがない場合、
受講を断ることがあります。
３．留学期間中、留学生のため人文学部が行う行事に、必ず参加してください。
B)あなたの日本語レベルについて
＊当てはまる（
）に✔を、
〔
〕に数字を、入れてください。
1．あなたの日本語レベルについて。
（
）初級
（
）中級
（
2．日本語能力試験を受けたことがありますか。 →（
）上級
）はい（
）いいえ
＊「はい」の人は答えてください。
受験した級〔N
〕
点数〔
点〕
結果→（
）合格
（
受験した年〔
）不合格
年〕
3．日本語はどこで学習しましたか。
（
）大学の日本語の授業で
（
）日本語学校の授業で
（
）通信講座やメディアなどで独習
（
）その他〔
〕
4．今まで日本語はどのくらい勉強しましたか。
日本語学習年月……〔
〕年〔
〕カ月
C)留学中のあなたの目的・希望は何ですか。日本語で自筆で詳しく書いてください。
勉強のこと
勉強以外のこと
D)あなたの英語レベルについて
（）ほぼできない
＊英語能力は必要というわけではありません。これは参考の質問です。
（）初級
（
）中級
（
）上級
三重大学工学部・工学研究科交換留学生出願者・調書
ざいせきだいがく
Questionaire sheet
of Faculty or
Graduate school of
Engineering
せんこう
在籍大学・専攻
University・Department
ねんじ
なまえ
年次 Grade
名前 Name
こうがくけんきゅうか
まな
せんもんぶんや
か
A. 工学研究科で学びたい専門分野を書いてください。
Please describe your wish for the major field to study at Graduate School of Engineering in
MIU.
じょうき
しめ
せんもんぶんや
まな
ないよう
ぐたいてき
か
B. 上記 A に示した専門分野で学びたい内容を具体的に書いてください。
Please describe your definite plan to study at the major field mentioned in the above A.
きぼう
せんもんぶんや
かんれん
しゅうとく
じゅぎょうかもくめい
C. 希望する専門分野に関連して，これまでに修得した授業科目名を書いてください。
Please list the classes already taken in your university relevant to the major field to study at
Graduate School of Engineering in MIU.
じぶん
にほんごのうりょく
にほんごのうりょくしけんなど
えいごのうりょく
など
か
D. 自分の日本語能力（日本語能力試験等）
，英語能力（TOEIC 等）について書いて
ください。
Please describe your language proficiency in Japanese (Japanese Language Proficiency Test
etc.) and in English (TOEIC etc.).

Download Report