1. No category

（案）
APPLICATION PROCEDURE
FOR FOREIGN STUDENT ADMISSION TO
THE GRADUATE SCHOOL OF SCIENCE AND ENGINEERING
MASTER’S PROGRAM
OCTOBER 2015
2015 年 10 月入学
山口大学大学院理工学研究科
博 士 前 期 課 程
学 生 募 集 要 項
外国人留学生特別選抜
（北京における渡日前入学許可）
THE GRADUATE SCHOOL OF SCIENCE AND ENGINEERING
YAMAGUCHI UNIVERSITY
山口大学大学院理工学研究科
I. Division and Enrollment Capacity
Department
Division
Enrollment Limits
Earth Sciences
Science
Environmental Science and Engineering
Mechanical Engineering
Civil and Environmental Engineering
Materials Chemistry
Engineering
A few students
in each division
Electronic Material and Devices Engineering
Electronic and Information Systems Engineering
Perceptual Sciences and Design Engineering
Environmental Science and Engineering
Ⅱ. Qualifications for Applicants
Applicants must have non-Japanese nationality and meet either of the following requirements, and must
have taken TOEFL or CET6.
1. They should have received a bachelor’s degree from a four-year university or college.
2. They should be expected to receive a bachelor’s degree from a four-year university or college by the end
of September 2015.
Ⅲ. Schedule until enrollment
2014
2015
September
October
26
15
November
7
Closing date for application for the Briefing Session
Invitations to the Briefing Session will be distributed.
Briefing Session and aptitude test
28
Announcement of aptitude test results
December
26
Deadline for the Discussion period
January
February
March
July to
September
October
23
18
17
Closing date for application
Announcement of admission
Closing date for enrollment
Japanese language training
Enrollment
Ⅳ. Briefing session
A briefing session and aptitude test will be held for prospective applicants for the master’s program at the
Graduate school of Science and Engineering.
Date : November 7 （Fri.）, 2014
Place: Yamaguchi University International Collaboration Office, Beijing (in Capital Normal University)
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Aptitude test
Science department: Oral assessment of major subject on site. (in Japanese or English)
Engineering department: Academic achievement test (Mathematics).
Interview by teleconference (in Japanese or English)
Ⅴ. Application for the Briefing session
1. Application period
Application period for the briefing session: September 16 through September 26, 2014
2. Application Documents
Submit the following documents written in either Japanese or English.
Documents
Remarks
Application for the briefing session
Fill in the prescribed form.
Fill in the prescribed form and paste a 4×3 ㎝ photograph(taken
Photograph Card
within the last 3 months); the photograph should show the
Identification Card for the
candidate facing the camera without a hat, with his/her head and
Briefing session
shoulders clearly visible.
Submit a certificate of graduation or expected graduation from
Graduation Certificate
the university.
Submit official transcripts of your academic record from the
Academic Transcript
university.
Submit a recommendation letter written by the applicant’s most
Recommendation Letter
recent academic adviser or the head of the department from
which the applicant has graduated or is expected to graduate.
Personal History
Fill in the prescribed form.
In the prescribed form, describe the subject you wish to study as
Research Plan
well as the objectives and methods of your research.
See Note 1.
Submit a copy of TOEFL(R) score certificate or copy of CET6
Others
score certificate.
Note 1: Use the paper provided by the Graduate School to write in your responses, preferably typed on a PC.
The responses should be about 800 characters in length in Japanese (or 200 words in English).
3. How to apply
Application documents must reach the Admissions Office mentioned in #4 below during the application
period. When mailing the application，all the documents should be sent by registered express mail in an
envelope with “Application for the Briefing session of the admission in Beijing” written in red.
4. Admissions Office
Open: Monday to Friday, 8:30 - 17:15
2-16-1 Tokiwadai, Ube 755-8611 Japan
The Graduate School of
TEL:+81-836-85-9009 FAX: +81-836-85-9019
Science and Engineering
Email: [email protected]
5. Invitations and participation certificate for the briefing session will be sent around October 15 (Wed.),
2014.
6. Announcement of aptitude test results
Results of the aptitude test will be mailed to all qualifiers and will also be put up on the web page of the
Graduate School of Science and Engineering on November 28 (Fri.), 2014.
http://www.gse.yamaguchi-u.ac.jp/nyuushi/beijing.html
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7. Discussion period
Qualifiers are to contact supervisors-to-be and carry out discussions by December 26 (Fri.), 2014.
Those who have been accepted are to receive the application form for admission, and to proceed according
to the procedure given in the following section.
Ⅵ. Application for Enrollment
1. All required documents must arrive by the deadline, January 23 (Fri.), 2015.
2. Required documents (All documents are to be filled in English or Japanese.)
Documents
Remarks
Application Form
Fill in the prescribed form
Application Fee
¥30,000. Only Japanese yen is acceptable. The method of payment
will be informed to the applicant at a later date.
Note 1. Submitted documents and fees cannot be returned.
3.
Application documents must reach the Admissions Office mentioned in #4 below during the application
periods. When mailing the application，all the documents should be sent by registered express mail in an
envelope with “Application for Foreign Student admission in Beijing” written in red.
4. Admissions Office
Open: Monday to Friday, 8:30 - 17:15
2-16-1 Tokiwadai, Ube 755-8611 Japan
The Graduate School of
TEL:+81-836-85-9009 FAX: +81-836-85-9019
Science and Engineering
Email: [email protected]
Ⅶ. Screening
Selection of applicants will be based on an evaluation of the submitted documents.
Ⅷ. Announcement of Screening Results
The results will be mailed to successful applicants, and will also be put up on the web page of the
Graduate School of Science and Engineering on February 18 (Wed.), 2015.
Detailed information on the admission procedure will also be sent to successful applicants. Please
complete the admission procedure by the following deadline.
http://www.gse.yamaguchi-u.ac.jp/nyuushi/beijing.html
Ⅸ. Admission Procedure
Admission Procedure Deadline: March 17 (Tue.), 2015
Ⅹ. Others
1. Japanese language training
(1) Most of the lectures for master’s program are conducted in Japanese. Successful applicants are to
take Japanese language training courses.
(2) Details on Japanese language training as well as on the procedures for coming to Japan will be given
along with the admission notice.
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2. Date of Entrance
October 1, 2015
3. Master’s Program: 2 years
4. Admission Fee and Tuition Fee
(1) Admission Fee: 282,000 yen
(2) Tuition Fee
First Semester (April – September): 267,900 yen by the end of May
Second Semester (October – March): 267,900 yen by the end of November
Note 1: In the case that Yamaguchi University decides to revise the tuition fee for 2015 entrants after the
publication of the application procedure, the revised amounts will be applied.
Note 2: If a revision of the tuition fee is made while a student is in the program, the new tuition amount
will have to be paid.
As regulated under Article 9 of the Law about Protection of Personal Information, any personal
information collected will not be used for any other purpose by a third party without the applicant’s
consent.
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Ⅰ．専攻および募集人員
区 分
専
地
理
学
機
社
物
学
科
募集人員
学
専
攻
系
環
工
球
攻
境
共
械
会
生
工
建
質
系
学
設
工
化
専
専
学
学
攻
攻
専
専
攻
攻
各専攻若干名
系 電 子 デ バ イ ス 工 学 専 攻
電 子 情 報 シ ス テ ム 工 学 専 攻
感 性 デ ザ イ ン 工 学 専 攻
環
境
共
生
系
専
攻
Ⅱ．出 願 資 格
日本国籍を有しない者で，次のいずれかに該当し，かつ「TOEFL」または「CET6」を受験したことがある者
１．４年制大学で学士の学位を授与された者
２．2015 年９月までに４年制大学で学士の学位を授与される見込みの者
Ⅲ．入学までのスケジュール
2014 年
2015 年
説明会参加希望者申込み期限
説明会への参加証の送付
9月
10 月
26 日
15 日
11 月
7日
説明会，適性審査
28 日
適性審査結果発表
12 月
26 日
希望指導教員とのマッチング期限
1月
2月
3月
7 月∼9 月
10 月
23 日
18 日
17 日
出願期限
合格通知
入学手続期限
日本語教育の実施
入学
Ⅳ．説明会について
理工学研究科学生募集に係る事前説明会および適性審査を行います。
日
時：2014 年 11 月 7 日（金）
場
所：山口大学北京国際連携オフィス（首都師範大学内）
適性審査： 理学系 専攻に係る口頭試問（日本語または英語による直接面接）
工学系 学力検査（数学）
，テレビ会議システムを使用した面接（日本語または英語）
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Ⅴ．説明会参加申し込み
１． 申込期間
2014 年９月 16 日（火）∼９月 26 日（金）必着
２． 申込書類
下記の書類を，日本語または英語で作成してください。
説明会参加申込書 本研究科所定の用紙に，必要事項を記入してください。
本研究科所定の用紙に，必要事項を記入してください。
写
真
票
写真票の所定欄に，出願前３ヶ月以内に撮影した上半身・無帽・正面向きの写
参
加
証
真（４cm×３cm）をはってください。
卒 業 ( 見 込 )
出身大学の卒業(見込)証明書
証
明
書
成 績 証 明 書 出身大学が作成したもの
推
薦
書 出身大学の指導教員または学部長の推薦書
履
歴
書 本研究科所定の用紙に，必要事項を記入してください。
本研究科所定の用紙に，研究を希望するテーマ，その目的および研究方法など
研 究 計 画 書
を記入してください。(注１)
そ
の
他 TOEFL(R)のスコアの写しまたは CET6 の成績通知書の写し
(注１) 研究計画書は，本研究科所定の用紙に日本語では８００字程度，英語では２００語程度で記入し
てください。なお，できるだけパソコン等を使用し作成してください。
３． 申込方法
説明会参加希望者は，申込み期限までに申込書類を下記「４．提出先」に提出してください。郵送の場合は，
必ず「ＥＭＳ」とし，封筒の表に「北京学生募集説明会参加申込書 在中」と朱書してください。
４． 提出先
山口大学大学院理工学研究科
〒755-8611 宇部市常盤台２丁目１６−１
電話 +81-836-85-9009 FAX +81-836-85-9019
E-mail [email protected]
５． 説明会出席案内および参加証の発送について
発送予定日：2014 年 10 月 15 日（水）
６． 適性審査の結果発表
2014 年 11 月 28 日（金）
適性審査合格者へは適性審査合格通知書を送付します。また，山口大学大学院理工学研究科のホームペー
ジに適性審査合格者の受験番号を掲載します。
http://www.gse.yamaguchi-u.ac.jp/nyuushi/beijing.html
７． 指導教員とのマッチングについて
適性審査合格者は，次の期日までに希望指導教員と連絡を取り，話し合いを行います。結果については本
人に通知し，希望指導教員とマッチした者に出願書類を送付しますので，以下の出願手続に沿って書類を提
出してください。
期日： 2014 年 12 月 26 日（金）
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Ⅵ．出 願 手 続
１． 出願期限
2015 年１月 23 日(金) 必着
２． 出願書類
入学志願票
本研究科所定の用紙に，必要事項を記入してください。
検定料
30,000 円 日本円のみ可。支払方法については，別途連絡します。
※提出書類および検定料は返却されません。
３． 出願方法
入学志願者は，出願期限までに出願書類を下記「４．提出先」に提出してください。
４． 提出先
山口大学大学院理工学研究科
〒755-8611 宇部市常盤台２丁目１６−１
電話 +81-836-85-9009 FAX +81-836-85-9019
E-mail [email protected]
Ⅶ．選 抜 方 法
入学者の選抜は，提出書類に基づき総合判定して行います。
Ⅷ．選抜結果の通知
2015 年２月 18 日（水）
合格者へは合格通知書および入学手続書類を送付します。また，山口大学大学院理工学研究科のホームページ
に合格者の受験番号を掲載します。
http://www.gse.yamaguchi-u.ac.jp/nyuushi/beijing.html
Ⅸ．入 学 手 続
入学手続期限
2015 年３月 17 日（火） 必着
Ⅹ．そ の 他
１． 日本語教育について
(1)博士前期課程での講義は日本語で行われるため，合格者に対し，日本語教育を行います。
(2)日本語教育と来日手続きの詳細は，入学手続書類と一緒に送付します。
２． 入学年月日
2015 年 10 月 1 日
３． 博士前期課程修学年数 ２年
４． 入学料および授業料
(1) 入学料 282,000 円
(2) 授業料 前期分（４∼９月） 267,900 円（納付期限:５月末）
後期分（10∼３月） 267,900 円（納付期限:11 月末）
注１． 本募集要項公表後，2015 年度入学者に係る入学料,授業料を本学が改定した場合は，改定後の額
を納入していただきます。また，既に納入されていた場合は，改定額との差額を納入していただき
ます。
注２． 在学中に授業料額が改定された場合，改定後の額を納入していただくことになります。
出願書類等については，本研究科入学者選抜において必要なためご提出いただくものであり，これ
によって得た個人情報を，独立行政法人等の保有する個人情報の保護に関する法律第９条に規定さ
れている場合を除き，出願者本人の同意を得ることなく他の目的で使用または第三者に提供するこ
とはありません。
-7-
Academic Staff and Research Field
理学系
Earth Sciences
Study Field
Research Field
Academic Staff
Prof．
M．Owada
・Magma processes and the Late Paleozoic crustal formation in the eastern part of Asian
continent
・Mesozoic magmatism and lower crust modification in the active continental margin
・Magmatic history and continental crust mantle evolution during the formation of the
Gondwana supercontinent
Assoc．Prof．
T．Abe
・Study on growth process and mechanism of synthetic and natural crystals
・Surface observations of synthetic and natural zircon crystals
・Characterization of anorthite crystals
Assoc．Prof．
M．Nagashima
Chemico-crystallographical study of natural and synthetic minerals -especially focus on the
behavior of transition metal ions and its effect on crystal structure and hydrogen-bonding
system
Prof. T. Shimura
・Crustal Evolution on Metamorphic Petrology, Igneous Petrology, and Geochronology
Assoc．Prof．
K. Kawamura
・Formation process and mechanism of submarine landslides and related topics
・Sedimentation processes from shallow marine to deep‐sea around Japan
・Geologic architecture of accretionary complex in Japan
Earth Material Sciences
Environmental Geosphere Prof. K. Wakita
Sciences
Assoc. Prof.
A.Sakaguchi
・Accretion tectonics and orogeny in Asia
・Aplication of geospatial data and geoinformation for society
・Structural geology in plate subduction zone
Environmental Science and Engineering
Study Field
Biological Adaptation
Research Field
Academic Staff
Prof．
I．Miyakawa
・Maintenance and inheritance of mitochondrial genome in yeast
・Regulation of mitochondrial morphology in yeast
・Structure and function of yeast mitochondrial nucleoids
工学系
Mechanical Engineering
Study Field
Research Field
Academic Staff
Fluid Engineering
Prof.
S. Mochizuki
・Experimental study on the turbulent structre in wall bounded shear flow
・Control and management of jets, channel and pipe flow
・Development of measurement techniques for wall shear stress and velocity
Mechanical Systems
Control
Assoc. Prof.
F.Fujii
・Development of wearable robot suit for nursing care workers using pneumatic soft actuator
・Development of auditory-based man-machine interface
・Modeling rate-dependent hysteretic behavior of piezo actuator and its application to control
Materials Reliability
Prof.
K.Goda
・Toughening and strengthening of natural fiber-reinforced green composites
・Strength properties of carbon fiber-reinforced plastics (CFRP) with variation in fibers array
・Mechanical properties of ceramic matrix composites reinforced with long ceramic fibers
Prof.
Z.W.Jiang
・Smart sensor, actuator and mechatronics system development
・Vitalsign measurement and analysis
・Mechanics and vibration in biomedical engineering
Mechatronics
-8-
Civil and Environmental Engineering
Study Field
Research Field
Academic Staff
Assoc. Prof.
M. Suzuki
Analysis of Ground Behavior during Earthquake and Rainfall, and Its Application to Design
and Countermeasure
Rock Mechanics
Prof.
N. Shimizu
Rock Mechanics and Rock Engineering: Design, Construction, Stability Assessment and
Maintenance of Tunnels, Underground Caverns, Slopes and Dams. Field Measurements and
Numerical Analysis
Soil Mechanics
Prof.
H. Matsuda
Short and Long Term Stability of Ground under Static and Dynamic Loading Conditions
Prof.
M. Shinji
Design Methodology and Construction Method of Underground Infrastructure
Prof.
Y. Nakata
Characteristics of geo-materials and numerical technique for geotechnical engineering
Assoc. Prof.
H. Sakakibara
Participatory Decision Making in Infrastructure Planning and Management
Assoc. Prof.
H. Suzuki
Regional Transportation Planning
Travel management through communication
Prof.
T. Aso
Corrosion of Steel Bridges, Dynamic Characteristics of Structures
Assoc. Prof.
G. Watanabe
Seismic Design of Bridge Structures and Maintenance & Monitoring Technique of Bridge
Strucutures
Construction Materials
Assoc. Prof.
I. Yoshitake
・Mechanical Properties of Fly-ash Concrete
・Strengthening of Steel/Concrete Members with Fiber Reinforced Polymer
・Steel-Concrete Composite Structure Using an Adhesive
Structural Material
Engineering
Assoc. Prof.
K. Takami
・Study on Usage of Industrial Waste Product as Concrete Material
・Study on Nondestructive Testing of Structures Using elastic Wave
Prof.
K. Hadano
Research on the Natural Flows of Water and their Application to Environment and Energy
Problems
Assoc. Prof.
Y. Akamatsu
River Engineering, Ecohydraulics and River Restoration Works
Assoc. Prof.
K. Asai
・Study on water quality purification of lake with Light Emission Diode (LED)
・Study on effective utilization of flood hazard map
・Development of high-accuracy and high-resolution numerical methods for computation of
debris flow
Prof.
M. Sekine
・River Habitat Evaluation and River Habitat Improvement Works
・Water Pollution Analysis and Control
・Environmental Analysis using Satellite Remote Sensing
Assoc. Prof.
Md.Azizul Moqｓud
・Green energy (bio-electricity) by using Microbial fuel cell (MFC)
・Bio-remediation of contaminated soil/ soil that is damaged by natural disaster
・Geo-environmental approach for sediment improvement
Geotechnical Safety
Structural Materials
Urban and Social Systems
Engineering
Structural Dynamics
Applied Hydraulics
Environmental and
Sanitary Engineering
International Civil
Engineering
-9-
Materials Chemistry
Study Field
Crystalline Materials
Materials Reaction
Chemistry
Quantum Chemistry
Organic Molecular
Materials
Separation Membranes
Academic Staff
Research Field
Prof.
R. Komatsu
Growth and Characterization of Advanced Single Crystals, and Development of new
Applications of These Crystals.
Prof.
M. Nakayama
Investigations on Synthesis of Inorganic and Inorganic-Organic Materials Based on
Electrochemical Reactions and Their Functions
Prof.
K. Hori
・Mechanisms for chemical reactions using quantum mechanical calculations including solvent
effects.
・Data base which gathers results of theoretical calculations.
・Synthesis route developments of drugs based on computational chemistry and
cheminformatics.
・Development of chemical processes using micro-reactors in conjunction with quantum
mechanical calculations.
Prof.
K. Kasatani
Development and Characterization of Organic Optical Functional Materials
Prof.
M. Higa
・Electrochemical Membranes(ED, RED, DMFC, DMAFC)
・Membranes for water processing(RO, FO)
Electronic Materials and Devices Engineering
Study Field
Nitride Semiconductor
Devices
Applied Physics
Advanced Electronic
Materials
Advanced Energy
Engineering
Academic Staff
Research Field
Prof.
K. Tadatomo
Epitaxial Growth and Wafer Process of III-nitride Optical Semiconductor Devices
Prof.
A. Sanada
Transformation Optics and Metamaterials
Prof.
T. Koyanagi
Development of New Thermoelectric Materials with High Efficiency
Prof.
H. Naitou
Computer Simulation of Nuclear Fusion and Plasma Physics
Electronic and Information Systems Engineering
Study Field
Academic Staff
Electronic and Information Prof.
Control
K. Tanaka
Research Field
Research on Theory and Application of Intelligent Control
Electromagnetic Wave
Divice
Prof.
H. Kubo
・Guidedwave-type Devices for Communication in Micorowave
・Metamaterial in Micorowave
Electromagnetic Device
Assoc. Prof.
M. Hotta
・Electromagnetic Analysis of Guded-Wave Strutures and its Applications
・Development of Resonant type Wireless Power Transfer System
Assoc. Prof.
Y. Tamura
・Reliability Analysis for Big Data on Cloud Computing
・Dependability Modeling for Mobile Clouds
Assoc. Prof.
S. Yamaguchi
・Service Science, Management, and Engineering
・Model-Driven Engineering
・Cloud Computing
・Systems Biology
Software Systems
Engineering
-10-
Perceptual Sciences and Design Engineering
Study Field
Academic Staff
Research Field
Prof.
E. Inai
Estimation of Structural Performance and Seismic Performance of Buildings, Development of
New Structural System for Buildings
Prof.
M. Fujita
Reduce of Environmental Burden and Building Steel Structure, Building System for a
Composite Structure, Estimation of Steel Structural Performance, Development of New
Structural Members
Assoc. Prof.
Zhuguo Li
・Development of Eco/ Fireproof Building Materials
・Rheology and Numerical Analysis Method of Fresh Concrete
・Environment-Conscious Design/Selection Technology of Building Materials
Assoc. Prof.
T. Akita
Estimation of Structural Performance and Seismic Performance of Buildings, Analysis of
Buildings Considering Dynamic Soil-Structure Interaction
Prof.
K. Tadamura
・Photo-realistic rendering in computer graphics
・Development of a walk-through system for evacuation drills in virtual space under the
assumption of large-scale disaster
Structural Engineering
Information Media
Expression
Environmental Science and Engineering
Study Field
Academic Staff
Prof.
T. Imai
Research Field
Optimum Management or Treatment of Wastewater and Organic Solid Waste
Environmental
Assoc. Prof.
Management and
Sustainable Engineering T. Higuchi
Measurement, Evaluation and Control of Hazardous Air Pollutants and Odors
Assoc. Prof.
K.Yamamoto
Sediment Transport in the Estuary, Water Quality in the Water Environment
Prof.
M. Niinae
Development of Environmental Clean-up Techniques and Resources Recycling System
Resources and
Environmental System
Infrastructure
Assoc．Prof．
Maintenance Engineering K. Kawamura
・Automation of visual inspection using advanced information technologies
・Lifetime Engineering of Civil Infrastructures including Bridge Management System
Prof.
Environmental
Geotechnical Engineering M. Hyodo
Earthquake Geotechnical Engineering, Mechanical properties of methane hydrate
Disaster Prevention
System
Prof.
S. Mitsuishi
Earthquake Engineering, Real Time Disaster Prevention Information System
-11-
※
受験番号
Examinee's No.
２０１５年１０月入学
２０１３年１０月入学
山口大学大学院理工学研究科学生募集説明会参加申込書
Application Form for Participation to the Briefing Session
THE GRADUATE SCHOOL OF SCIENCE AND ENGINEERING, YAMAGUCHI UNIVERSITY
年
月
′男 (Male)
′女 (Female)
フリガナ
氏名
Name
日
Date
Signature
年
月
日 生
Date of birth
志望専攻
Division you wish to enter
志望教育研究分野
Study Field
志望指導教員
Academic Adviser
専攻
現住所
Address
連 絡 先
Mailing Address if Different
メールアドレス
E-mail Address
保
護
者
氏 名
Name
(Person to be Notified in Emergency)
続 柄
Relationship
現住所
Address
入学資格
University or
College attended
備 考
Note
年 月 大学 Department:
Faculty:
学部 University:
Date of (Expected) Graduation:
・
Month
学科 卒業・卒業見込
Year
(1)
参加申込書記入の際は募集要項熟読の上，記入漏れがないようにすること。
(2)
※印欄は記入しないこと。
(1)
Read carefully Application Procedure For Foreign Student Admission to Master's Program in Science and
(2)
※Leave blank.
Engineering before filling out this form.
2013年10月入学
2015年10月入学
(don't cut off here)
山口大学大学院理工学研究科
2013年10月入学
2015年10月入学
山口大学大学院理工学研究科
THE GRADUATE SCHOOL OF SCIENCE AND ENGINEERING, YAMAGUCHI UNIVERSITY
THE GRADUATE SCHOOL OF SCIENCE AND ENGINEERING, YAMAGUCHI UNIVERSITY
参 加 証
Identification Card for the Briefing Session
写 真 票
Photograph Card
志望専攻
Division
切
※
受験番号
Examinee's No.
フリガナ
氏 名
Name
り
離
(don't cut off here)
さ
←写真 Photograph
1. 申込前３か月以内に撮影した上半身・
無帽・正面向きのもの。４cm×３cm。
2. 写真の裏面全面にのり付けすること。
1. Head and shoulders, hatless, facing
forward, 4cm×3cm, taken within the
last 3 months.
2. Paste thoroughly.
な
い
こ
と
志望専攻
Division
※
受験番号
Examinee's No.
フリガナ
氏 名
Name
備考
(1) 記入漏れのないようにすること。
(2) ※印欄は記入しないこと。
Note
(1) Fill in all columns except those marked.
(2) ※Leave blank.
山口大学大学院理工学研究科（外国人留学生用）履歴書
Personal History for Foreign Student
フリガナ
Family Name
氏 名
Name in Native Language
First Name
Middle Name
氏 名
Name in Roman Block Capitals
生 年 月 日
Date of Birth
年 月 Year
Month
日 生
Date
性別
Gender
出生地
Place of Birth
国 籍
Nationality
出 身 大 学
現 住 所
Address
TEL (
学校名および所在地
Name and Address of School
学校名: Name
入学および卒業年月
Year and Month of Entrance and Completion
年
年
学校名: Name
Academic History
Professional Career
備考
入学: From
years 卒業: To
歴
職
歴
入学: From
years 卒業: To
Secondary Education/ 学校名: Name
Junior and High School
所在地: Location
年
所在地: Location
入学: From
years 卒業: To
以上を通算した全学校教育修学年数
Total Years of Schooling Mentioned Above
他
入学: From
years 卒業: To
所在地: Location
の
) - (
Required Years of Study
中等教育/中学および高校
そ
) - (
正規の修学年数
年
高等教育/大学
Higher Education/
Undergraduate Level
・ 未婚
Unmarried
職 業
Occupation
初等教育/小学校
Elementary Education/ 所在地: Location
Elementary School
学校名: Name
学
既婚
Married
大学 学部 学科 University
Faculty
Department
Most Recent Education Background
区 分
男 ・ 女
Male Female
年yr
月mo
年yr
月mo
年yr
月mo
年yr
月mo
年yr
月mo
年yr
月mo
年yr
月mo
年yr
月mo
専攻科目
Major Subject
)
学位・資格
Diploma or Degree
年
years
学 校 名 お よ び 所 在 地
Name and Address of School
入学および卒業年月
Year and Month of Entrance and Completion
学校名: Name
入学: From
年yr
月mo
所在地: Location
卒業: To
年yr
月mo
学校名: Name
入学: From
年yr
月mo
所在地: Location
卒業: To
年yr
月mo
勤務先および所在地
Name and Address of Organization
勤 務 期 間
Period of Employment
役職名
Position
年yr
月mo∼
年yr
月mo
年yr
月mo∼
年yr
月mo
Note
１．幼稚園，保育所教育は学歴に含まない。
２．大学予備教育は中等教育に含まれる。
３．記入欄が不足する場合は，適当な別紙に記入して添付すること。
在学資格
専攻科目等
Student Status Major Subject
職 務 内 容
Type of Work
１．Exclusive kindergarten education or nursery school education.
２．Include preparatory education for university admission in
secondary education.
３．In the case the blank spaces above are insufficient for information
required, please attach an additional sheet to this form.
志望専攻
Division you wish to enter
志望教育研究分野
Study Field
（注）Write out the purpose and plan of your intended research subject or field in Japanese in about 800 characters
or type it out in English in about 200 words on this form: sign at the end of the form．
研究を希望するテーマあるいは分野についてその目的及び研究方法を日本語では800字 程度，英文では200語程度（タイプすること）で
この様式の用紙に記入し，末尾に署名 すること。
受験番号
Examinee's No.
2015年10月入学
２０１３年１０月入学
※
山口大学大学院理工学研究科入学志願票
APPLICATION FOR ADMISSION TO THE GRADUATE SCHOOL
OF SCIENCE AND ENGINEERING, YAMAGUCHI UNIVERSITY
年
月
日
′男 (Male)
′女 (Female)
フリガナ
氏名
Name
Date
Signature
年
月
日 生
Date of Birth
志望専攻
Division you wish to enter
志望教育研究分野
Study Field
志望指導教員
Academic Adviser
専攻
現住所
Address
連 絡 先
Mailing Address if Different
(Person to be Notified in Emergency)
保
氏 名
Name
続 柄
Relationship
護
者
現住所
Address
年 月 入学資格
University or
Department:
Faculty:
大学 学部 学科 卒業・卒業見込
University:
Date of (expected) Graduation:
College Attended
Month
・
Year
備 考
(1) 願書記入の際は募集要項熟読の上，記入漏れがないようにすること。
(2) ※印欄は記入しないこと。
Note
(1) Read carefully Application Procedure For Foreign Student Admission to Master's Program in Science and
Engineering before filling out this form.
(2) ※Leave blank.