2021 Entrance Examination Guide for Doctoral Program - Tokyo Denki University Graduate School of

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2021 Entrance Examination Guide
      for Doctoral Program

           Graduate School of
     Advanced Science and Technology

       Tokyo Denki University
1. Admission Policy

The Doctoral Program of Graduate School of Advanced Science and Technology, in order to
assume responsibility at every educational and research organization through the collaborative
policy among industry, government, and academia in an internationally advanced research
environment, aims at nurturing researchers who have wide perspective and highly creative
research and development capabilities adequate enough to pursue research activities
independently, or nurturing university faculty who possess reliable skills in both education
and research.
The graduate school, without delay, also responds not only to fusional, collaborative, and
flexible approaches to research activities but to developments of new fields, necessary for the
advancements of interdisciplinary researches and international research collaborations, which
will be demanded further in the years ahead.
The graduate school welcomes students who are enthusiastic for working broadly in society as
researchers based on this policy.

Major of Mathematical Sciences
welcomes students who have acquired basic methodology for problem solution in the fields of
mathematics, physics, chemistry, and system science, and are eager to learn the advanced
expertise in the educational policy of the major.

Major of Electrical and Electronic System Engineering
welcomes students who understand the following policy and are eager to pursue research
independently, or to work productively in society where advanced expertise is demanded.
  This program promotes research and education not only in the fields of electric engineering,
electronic engineering and information processing but in interdisciplinary integration of these
areas.
・to nurture researches and higher-level engineers with flexible thinking through continual
   and practical pursue of the research theme based on their own conception.
・to contribute to international society through academic researches by developing abilities to
   conduct researches with global world perspective and credentials for independent,
   self-motivated, and creative power of conception.

Major of Information, Communication, and Media Design Engineering
welcomes students who understand the following policy and are eager to pursue research
independently, or to work productively in society where advanced expertise is demanded.
 This program promotes basic and advanced academic research in the related fields of
information, communication, and media design engineering, and conduct researches in
various areas with global perspective and independence.
                                               1
This program practically pursues advanced technological development themes and theoretical
analysis themes to nurture researchers and advanced engineers who are creative and
future-oriented to yield technological germinations.
 This program nurtures abilities to conduct researches from a comprehensive view and
characters and credentials such as independence, self-motivation, and creative power of
conception, and also language proficiency for international contribution.

Major of Mechanical System Engineering
welcomes students who understand the following policy and are eager to pursue research
independently, or to work productively in society where advanced expertise is demanded.
 This program conducts research education aiming at applicable research achievements
centered on basic research in mechanical engineering and in the related fields.
  This program nurtures researchers and engineers who can serve a social role by promoting
advanced researches and actual utilization in the boundary area among electrical, electronic,
information engineering, and mechanical engineering in its center.

Major of Architecture, Civil, and Environmental Engineering
welcomes students who understand the following policy and are eager to pursue research
independently, or to work productively in society where advanced expertise is demanded.
 This program nurtures engineers who have a new paradigm encompassing architecture, civil
engineering, and environment to construct and consolidate a mature society in the 21st
Century.
 This program nurtures engineers and researchers who can delve into land disaster prevention
and urban renovation from a global viewpoint considering world environmental issues.
 This program develops abilities to solve various problems in architecture, cities, civil
engineering, and environment from a comprehensive viewpoint through exchange and fusion of
knowledges and skills accumulated in each field of architecture, civil engineering, and
environment.

Major of Materials and Life Sciences
welcomes students who understand the following policy and are eager to pursue research
independently, or to work productively in society where advanced expertise is demanded.
 This program integrates the areas of conventional materials engineering, biotechnology, and
environmental science to reproduce an academic field with a comprehensive view of human
beings, engineering, and society.
 This program conducts research and education under the consistent academic framework
with the aim of fusion of “people” and “materials”, integrating biotechnology and material
engineering, from fundamental technology to applied technology.
 This program nurtures creative engineers and advanced researchers who can independently
pursue research with a broad perspective without relying on a specific field.
                                                2
Major of Advanced Multidisciplinary Engineering
welcomes students who satisfy the following criteria based on its aim of nurturing
internationally-minded human resources who can improve the current advanced technology
and take initiative to produce new technology for the next generation in the boundaries among
the field of science and technology and the fields such as human productive activities, daily life,
healthcare, welfare, disaster prevention.
  Students who try to produce new technology to realize collaborating systems between human
and machine by delving into man-and-intelligent-machine (robot)relation from a technological
viewpoint of system control engineering, information engineering, and robotics.
  Students who try to produce advanced technology applicable to the next generation by
delving into fundamental and applied technology regarding healthcare, welfare, and alternative
medical treatment from a viewpoint of medical engineering, electronic engineering, control
engineering, ergonomics, and mind-body science.
  Students who try to produce new technology for the next generation that yields
environmental safety and comfort by delving into technology regarding environmental safety in
human activity space from a viewpoint of vibration engineering, geotechnics, and architecture.

Major of Informatics
welcomes students who understand the following policy and are eager to pursue research
independently, or to work productively in society where advanced expertise is demanded.
 This program nurtures human resources who have advanced research abilities demanded by
the progress and development of information technology in IT society.
 This program conducts research and education of information science which is fundamental
in advanced information society and of media informatics for utilization of information in
society.
 This program conducts research and education focusing on methods of utilization of
information in society through the acquisition of fundamental information science in addition
to the conventional advanced expertise education centered on information technology.
 This program nurtures researchers, engineers, and scientists who are credited with high-level
expertise, broad perception, and fruitful creativity.

                                                3
2. Admission Schedule

Doctoral Program
       Term                                  First                                              Second

                    Mathematical Sciences                                                                         a few
                    Electrical and Electronic System Engineering                                                   a few
                    Information, Communication, and Media Design Engineering                                       a few
 Number to be       Mechanical System Engineering                                                                  a few
     Enrolled       Architecture, Civil, and Environmental Engineering                                             a few
                    Materials and Life Sciences                                                                    a few
                    Advanced Multidisciplinary Engineering                                                        a few
                    Informatics                                                                                   a few

     Application
                   Friday, 1st ~Monday, 25th May,     2020                 Monday, 6th ~Friday,15th January,      2021
       Period

                   Saturday, 13th ~Friday, 19th June, 2020                 Monday 18th ~ Monday,25th January, 2021
  Examination
                   A date during the above-mentioned period set           A date during the above-mentioned period set
        Date
                   by the major you apply to                              by the major you apply to

                               TDU Tokyo-Senju Campus or TDU Saitama-Hatoyama Campus
  Examination
                   The examination venue will be notified to the applicants at their return address written in the Entrance
       Venue
                   Examination Application Form by the major after their application documents are accepted.

 Announcement
                   Friday, 17th July, 2020                                Friday, 26th February, 2021
 of Examination
                   TDU International Center will contact you.             TDU International Center will contact you.
      Results

     Procedural            Enrollment in September, 2020

       Period      Friday, 31st July, 2020

         for                                                                          Enrollment in April, 2021
                              Enrollment in April,   2021
     Enrollment                                                           Friday 12th March, 2021
                   (1) Friday, 31st July, 2020

                   (2) Monday 15th February, 2021

 ※    The applicants must specify the month and year of enrollment when submitting their application
      documents by replying to the inquiry about their favorite enrollment time in the Entrance Examination
      Application Form.
      The registered enrollment month and year cannot be changed.
 ※    Since every major of the TDU doctoral program offers evening sessions in addition to daytime
      sessions, which enables students to take courses in any time slot. It is possible to complete the
      required course by choosing evening sessions only.
      Please contact TDU International Center at tdu-inter@dendai.ac.jp

                                                                4
3. Eligibility for Applicants

 Applicants shall be one of the following people.
 ①those who possess a master's degree, or those who are expected to acquire a master’s degree by
   the time of enrollment
 ②those who are entitled with an academic degree abroad equivalent to a master’s degree, or those
   who are expected to acquire a degree equivalent to a master’s degree by the time of enrollment
 ③those whose eligibility criteria are approved by the Doctoral Program of TDU Graduate School, at
   the time of enrollment in the TDU Doctoral Program, under the condition that after they
   completed 16-year authorized education abroad or completed undergraduate education, they
   have worked on research at a university or a research institute for at least two years and have
   acquired academic knowledge through their research, equivalent to or higher than that of
   applicants with a master’s degree.
 ④ those whose eligibility criteria are approved by the Doctoral Program of TDU Graduate School on
   the condition that they possess academic knowledge equivalent to or higher than that of
   applicants with a master’s degree.

   Applicants in ③ or ④ in the above categorization must go through the preliminary review,
   which is described in the following section. ③ or ④ applicants must confirm this procedure.

4. Preliminary Review (only for ③ or ④ applicants )
(1) Application Period for Preliminary Review
   Examination Period                          Application Period for Preliminary Review

           First                             Monday, 20th April, ~ Friday 1st May, 2020

          Second                        Tuesday, 1st December ~Friday, 11th December, 2020

(2) Requirements for Approval
● Eligibility Criteria for Applicants in ③
  i. At the time of enrollment in the Doctoral Program of TDU Graduate School the applicants must
    have two-year-or-longer research activity at an educational or research institute of various kinds,
    or at a company or another similar organization.
 ii. The applicants must have research achievement in works such as authors, academic journals,
    academic lectures, research reports, or patents and similar categories, whose evaluation can be
    equivalent to or higher than that of a master’s degree thesis.
● The applicants in ④ will be screened in the same way as the applicants in ③ will, but the ④
   screening will not inquire about academic career.
                                                    5
(3) Documents to be Submitted for Preliminary Review
 *Documents in English will be accepted.
 No.         Documents to be               Format                         Important Note
                  Submitted
  1    Application Form to Confirm       TDU Format Meet the research supervisor under whom you would
       Eligibility for Entrance            (Dr-4)     like to embark on research and receive his or her
       Examination of Doctoral Program                signature and seal for approval affixed on the format.
  2       Statement of Research          TDU Format               Fill in the format as instructed
                Achievements               (Dr-5)             *Offprints, if any, should be attached
  3             Research Plan            TDU Format                     Around 200 words
                                           (Dr-3)
  4      Certificate of (Expected)       Authorized             Documented by Head of Institute
            Completion at Final            Version               in an Officially Sealed Envelope
          Academic Background
  5       Certificate of Academic        Authorized             Documented by Head of Institute
        Record at Final Academic           Version               in an Officially Sealed Envelope
                 Background

(4) Submission
Submit the above-mentioned five documents to TDU International Center during the Application
Period for Preliminary Review. (The entrance examination fee is NOT required for the Preliminary
Review. For more details, please contact TDU International Center at tdu-inter@dendai.ac.jp

(5) Preliminary Review
Preliminary Review is conducted through the examination of submitted documents. An interview
examination could be arranged when it is necessary.

(6) Preliminary Review Result
Preliminary Review Result will be sent to you in the form of Notification to Confirm Eligibility for Entrance
Examination Application before the entrance examination application period.

                                                       6
5. Application Procedures

(1) Application Documents
  *Documents in English will be accepted.
No.        Documents to be                Format                                Important Note
               Submitted
 ①        Entrance Examination          TDU Format
                                                       Fill in the form according to the sample.
            Application Form             (attached)

 ②    Examination Admission Card/       TDU Format     Attach your full face photo with glue on Photo Card for
                Photo Card               (attached)    identification.
 ③               Resume                 TDU Format     Fill in the form according to the sample.
                                           (Dr-1)      Unnecessary for applicants who have passed Preliminary Review

 ④      Certificate of (Expected)      Authorized        Documented by President of University or Dean of
        Completion of Master’s           Version            Graduate School in an Officially Sealed Envelope
                 Program                                Unnecessary for applicants who have passed Preliminary Review

 ⑤      Certificate of Academic        Authorized        Documented by President of University or Dean of
       Record of Undergraduate           Version       Undergraduate School in an officially sealed envelope
                                                            Unnecessary for those who have passed Preliminary Review

 ⑥      Certificate of Academic        Authorized        Documented by President of University or Dean of
      Record of Master’s Program         Version            Graduate School in an officially sealed envelope
                                                        Unnecessary for applicants who have passed Preliminary Review

 ⑦       Summary of Master’s           TDU Format
                                                                            Around 1,000 words
            Program Thesis                (Dr-2)
 ⑧           Research Plan             TDU Format                             Around 200 words
                                          (Dr-3)        Unnecessary for applicants who have passed Preliminary Review

 ⑨      Statement of Research          TDU Format                     Fill in the format as instructed
             Achievements                 (Dr-5)                  *Offprints, if any, should be attached
                                                        Unnecessary for applicants who have passed Preliminary Review

 ⑩          Research Report            Free Format     Only for applicants who have passed Preliminary Review or those

                                                       who have spent three years and longer by the application date after

                                                       the completion of Master’s Program.

                                                                            Around 1,000 words
 ⑪    Copy of Notification to Confirm A4 Size Copy Only for applicants who have passed Preliminary Review
          Eligibility for Entrance                           Copy of Notification to Confirm Qualification for Entrance

         Examination Application                                     Examination Application issued by TDU

                                                        7
(2) Important notices for Application Documents
①Visit TDU International Center Office with your passport after your entry into Japan.

②You cannot be entitled for admission and enrollment if the described contents in your
  application documents are found to be false.

(3) Submission
These above mentioned documents will be submitted to TDU International Center.

(4) Examination Admission Card
After the entrance examination application is completed, TDU International Center will contact you.

6. Payment of Examination Fee

(1) Examination Fee: ¥33,000-

(2) Bank Transfer from Abroad
Make a remittance in terms of Japanese Yen at a financial institution according to the following account
information. Submit the international bank transfer receipt with the application documents to TDU
Admission Center.

 Name of Bank                          MUFG Bank, Ltd.
 Name of Branch                        Kanda Branch
 SWIFT code/BIC code                   BOTKJPJT /        BOTKJPJTXXX
 Branch Address                        2-5-1, Kandaogawamachi, Chiyoda-ku, Tokyo, JAPAN
 Branch Phone Number                   +81-3-3291-3811
 Account Name                          TOKYO DENKI UNIVERSITY
 Account Code                          5441506
 Address of University                 5, Senju-Asahicho, Adachi-ku, Tokyo 120-8551, JAPAN
 University Phone Number               +81-3-5248-5151

(3) Important notices for Payment of Entrance Examination Fee
①You shall pay for the bank transfer fee.
②You cannot make a payment at TDU International Center Office.
③If you do not complete the payment of entrance examination fee,(if you do not have the authorized paid
   stamp of the financial institution, or if your international bank transfer cannot be confirmed no later
   than the application deadline), your application shall not be processed.
④The paid entrance examination fee shall not be refunded under any circumstances.

                                                     8
7. Examination

(1) Examination Date

    Major                                                      Examination Date
                                                               First Semester          Second Semester
    Mathematical Sciences                                      Saturday, 13th          Monday, 18th     ~
    Electrical and Electronic System Engineering               ~Friday, 19th           Monday,25th
    Information, Communication, and Media Design Engineering
                                                               June, 2020              January, 2021
    Mechanical System Engineering
    Architecture, Civil, and Environmental Engineering
    Materials and Life Sciences
    Advanced Multidisciplinary Engineering
    Informatics
【Important Notices】

① The examination date will be fixed during the above examination period by the major you apply to.
②     The venue for the examination will be Tokyo Senju Campus or Saitama Hatoyama Campus.
③ The finalized information on the entrance examination date and place will be informed to you by TDU
    International Center.

(2) Examination
You will be examined comprehensively through an interview and inspection of the submitted
documents.

(3) Contents of Interview
i Applicants in the category ① or ②
    You will be asked about specialized subjects, the contents of your master’s thesis, and the contents
     of research that you would like to pursue.
     If you have spent 3 years and longer since you finished Master’s Program by the application date,
     your research activities during the period will be asked about.
     ※You have to prepare materials such as printouts or PowerPoint data to explain your master’s
     thesis or your research achievements for around 30 minutes.
ii Applicants in the category ③ or ④
     You will be asked about expertise regarding specialized subjects related to research field, research
     achievements, and the contents of research that you would like to pursue. A written examination,
     when its necessity is confirmed, will be provided.
     ※You have to prepare materials such as printouts or PowerPoint data to explain your research
     achievements for around 30 minutes.

(Important Notices)

                                                         9
The examination is independently conducted by the major you apply to.

8. Announcement of Examination Results

(1) Announcement Date
 Examination Period          Announcement Date
 First Semester           Friday, 17th July, 2020
 Second Semester          Friday, 26th February, 2021

(2) Announcement Procedures
Notification by E-Mail
TDU International Center will contact you.

9. Enrollment Procedures

(1) You have to submit the necessary documents for enrollment and pay the deposit for enrollment as
   the initial step to be enrolled.
(2) In order to be enrolled at TDU, you have to secure a person living in Japan as your guarantor, such
   as a parent, who will support your life and budget. A person living abroad cannot be recognized as
   a guarantor for your TDU enrollment.
(3) Documents for enrollment procedures will be sent to the address written in the Entrance
   Examination Application Form. When you change the address, inform TDU International Center of
   the new address immediately. Other campus offices will not handle the change of your address.
(4) If you do not complete the necessary procedure for enrollment by the end of the following
   enrollment procedural period, TDU will judge that you have withdrawn from the enrollment.

(5) Procedural Period for Enrollment
 Examination Period         Enrollment Period   Procedural Period for Enrollment
 First Semester             September, 2020     Friday, 31st   July, 2020
                                                (Complete all payments at one time including Enrollment Fee
                                                    and submission of Enrollment Procedural Documents)

                            April, 2021         (1) First Enrollment Procedural Period
                                                (Payment of Enrollment Fee only)
                                                Friday, 31st   July, 2020
                                                (2) Second Enrollment Procedural Period

                                                (Complete payment except for Enrollment Fee and submission
                                                    of Enrollment Procedural Documents)
                                                Monday 15th February,2021

                                                    10
Second Semester             April, 2021         Monday 12th March,   2021
                                                 (Complete all the payments at one time including Enrollment
                                                    Fee and Submission of Enrollment Procedural Documents)

Documents for enrollment for applicants who have passed in the first semester examination to be
enrolled in April, 2021 will be sent to them in the middle of January, 2021.

10. Enrollment Procedure Fee

It slightly varies according to the period of enrollment.

(1) For Enrollment in September, 2020
When you are enrolled in September, 2020, the information in the following table is for you.

Doctoral Program                                                                                     (JPN¥)
                               Enrollment Procedural Fee              Second Semester     First Academic Year

                               First Payment                                              (Amount)

                               Second Payment
Enrollment Fee                 250,000 once at matriculation          ―                   250,000
Tuition                        505,000                                505,000             1,010,000
Other Fees
                               9,620                                  ―                   9,620
(Alumni、Student Insurance)

Total                          764,620                                505,000             1,269,620

                                                   11
(2) For Enrollment in April, 2021
When you are enrolled in April, 2021, the information in the following table is for you.
The amount of other fees is not finalized yet and it is copied from that for students who are enrolled
in the academic year of 2020 just for reference.

Doctoral Program                                                                                   (JPN¥)
                              Enrollment Procedural Fee               Second Semester   First Academic Year

                              First Payment        Second                               (Amount)

                                                        Payment
Enrollment Fee                250,000 once at      ―                  ―                 250,000
                                  matriculation
Tuition                       ―                    505,000            505,000           1,010,000
Other Fees
                              ―                    9,620              ―                 9,620
(Alumni、Student Insurance)

Total                         250,000              514,620            505,000           1,269,620
(Important Notices)
(1) Personal Accident Insurance for Students Pursuing Education and Research will be effective for 3
   years, which is a standard enrollment period of doctoral program.
(2) If you are enrolled in September 2020, the deadline of the tuition payment for the second semester
   is the end of April, 2021. You will receive document for tuition payment in early April.
(3) If you are enrolled in April, 2021, the deadline of the tuition payment for the second semester is the
   end of October, 2021. You will receive document for tuition payment in late July.
(4) The enrollment fee, once it is paid, shall not be refunded under any circumstances. The tuition and
   other fees will be refunded according to the designated procedure, which is stipulated in the guide-
   booklet of enrollment fee payment.
(5) If you need to take a leave of absence during the enrollment period due to some reasons, you have
   to pay ¥60,000 for one semester to maintain your student status.
(6) If you find yourself in a situation to repeat one academic year, the tuition of your enrollment year
   shall be applied.

11. Scholarship

If you need information on scholarship, please contact TDU International Center at
tdu-inter@dendai.ac.jp

                                                   12
12.Handling of Private Information

Information on your private life such as name and address that TDU has obtained through your
application and enrollment processes shall be used exclusively for sending of documents for
admission and statistical data disclosure without individual names. TDU shall manage your private
information confidentially.

                                                13
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15. Entrance Examination Application Form
     2021 The Doctoral Program of Graduate School of Advanced Science and Technology
                                                Tokyo Denki University

                                                                    Examinee’s Number (no need to fill in)

                                                                                             Examination Period
  Major
                                                                                               First    Second
  Mathematical Sciences
  Electrical and Electronic System Engineering
  Information, Communication, and Media Design Engineering
  Mechanical System Engineering
  Architecture, Civil, and Environmental Engineering
  Materials and Life Sciences
  Advanced Multidisciplinary Engineering
  Informatics
                                      X-mark your choice in bold face as indicated. →

   Enrollment Period (X-mark your choice in bold face.)

     September, 2020                  April, 2021

When you make an international remittance for the payment of examination fee, submit the copy of
international bank transfer receipt with the application documents to TDU Admission Center. The
application will be invalid without Official Paid-Stamp of Bank or the copy of international bank transfer
receipt.
Write in block letters. Numbers should be in Arabic numerals.

Name                                                                                     Gender           M             F

Date of Birth       Day:               Month:                   Year:                    Nationality

Home Address
                                                                                      Postal Code               Country

                    Home                                            Mobile
Phone Number
                                   ‐            ‐                             ‐             ‐

                    Home Computer                                  Mobile
e-mail
                                                @                                                     @

                    Major                                           Department

Final Academic
Background          Graduate School                                                             Country

Date of Completion of Final Academic Background or Expected Date of Completion

Date of Completion: Day:                    Month:                       Year:

Expected Date:              Day:            Month:                          Year:

Address in Japan
                                                                                  Tokyo or Prefecture (Ken)      Postal Code

Phone Number            Home                                            Mobile

 in Japan                               ‐           ‐                                ‐            ‐

                        Company Name                                    Department you are in

Company when
you are employed        Phone Number

                                        ‐           ‐

Area of Research you

are interested in

TDU Graduate School Faculty Member whom you would like to be supervised by

Name                                                    Major                                                 Seal for Application

                                                                                                              Acceptance
(Format Dr-1)
          The Doctoral Program of Graduate School of Advanced Science and Technology
                                               Tokyo Denki University
RESUME

The Major you would like to apply to 〔                                                                                〕

Write in block letters. Numbers should be in Arabic numerals.

Name in print                                                                     Gender            M           F

Date of Birth         Day:            Month:                    Year:             Nationality

Current Address
                                                                                  Postal Code               Country

Phone Number          Home               ‐          ‐                    Mobile             ‐           ‐

Parents’ Address
                                                                                  Postal Code               Country

Phone Number
                      Home               ‐          ‐                    Mobile             ‐           ‐

                                                                         Period spent at
Educational                                         Year and Month of                       Diploma or Degree awarded,
                           Name of School                                  the school
                                                      Entrance and                                    Major
Background                                                                  attended
                                                       Completion

Secondary Education
                                               From                     Years
  Lower Secondary
                                               To                       Months
        School
  Upper Secondary
                                               From                     Years
      School
                                               To                       Months

  Higher Education
                                               From                     Years
Undergraduate Level                            To                       Months

   Graduate Level                              From                     Years

                                               To                       Months

                                               From                     Years              Reason
Period of Non-Attendance or Non-Enrollment
                                               To                       Months

Employment Record       Name of Organization    Period of Employment        Position                Type of Work

                                               From

                                               To
                                               From

                                               To

                                               From

                                               To
Name                  Relation      Age               School or Company

Family Information

Theme of
Master's Thesis

                                  Name                            Major                   University
Supervisor

Courses you are
confident in
                                         Name                                     Date of Acquisition
Licenses or                                                               Month          Year
Authorized                                                                Month          Year
Qualifications
                                                                          Month          Year

                                                                          Month          Year

Expected             No   Yes                   Name of Scholarship Organization
Scholarship                     When Yes:
(X-mark)
(Format Dr-2)

     The Doctoral Program of Graduate School of Advanced Science and Technology

                                   Tokyo Denki University

                   Summary of Master’s Thesis (completed or to be completed)

Desired Major :

Name :

Title of Thesis:

Name of Gradate School:
(Format Dr-3)

    The Doctoral Program of Graduate School of Advanced Science and Technology

                             Tokyo Denki University

                           Outline of Planned Research

Desired Major :

Name :
(Format Dr-4)
         The Doctoral Program of Graduate School of Advanced Science and Technology
                                        Tokyo Denki University
    Application Form to Confirm Eligibility for Entrance Examination of Doctoral Program

                                                             Examinee’s Number (no need to fill in)

The Major you would like to apply to 〔                                                                〕

Write in block letters. Numbers should be in Arabic numerals.
                                                                       Gender
Name                                                                                M           F
                                                                       (X-mark)

Date of Birth       Day:          Month:             Year:            Nationality

Current Address
                                                                      Postal Code           Country

Phone Number        Home            ‐      ‐                 Mobile             ‐       ‐

Academic            Day    Month Year                 Achievements and Activities
Background

Employment          Day    Month Year                 Achievements and Activities
Record
(Elaborate on
research and
work.)
Academic and        Day    Month Year                 Achievements and Activities
Social Activities

Autograph of Desired Supervisor                                                             印
* 出願書類認定結果                 合 ・否    入試日程(         年           月入学)以降の入試に限る。
大 研究科委員長                                                                            印
学 専攻主任                                                                              印
記 理由等
入
欄
(Format Dr-5)

                                     Statement of Research achievements

                                               ※Examinee’s
Desired Major                                                                          Name
                                                 Number

Title of Academic Article, Research Report,                             Date of Issue or
                                                          Author                              Title of Magazine or Name of
Presentation, or Patent                                                 Presentation
                                                                                              Academic Conference

Notes: 1. ※No need to fill in.

        2. Attach offprints or copies of academic articles or papers.

        3. Underline first author when co-authored.
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