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E-mail: ask-gsst@gpo.kumamoto-u.ac.jp
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2. Nationality:
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Gender:
Male
Female
3. Date of birth:
/ / /
Month
Day
Year
Age
Masters Course
Doctoral Course
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year
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year
Second year Third year
8. Academic history:
Name of University/Institution
Location
Period of
(city, country)
Numb
Attendance
er of
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years
years
9. Job experience:
Name of Workplace
Location
Job Tenure
Month / Year
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Application for Short-Term International Joint Education Program for Environment & Energy, GSST, Kumamoto University
Fax Number:
Relationship to you:
Signature
I certify that all the information provided on this form and in the accompanying documents is
complete and accurate to the best of my knowledge.
Date :
Signature:
Application for Short-Term International Joint Education Program for Environment & Energy, GSST, Kumamoto University
Describe your current research at your university, your academic objectives and study plan at Kumamoto
University as detailed and concretely as possible. Additional sheets of paper may be attached if necessary.
Application for Short-Term International Joint Education Program for Environment & Energy, GSST, Kumamoto University