The University of Tokyo Graduate School of Frontier Sciences International Liaison Office

Application Form

Note: The item with * must be provided.

Family Name (as written in passport)*
First Name (as written in passport)*
Middle Name (as written in passport)
Nationality*
Date of Birth*
Gender*
E-mail*
E-mail Confirm*
Phone*
Fax
Residential Adress	Address 1 (Apartment, Suite, Unit, Floor)*
	Address 2 (Street Address)*
	City and State/Province*
	Country and Zip code*
Mailing Address (if different from above)	Address 1 (Apartment, Suite, Unit, Floor)
	Address 2 (Street Address)
	City and State/Province
	Country and Zip code
Emergency Contact 1	Name*
	Relationship with applicant*
	E-mail*
	Phone number*
Emergency Contact 2	Name
	Relationship with applicant
	E-mail
	Phone number
Name of University*
Major(s) / Name of Department of Course*
How long is the program/course you are currently studying ?*		year
What grade are you in at the time of application?*
Expected Graduation Date*
GPA*		out of

Laboratory you apply at GSFS
You will need to choose Laboratory from the separated list.
Priority	Name of faculty member	Program Dates
1*
2
3

Language proficiency (Required of applicants whose first language is not English)
Qualification	Score	Date obtained
IELTS
TOEFL
Others
None to submit
None to submit (Others)

This program offers a UTSIP scholarship.*

If you select No.2, please answer to the following inquiries:

Q1. What scholarship you are applying:
Q2. When you know the result:

If you select No.3, please describe your situation below.

How did you know about UTSIP?*

if any, please specify

Do you plan to apply to GSFS?*
If yes:	When do you plan to Enroll?*
If yes:	Department you intend to apply to:*
If no:	Please select a reason:*
If no:	Name and country of the university you plan to attend, if applicable:
If undecided:	Please select one:*
If undecided:	If other, please explain:

To applicants from the US universities:

You may be eligible to apply for a FUTI Internship Award. Please browse the website https://www.friendsofutokyo.org/scholarships-for-short-term-studies/ for further information.

Note: If you do not receive an e-mail from us within six(6) hours after you submit the application data, it means your e-mail address you have provided is not valid. In this case, you must fill this page in again.

Note: If you don't find our reply in your mail box, please check a spam folder. Our e-mail may be regarded as a spam.

Personal Information:

Your personal information will be used in accordance with "Act on the Protection on Personal Information Held by Incorporated Administrative Agencies, etc." and "The University of Tokyo Rules on Measures for Proper Management of Retained Personal Information, etc.". Personal information you submit for applying for the UTSIP Kashiwa to The University of Tokyo (such as date of birth, gender, nationality, age, home university, emergency contact) will be shared only within The University of Tokyo for the purpose of screening, announcement of results, and other subsequent university procedures.

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The University of Tokyo Graduate School of Frontier Sciences International Liaison Office

Application Form

International Liaison OfficeGraduate School of Frontier Sciences

International Liaison Office
Graduate School of Frontier Sciences