Mark "X" or "OK" in your available time slot, only on yellow

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10:00ok

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16:45ok

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17:10-

zone.
18:00-

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name (first name FAMILY NAME) *

nationality/hometown *
graduating school *
address of hometown
grade/status in Titech *
laboratory in Titech *
address in Japan *
roommate if any.
contact phone number
E-mail
personal reference in Japan (person to contact for emergency )

When did you come to Japan ?

Do you take Japanese language class ?
How much money you can use per month ?
What kind of scholarship do you receive ?
(MEXT/private company/financial group/foundation/RA of
Titech/others or by your own money)
What is your goal in future ?
(to go to graduate school or doctor course/get a job in Japan
or home country etc.)
What is your interest/hobby in Japan.
If you have something special to talk, please check below.
(trouble in Japan/language/culture/foods/economy/friends
/research etc.)

*mandatory field
Teerachot SIRIBURANON
Thai/ Bangkok
Physical Electronics
70 Prakonchai Rd, Paknam, Musng, Samutprakarn 10270 Thailand
M1
Matsuzawa/Okada Lab
Shofu Dormitory

080-3595-0766
teechot@gmail.com

act for emergency )

Oct-10
yes
about 6000 yen
MEXT
finish doctoral course
travelling