Department of Civil Engineering, Yokohama National University
Applicant’s name (type or print):

first middle

Program applied:

□ Doctoral program □ Master program

Note to applicant: Fill above and give this form to the recommender who knows your academic capability. To recommender: Please fill in the following and send this form directly to Prof. Fumihiko Nakamura, Foreign Student Officer, Department of Civil Engineering, Yokohama National University, 79-5, Tokiwadai, Hodogaya-ku, Yokohama 240-8501, Japan. Do not give this form to the applicant. 1. How long and under what circumstances have you known the applicant?


Please rate the applicant in terms of the items listed below.
Weak lower 50% Fair top 50% Good top 25% Very good top 15% Excellent top 5% Not known

Intellectual potential Analytical ability Creativity Motivation Independence Maturity Cooperation with others English skill (writing) English skill (speaking) 3. Please provide additional comments on the applicant. Give your opinion on the possibility of the applicant’s success in the course. Use overleaf, if necessary.

4. Indicate your overall evaluation of the applicant. □strongly recommended □recommended □recommended with reservation □not recommended Signature Name (Please type or print) Title Address Institution Date

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