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Form 3

2015
UTokyoIIT Graduate Student Scholarship Program
etter o! "ecommendation
I recommend the student #elo$ !or the UTokyo%IIT Graduate Student Scholarship Program&
'pplicant (Student)*s In!ormation
Name
Entry to IIT YYYY/MM /
(Prospective) Graduation from IIT YYYY/MM /
Affiliation IIT ydera!ad IIT "#ara$pur IIT Madras IIT "anpur IIT %el#i
Ma&or at IIT
'ompleted (or e(pected to
complete) %e$ree at IIT
)ac#elor Master*s %octorate
"ecommender*s In!ormation
Name
Affiliation IIT ydera!ad IIT "#ara$pur IIT Madras IIT "anpur IIT %el#i
Position/title at IIT
Mailin$
address
Tel +a(
Email

To the "ecommender+
T#is form is intended to !e filled in !y an academic supervisor or professor at IIT ,#o
,is#es to recommend #is/#er student for t#e -To.yo/IIT Graduate 0tudent 0c#olars#ip
Pro$ram startin$ from 1inter semester 23456
Form 3
Signature o! "ecommender
0i$nature %ate (YYYY/MM/%%)
Please use t#e space !elo, (and/or attac# a separate s#eet if needed) to evaluate t#e student*s
academic a!ility7 motivation and potential for ac#ievement in t#e $raduate pro$ram at t#e -niversity
of To.yo6
For In,uiries+
International E(c#an$e Group7 International Affairs %epartment 7
T#e -niversity of To.yo
E/mail8 inte-%ut.ml&adm&u%tokyo&ac&/p

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