Application Form for Tokyo Tech-AYSEAS2015

Tokyo Institute of Technology

Application Form [For Tokyo Tech students]

Tokyo Tech-Asia Young Scientist and Engineer

Advanced Study Program 2015
1. PERSONAL INFORMATION (in English or Japanese)
Name (in English
alphabet)
Name (in Kanji or
Katakana)*1
Sex

MaleFemale

Date of birth

DD/MM/YYYY

Nationality
Student ID
number
School/Faculty/
Department
Academic Year

B1B2B3B4M1M2
Others(
)

Email address*1
Mobile phone
number*1
Desired date of
interview*2

26 May(Tue)28 May(Thu)No preference

*1 Applicants need to be informed of the date and venue of the selection and any procedures
after the selection. The Tokyo Tech-AYSEAS Administration Office does not share this
information with outside parties except to the extent necessary to complete the application
process.
*2 We will do our best to accommodate your desired interview date.

Thank you for your application. Please send this form to

ayseas@jim.titech.ac.jp
For Tokyo Tech applicants
Application deadline: 18 May, 2015 (Mon) 23:59 JST*
(*Japan standard time)
Interview date: Afternoon of 26 May (Tue) or 28 May (Thu)
You will be notified of the time and venue of the interview
Page 1 of 2

Application Form for Tokyo Tech-AYSEAS2015

Tokyo Institute of Technology

soon after the deadline has passed.

The result will be sent by email in early June.
2. ESSAY (English only)
Question: What is your purpose for joining Tokyo Tech-AYSEAS and what are
your expectations of the program?
(maximum 500 words)

Page 2 of 2