Professional Documents
Culture Documents
For Global Human Resource Development in Earth Resources Engineering, Kyushu University
Application for Course Admission
Date/ Month/ Year: / /
Program Leader:
Koichiro Watanabe
Professor
Faculty of Engineering, Kyushu University
I wish to apply to the ASEAN-Japan BUILD-UP Cooperative Education Program, with a good
understanding of the objectives and the education program. I agree to be under consultation and
supervision of my host professor.
Nationality:
Male Female
Faculty/Department: ________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Laboratory: _____________________________________________________________________________
University: _______________________________________________________
Supervisor:
Tel: ( ) (ext.: )
Mobile phone: ( )
E-mail: ___________________@______________________________________
MEAL REQUEST:
Normal Muslim Meal Hindu Meal Vegetarian Meal
Supervisors recommendation comment