Application for

“Japanese for Civil and Environmental Engineers I”

(Japanese Language Course)

Those who wish to attend the course must send an application to your course
instructor in addition to the formal registration to the university. Please send the
application to your course instructor preferably via e-mail:

To Ms Jonishi (kyokojonishi@hotmail.co.jp) for the course starts in April

To Ms Sakai (YQX00674@nifty.com) for the course starts in October

Please send a copy of the application to the course organizer also:

ymatsu@mail.saitama-u.ac.jp

In the application, please include the necessary submittal data organized under the
following format:

For students

Student ID: 11ME131

Department: GRIS
Name (Full name): KYAW PHONE LWIN
(This will appear in the “Certificate of Completion”.)
Nationality: MYANMAR
Sex: MALE
Date of Birth (Month-Day-Year): 3-5-1976
E-mail Address: kplwin1976@gmail.com
Supervisor’s Name: Associate Professor Masahiko OSADA
Japanese Course Instructor’s Name: Ms Sakai

For student’s spouses

Name (Full name):

(This will appear in the “Certificate of Completion”.)
Nationality:
Sex:
Date of Birth (Month-Day-Year):
E-mail Address:
Name of Spouse (Student):
Spouse’s Student ID:
Japanese Course Instructor’s Name: