The University of Tokyo

Graduate School of Medicine

E-mail: in.m@gs.mail.u-tokyo.ac.jp

Application Form for MEXT Student with Embassy Recommendation

(For Research Student Candidates)
受入申請書

Academic Year 2024 Please type or write in block letters.

Section 1 Name
, Male
Family Name First Name Middle Name Female
Section 2 Date of birth

yyyy / mm / dd Age as of arrival in Japan

Section 3 Nationality

Section 4 Present affiliation (the name of the university or of employer)

Section 5 Contact information *To be used for sending a Letter of Provisional Acceptance
Postal address:

Telephone number:

E-mail address:

Section 6 Following the link below, write Division and Department of your interest
i) Department :
Major Field of
ii) Study :

Section 7 Professors you prefer to have as your supervisor * You must choose one as a prospective superviso
Name of the Professor:

　<FYI> Department/Staff

https://www.m.u-tokyo.ac.jp/english/departments/graduate.html

Section 8 Intended course you would like to enter

i) I would like to enroll as

a research student as a candidate for a regular postgraduate course

a research student not intending to obtain a degree form The University of Tokyo

ii) I would like to enter

Master's course Doctoral course

Section 9 I would like to enroll in:

April 2024 □ October 2024

MEXT 1/1