Explanatory Items Related to Applying to Use One’s Personal Appellation
1. Explanation of this system’s details□ You can go back to your officially registered name on a passport (officialname) after changing to a personal appellation, but as a rule you are notauthorized to change again to some other full name.
□ In the future, your personal appellation will be shown on all documents theuniversity issues except those for which the use of a personal appellation isprohibited by laws and regulations.
□ Your personal appellation will also be shown on transcripts and otherdocuments sent to your home, etc.
□ An official name will be shown on documents related to teacher’s licenses,
national government certifications and so on for which the use of a personal
appellation is prohibited by law.
□ Listing an official name may be required for procedures related totemporary employees or teaching assistants
Main reasons why listing an official name may be required:・Employing and paying temporary employees
・Paying teaching assistants→ Due to paperwork based on laws and regulations

2. Other points to note□ If you used your personal appellation at the time you graduate, complete
your course or withdraw from the university, your personal appellation will also
be used in subsequently issued documents.
□ When asked to provide proof of your use of your personal appellation,please apply for the separately attached Form 5—Regarding the Form in Whicha Tokyo Metropolitan University Student’s Name Is Written—and explain that you
are the person in question based on said document.
□ Please contact the Academic Affairs Division, Academic & Student Affairs
Division of your faculty/graduate school, or Diversity Promotion Office if you
have additional questions.

Tokyo Metropolitan University Guidelines for Handling the Use ofStudents’ Personal Appellations
Enacted September 29, 2017

Article 1 (Purpose)
These guidelines specify how this university will handle the personal
appellations of students and other procedures.
Article 2 (Definitions)
For the purpose of these guidelines, “personal appellation” refers tosomething (including a maiden name) widely used in place of the name on
one’s passport (hereinafter, “real name”).
Article 3 (Students who can apply to use a personal appellation)
The following students can apply to use personal appellations:
1. Undergraduate students
2. Graduate program students
3. Graduate school students
4. Credited auditing students
5. Research students
Article 4 (Cases in which personal appellations can be used)
Personal appellations can be used in the following cases:
1. When a surname changes for such reasons as marriage
2. By students of foreign nationality whose personal appellations are shownon their residence record
3. Other cases as deemed necessary
Article 5 (Documents in which personal appellations are used)
Personal appellations may be used in documents other than the ones
specified in Article 6 below.
Article 6 (Documents in which personal appellations cannot be used)
Personal appellations cannot be used in the following documents:
1. Teacher’s license application documents
2. When the law specifies that one’s real name must be used
3. For other documents in which the university president has determined theuse of personal appellations would present difficulties

Article 7 (Applying to use a personal appellation)
1. Students who wish to use a personal appellation must submit an officialapplication form (attached Form 1) and any required documents to theregistrar of the school, etc., with which they are affiliated.
2. The university president will approve the use of a personal appellation after
determining that the abovementioned application meets the requirements ofArticle 4, and will then notify the student in question via the registrar of theschool, etc., with an official notice of permission (attached Form 2).
3. Students who have applied to use a personal appellation and received
permission cannot as a rule change their name again to anything other thantheir real name. Furthermore, students who have changed their personal
appellation back to their real name cannot in principle change to theirpersonal appellation again.
Article 8 (Discontinuing use of a personal appellation)
1. Students who use a personal appellation and wish to discontinue its use
must notify the registrar of the school, etc., with an official discontinuation
notice (attached Form 3).
2. When the application stipulated in the preceding item has been approved,
the student in question will be notified via the registrar of the school, etc., withan official notice of permission (attached Form 4).
Article 9 (Records)
The registrar of the school, etc. is to record the details of applications
stipulated in the previous two articles above that have been approved in theclerical work information system.
Article 10 (Handling of personal appellations following graduation, course
completion or withdrawal from the university)
With regard to applications for and issuing of documents (other than items
specified in Article 6) that pertain to students who were using a personal
appellation at the time of graduation, course completion or withdrawal fromthe university, said students’ personal appellations will continue to be usedfollowing graduation, course completion or withdrawal from the university.
Article 11 (Certificate pertaining to the use of a personal appellation)
Attached Form 5 (Regarding the Form in Which a Tokyo Metropolitan University
Student’s Name Is Written) will be issued upon the request of a student using apersonal appellation for certification that the use of a personal appellation has
been, or was, authorized for things such as this university’s documents.
Article 12 (Other)

The university president will separately specify required items other thanthose specified in these guidelines.
Supplementary Provisions
These guidelines were implemented from October 1, 2017Form 1

Date:

Application for Use of Personal Appellation
To: Tokyo Metropolitan University president
I consent to the points below and apply to use a personal appellation as describedbelow.

Please confirm the content and check those applicable.
□ Your personal appellation will be shown in all fields for your name in all varietiesof certificates (including report cards sent to your guarantor’s address) that Tokyo
Metropolitan University issues if your application for use of personal appellation isapproved.
□ In principle, you cannot change to a name other than the one in your passport
again if your application for use of personal appellation is approved.
I have confirmed the preceding details and consent.
StudentName
Seal/signature

Guarantor
Name andrelationship

Address

Address

Tel.

Tel.

Seal/signature◆ Applicant’s data:
Student ID number:
Grade:
Faculty and department (graduate school):
Course and department (major):
Name:
Name in katakana:Name* rendered in Roman alphabetic characters:
Nationality:*Please write the name shown in your passport.
◆ Personal appellation that will be used:
Katakana
Personalappellation
Alphabet

SurnameGiven name(s)◆ Reason for wanting to use a personal appellation (Please check theapplicable □ below.)
Reason□□① I changed my surname because I married, but
wish to use my maiden name
② I want to use the personal appellation shown on
my residence record

Required documents
Student ID, family register
Student ID, a copy of residence
record□③ I belong to a sexual minority and want to use mypersonal appellation

Student ID, a copy of residence
record□④ Other (please write your reasons in the spacebelow)

Student ID, a copy of residence
record, items that support thejustification for your reasons◆ Reasons (Please only write here if you chose ④ Other)

This space is reserved for clerical processing
Starting date:
Date recorded in student’s record:
OtherConfirmationsealForm 2Date:

Notice of Permission to Use Personal Appellation
To:

This is to notify you that your __(date) application to use apersonal appellation as shown below has been approved.

1. Personal appellation that will be used:
Katakana
Personal
appellation
Alphabet

Surname2. Date use will commence:

Tokyo Metropolitan University president

Given name(s)Form 3

Date:

Notice regarding Discontinuation of Use of Personal Appellation
To: Tokyo Metropolitan University president

I am applying to discontinue the use of my personal appellation, as shown below.

◆ Personal appellation whose use will be discontinued:
Katakana
Personal
appellation
Alphabet

SurnameGiven name(s)◆Officially registered name on a passport that will be used:
Katakana
Personal
appellation
Alphabet

SurnameGiven name(s)◆ Reasons for discontinuation

This space is reserved for clerical processing
Starting date:
Date recorded in student’s record:
OtherConfirmation
sealForm 4

Date:

Notice of Permission to Discontinue Use Personal Appellation
To:

This is to notify you that your __(date) application to discontinue
the use of your personal appellation as shown below has been approved.
1. Personal appellation whose use will be discontinued:
Katakana
Personal
appellation
Alphabet

SurnameGiven name(s)2. Officially registered name on a passport that will be used:
Katakana
Personalappellation
Alphabet

Surname3. Date use will commence:

Tokyo Metropolitan University president

Given name(s)Form 5Regarding the Form in Which a Tokyo Metropolitan University
Student’s Name Is Written
Tokyo Metropolitan University permits students to apply to use their personal
appellation rather than the officially registered name on a passport. For the student
below, Tokyo Metropolitan University will hereinafter use personal appellation invarious kinds of documents, including diplomas. However, please note that thisusage does not apply to documents and other things for which the officiallyregistered name must be recorded in accordance with laws and regulations.

Personal appellation:

Officially registered name:

Date:

Tokyo Metropolitan University president