ಛౣ୉ָण෉һ࠙ᐙ୺࣭୙ື⏘ᴗ⪅ᵝྠព᭩ࠚConsent form for lender and real estate agentୗグᑐ㇟≀௳࡟ࡘ࠸࡚ࠊ㈤㈚೉ዎ⣙ࡢ㐃ᖏಖドேࢆᶵ㛵ಖド࡜ࡋ࡚ᚨᓥ኱Ꮫ㧗➼ᩍ⫱◊✲ࢭࣥࢱ࣮㸦㸴㸧㸦&㸧ࡀᚨᓥ኱ᏛࡢᏛ⡠ࡲࡓࡣᅾ␃㈨᱁ࠕ␃Ꮫࠖࢆኻࡗࡓሙྜࠊ㐃ᖏಖドዎ⣙ࡣᙜ↛࡟ゎ⣙ࡉࢀࡿࡶࡢ࡜ࡍࡿࠋ㛗࡟౫㢗ࡍࡿ࡟࠶ࡓࡾࠊ௨ୗࡢࡇ࡜ࢆࡈ☜ㄆࡃࡔࡉ࠸ࠋ

When (C) loses his/her student status at Tokushima University or his/her status of residence “Student", the joint guarantee
contract shall automatically be terminated.

In requesting the Director of Research Center for Higher Education at Tokushima University to jointly and severally guarantee
the lease contract as an institutional guarantee for the subject property listed below, please confirm the following:

㸦㸵㸧㈤㈚೉ᮇ㛫୰ࠊዎ⣙ᙜ஦⪅㛫ࡢྜព࡟ࡼࡾዎ⣙ࡢෆᐜ➼࡟ኚ᭦ࡀ⏕ࡌࡿሙྜࡣࠊணࡵ㐃ᖏಖ㸦㸯㸧ᶵ㛵ಖド࡜ࡣࠊᚨᓥ኱Ꮫࡀἲே࡜ࡋ࡚ࠊ㈤㈚೉ዎ⣙࡟ࡘ࠸࡚㧗➼ᩍ⫱◊✲ࢭࣥࢱ࣮㛗࡟㐃ᖏಖドዎ⣙ࢆ⥾⤖ࡍࡿᶒ㝈ࢆ୚࠼ࠊ㐃ᖏಖドࢆ⾜࠺ࡇ࡜࡛࠶ࡿࠋ
Institutional Guarantee means that, Tokushima University, as a juridical person, authorizes the Director of Research Center forHigher to enter into a joint guarantee agreement for the lease contract, and Tokushima University provides a joint and several
guarantee as a juridical person.

㸦㸰㸧ᚨᓥ኱Ꮫࡀಖドே࡜ࡋ࡚ࠊಖドࡍࡿᮇ㛫ࡣࠊ␃Ꮫ⏕ఫᏯ⥲ྜ⿵ൾࡢຍධᮇ㛫࡜ࡍࡿࠋຍධᮇ

ドேࡢᢎㅙࢆཷࡅࡿࡇ࡜ࠋ
Any changes to the contents of the contract made by agreement between (A), (B) and (C) must also be agreed by the guarantorin advance.

㸶 ዎ⣙᭦᪂ࡢ㝿ࡣ⮬ື᭦᪂࡜ࡏࡎࠊዎ⣙᭩ࡢෆᐜࡢ☜ㄆࢆᚨᓥ኱Ꮫ࡟஦๓࡟⾜࠺ࡇ࡜ࠋWhen renewing the contract, the contract shall not be automatically renewed, and confirmation of the contents of the contract
shall be provided to the Tokushima University in advance.

㛫࡟ࡘ࠸࡚ࡣࠊዎ⣙⥾⤖ᚋᚨᓥ኱Ꮫ࠿ࡽ㸦$㸧ཬࡧ㸦%㸧࡟㏻▱ࡍࡿࠋ㸦㸷㸧ዎ⣙᭩࡜ᮏྠព᭩ࡢෆᐜ࡟㱈㱒ࡀ࠶ࡿሙྜࠊྠព᭩ࡢෆᐜࡀඃඛࡉࢀࡿࠋ

The period during which Tokushima University acts as guarantor and guarantees shall be the period of enrollment in theComprehensive Renter’s Insurance for International Students. Tokushima University will notify (A) and (B) of the subscription
period after the conclusion of the contract.

In the event of any discrepancy between the terms of the agreement and this consent form, the terms of the consent form shallprevail.

㸦㸧ୖグ㸦㸯㸧㹼㸦㸷㸧඲࡚࡟ྠពࡍࡿሙྜࡢࡳࠊୗグ㸦㸿㸧㸦㹀㸧࡟㈚୺ࠊ୙ື⏘ᴗ⪅ࡀ⨫ྡᢲ㸦㸱㸧 & ࡀຍධࡍࡿ㸦㈈㸧᪥ᮏᅜ㝿ᩍ⫱ᨭ᥼༠఍ࡢࠕ␃Ꮫ⏕ఫᏯ⥲ྜ⿵ൾࠖࡢ㈤㈚ఫᏯ࡟㛵ࡍࡿ⿵༳ࡍࡿࡇ࡜࡜ࡍࡿࠋൾෆᐜࡣ௨ୗ D E ࡢ㏻ࡾ࡛࠶ࡿࠋᚨᓥ኱Ꮫࡣಖドே࡜ࡋ࡚㸦E㸧ࡢ⿵ൾ㔠㢠ࡢ⠊ᅖෆ࡟࠾࠸࡚ಖ

Only if the lender and real estate agent agree to all of the above (1) through (9), the lender and real estate agent shall sign andseal (A) and (B) below.

ドࡍࡿࠋThe coverage for rental housing under Japan Educational Exchanges and Services' Comprehensive Compensation for Foreign
Students' Housing, which (c)is a subscriber to, is as follows: (a) and (b). Tokushima University, as guarantor, guarantees theamount of compensation in (b) below.

㸦D㸧␃Ꮫ⏕㈺ൾಖ㝤࠙ⅆ⅏࣭₃Ỉ࡞࡝ࠚ⿵ൾ㔠㢠୓෇㝈ᗘ  Compensation insurance for foreign students [fire, water leakage, etc.] Up to 50 million yen E ಖドே⿵ൾ࠙㐃ᖏಖドே࡛࠶ࡿᚨᓥ኱Ꮫ࡟ᑐࡍࡿ⿵ൾࠚ⿵ൾ㔠㢠୓෇㝈ᗘ
Guarantor Indemnity [Indemnity for Tokushima University of as a joint guarantor] Amount of indemnity:
Up to 300,000 yen㸦㸲㸧ୖグ㸦㸱㸧 E ࡟ࡘ࠸࡚ࡣࠊᑐ㇟≀௳ࡢゎ⣙ࠊ᫂Ώࡋࢆಖドᮇ㛫ෆ࡟ᚲࡎ⾜࠺ࡇ࡜ࠋᑐ㇟≀௳ᚨᓥ኱Ꮫ㧗➼ᩍ⫱◊✲ࢭࣥࢱ࣮㛗Ẋ   To: Director, Research Center for Higher Education     㸦$㸧㈚୺Lender     ༳㸦%㸧୙ື⏘ᴗ⪅ Real Estate Agent    ༳ࡢゎ⣙࣭᫂Ώࡋࡀ␃Ꮫ⏕ఫᏯ⥲ྜ⿵ൾࡢಖドᮇ㛫ෆ࡟᏶஢ࡋࡓሙྜ࡟㝈ࡾࠊᩜ㔠ࢆ඘ᙜࡋࡓ೉୺㸦≀௳⾲♧㸧ͤ௨ୗ≀௳ヲ⣽࡟ࡘ࠸࡚ࡣࠊᮏྠព᭩☜ㄆ᫬࡟㈚୺㸦ཪࡣ୙ື⏘ᴗ⪅㸧ࡀグධࡍࡿࡢമົࡢṧవ㢠ࢆ୓෇ࢆ㝈ᗘ࡜ࡋ࡚ࠊ␃Ꮫ⏕ఫᏯ⥲ྜ⿵ൾ࠿ࡽᨭᡶ࠺ࡇ࡜࡜ࡍࡿࠋ㝈ᗘ㢠ࡢ(Property Description) *The following property details are to be filled in by the lender (or the real estate agent) at the time ofconfirmation of this Consent Form.

ෆヂࡣࠊձᐙ㈤⁫⣡࠿᭶ࡲ࡛ࠋղཎ≧ᅇ᚟㈝୓෇ࡲ࡛ࠋձղࡢྜ⟬㢠ࡀ୓෇ࢆ㉸࠼࡞࠸⠊ᅖ࡜ࡍࡿࠋ
With regard to (3) (b) above, the cancellation and surrender of the subject property must be completed within the guarantee
period. Only when the cancellation and surrender of the subject property are completed within the guarantee period of theComprehensive Renter’s Insurance for International Students, the remaining amount of the renter's debt to which the security
deposit is allocated shall be paid from the Comprehensive Renter’s Insurance for International Students up to 300,000 yen. The
breakdown of the limit is as follows: ձ Up to 3 months in arrears of rent. ղ Up to ¥100,000 for restoration to the originalcondition. The total amount of ձ and ղ shall not exceed 300,000 yen.

㸦㸳㸧㈚୺ࡣࠊ㈤㈚೉ዎ⣙࠿ࡽ⏕ࡌࡿḟ࡟ᥖࡆࡿ೉୺ࡢമົ࡟ࡘ࠸࡚☜ㄆḟ➨ࠊ┤ࡕ࡟㐃ᖏಖドே࡟㐃⤡ࡍࡿࡇ࡜ࠋ࡞࠾㈚୺ࡣࠊ㈤㈚೉ዎ⣙ᮇ㛫୰ࡣࠊ㐃ᖏಖドே࡟ᑐࡋ࡚ಖドമົࡢᨭᡶࢆㄳồࡍࡿࡇ࡜ࡣ࡛ࡁ࡞࠸ࠋ
The lender shall immediately notify the joint guarantor of the following obligations of the renter arising from the lease contract
as soon as the lender has identified them. The lender may not demand payment of the guaranteed obligations from the joint
guarantor during the term of the lease contract.

㸦D㸧⁫⣡ᐙ㈤࡜ࡑࡢ㐜ᘏᦆᐖ㔠Delinquent rent and its late charges
㸦E㸧㏥ཤ࡟క࠺ཎ≧ᅇ᚟࡟せࡋࡓ⤒㈝
  Expenses required to restore the property to its original condition upon moving out㸦F㸧⾜᪉୙᫂᫬ࡢᐙ㈈➼ࡢฎศ⤒㈝
Expenses for disposal of household goods, etc. when the renter (B) is missing  㸦&㸧೉୺ RenterᡤᅾᆅAddressᘓ≀ྡ Name of property㒊ᒇ␒ྕRoom number㸦$㸧ཬࡧ㸦%㸧཮᪉ࡢྠពࡀ࠶ࡿሙྜࡢࡳࠊᶵ㛵ಖド࡜ࡋ࡚㧗➼ᩍ⫱◊✲ࢭࣥࢱ࣮㛗ࡀಖドே࡜࡞ࡿࡇ࡜ࡀ࡛ࡁࡿࠋ
Only with the consent of both (A) and (B) may the Director of Research Center for Higher Education act as an institutionalguarantor.

೉୺ࡣ㸦$㸧ཬࡧ㸦%㸧཮᪉ࡢྠពࡀᚓࡽࢀࡓྠព᭩㸯㒊ࢆᚨᓥ኱Ꮫ࡟㏿ࡸ࠿࡟ᥦฟࡍࡿࡇ࡜࡜ࡋࠊ㈚୺ࡣྠព᭩㸯㒊ࢆಖ⟶ࡍࡿࡇ࡜࡜ࡍࡿࠋᚨᓥ኱Ꮫࡣࠊྠព᭩ᥦฟᚋ㏿ࡸ࠿࡟ࠊᶵ㛵ಖドไᗘࡢᡭ⥆ࡁࢆ⾜࠺ࡇ࡜࡜ࡍࡿࠋ
The renter shall promptly submit one copy of this consent form, which has been agreed upon by both (A) and (B), to Tokushima
University, and the lender shall retain one copy of this consent form.
Tokushima University shall promptly complete the procedures for the Institutional Guarantee after the submission of the fully
signed consent form.