Pledge of Compliance
I certify that the information provided in my application to Tohoku University Graduate Schoolof Economics and Management is true and correct.
By applying to the Tohoku University Graduate School of Economics and Management, I,______________________________________, hereby promise to adhere to its rules and in theevent of violation of the following, I consent to be disqualified as a student and understand thatTohoku University Graduate School of Economics and Management may cancel its acceptanceof my application even after enrollment.
I shall purchase insurance policies designated by Tohoku University during my time at Tohoku
University to cover personal accident, guarantee in the event of renting private housing andmedical and damages compensation. (Please sign the separate insurance pledge form.)
I shall strictly adhere to all Japanese laws and all Tohoku University rules and regulations
during the enrollment.
I shall assume responsibility for any damages resulting from my own willful or grossnegligence or trouble during the enrollment.
I will never use nor possess the following items prohibited under Japanese law.
 Illegal drugs and narcotics.
 Weapons such as firearms, ammunition, pistol parts, explosives and material forchemical weapons Items that may harm public safety or morals such as obscene or immoral materials,
child pornography and articles which infringe upon intellectual property rights
 Any other items prohibited by Japanese law. See link here:
https://www.customs.go.jp/english/summary/prohibit.htm
I will never consume alcohol and/or smoke under the age of 20, never drive or cycle under theinfluence of alcohol or drugs, and never commit traffic violations regarding cars or bicycles.

Name
Signature

Signing date
*Name, date and signature must be handwritten by the applicant.

Insurance Enrollment Pledge
Upon enrolling in the Tohoku University Graduate School of Economics and Management, I agree
to do the following.
1. I will enroll in Personal Accident Insurance for Students Pursuing Education and Researchi.
2. In the event that I rent private housing without a joint guarantor, I will enroll in Comprehensive
Renters' Insurance for Foreign Students Studying in Japan ii.
3. I will enroll in the insurance stipulated by the faculty and graduate school which will compensate
for hospitalization and/or doctor visits due to unforeseen disaster, accident, illness, injury
regardless of occurring on or off the campus as well as insurance for compensation for legal
damages if I unintentionally injure other people on or off the campusiii.

i

Personal Accident Insurance for Students Pursuing Education and ResearchThis insurance provides coverage to the policy holder should s/he be accidentally injured
during school, at school events, in school facilities, during extracurricular events (club activitiesetc.), while commuting to school, and while moving between school facilities.
(For details, see below URL)
https://sup.bureau.tohoku.ac.jp/en/arrival-e/student-insurance-e/iiComprehensive Renters' Insurance for Foreign Students Studying in Japan
In Japan, students need a guarantor to rent a private apartment etc. By enrolling in a renter's
insurance system, international students can ease the financial and psychological burden of
their guarantors.
(For details, see below URL)
https://sup.bureau.tohoku.ac.jp/en/life-e/moving-e/guarantor-e/

iiiComprehensive Insurance for Students Lives Coupled with PAS for International Students(Inbound futai-gakuso).
For details, see https://sup.bureau.tohoku.ac.jp/en/arrival-e/student-insurance-e/Note : Please ensure that you are enrolled for the insurance mentioned in I and iii…
- For October entrance, before October15.
- For April entrance, before April 15.

Name:(Signature)
Date:*Name, date and signature must be handwritten by the applicant.