Entrance Application for April 2025 [Doctoral Degree Program]
Choose one of the programs which you wish to enroll.

[ (Select)]*Applicants to “International Priority Graduate Program on Applied and Engineering Physics” MUST ask their supervisors
which course they should apply for.

Application for Admission (Programs Conducted in English)
To : President, Osaka University
Name in full :[in Roman Block Letters] *Please write in the same notation as your passport[in Katakana][in Chinese Characters]

I hereby submit my application form for acceptance to the Graduate School of Engineering, Osaka University
as a student of the Doctoral Course with [ (Select)].

SexMaleFemale

Student ID Number(If you are presently enrolled
in Osaka Univ.)

Nationality/Region(Year)

Date of Birth(Day)(Month)PermanentAddress inHome Country
Present Address

Zip Code：
TEL ：E-mail ：Person (living in Japan) or prospective supervisor to be notified in case of emergency
Name

Address

RelationshipE-mailTEL
Person (living in Home Country) to be notified in case of emergency
Name

Relationship

Address

E-mailTEL〈Notes〉
・Proper nouns should be written in full, not abbreviated.

・Specify your academic background and employment history in detail.
-1-Photo（4 cm × 3 cm）*Please write
your name on
the backside
before pasting.

Educational Background
Period of Attendance

Name of School

Classification

Numbersof Years(yyyy/mm)

Address of School (City, Country)

RequiredYears ofStudy

Degree(Bachelor/Master)

From
Elementary
School/
To/

years

years

years

years

years

years

From/
Lower andUpper
SecondarySchool

To/
From/
To/
FromBachelor
MasterOther/
To/

years (

Fromyears

Bachelor
MasterOtherTo
years (/(/Graduate Level(UndergraduateLevel

yearsyearsyears

Total Years of Schooling Mentioned Aboveyears
School and Faculty

Details

Period of Attendance(yyyy/mm)

To

FromResearchStudent/～

FromJapanese
Language
SchoolAttach a proof of enrollment if you are NOT
a research student in Osaka University.

/To/

～

If you have ever taken "Japanese Language Proficiency
Test" or "Examination for Japanese University
Admission for International Students," attach a copy ofyour results.

/

State any experience of studying abroad incountries (including Japan) other than yourhome country.

OthersEmployment History
Name and Address ofOrganization

Period of Employment(yyyy/mm)

Position

Type of Work～～～
Certificate of English Proficiency*See page 8 of the guideline*Check the certificate you submit. If you select "Other than those above", please provide the details.
TOEFL(Test Taker Score Report)

TOEFL(Official Score Report)*Date of procedure〔Other than those above-2 -yyyy//mm dd〕

TOEIC, IELTS, or CPE
official score

Prospective supervisor: whom you have contacted and obtained permission to apply.

Research Interests (after enrollment)

Research Achievements(List your research papers and publications, if any. Specify the title, name and address of publisher,and date of publication of each paper. If you don't have any, specify what you have learned so far.)Japanese Language Proficiency : Self-evaluation. Check one that applies.
Excellent

Good

Fair

Poor

Notes

Fair

Poor

Notes

Reading
Writing
Speaking
Listening
Language Proficiency : Self-evaluation. Check one that applies.

Excellent

GoodEnglish-3-*No need to submit if you live abroad.

[Programs Conducted in English]

Admission for April 2025

Doctoral Program

Admission Ticket for Examination (2025)
Program Name(Select)

Examinee's number*Name :Photo(4 cm × 3 cm)

Graduate School of Engineering, Osaka University
Keep this ticket until admission to Doctoral program.
*Do not fill in.

[Programs Conducted in English]

Admission for April 2025

Doctoral Program

Photo Card (2025)
Program Name (Select)
Examinee's number*

Name :

Graduate School of Engineering, Osaka University*Do not fill in.

Photo(4 cm × 3 cm)