Doctoral Program in Environmental Studies
Degree Program in Life and Earth Sciences
Graduate School of Science and Technology
University of Tsukuba

Sustainability Science, Technology, and Policy (SUSTEP) Program
Application Forms for Admission

2024 Fall Semester Enrollment

(Fall Semester)(Doctor)Doctoral Program in Environmental Studies
Degree Program in Life and Earth Sciences
Graduate School of Science and Technology
University of Tsukuba

受験番号

※

Application Form
Current Status:

Student

Employed

Other (including Kenkyusei)

Name in Full:

Reference Number:

Date of Birth:Day/

Month/

SexYearNationality:
MaleFemale

Scholarship (foreign applicants):
OthersMEXT (Ministry of Education, Culture, Sports, Science and Technology, JAPAN)

None

Current Address:

Phone:

E-mail:Apply toGraduate School:

Degree Program in Life and Earth Sciences, Graduate School of Science and Technology

Program:

Doctoral Program in Environmental Studies

Academic Supervisor (Tentative):
Research Field:
Examination:

Oral Examination

Contact in Japan (if applicable)
Name:

Relationship:

Address:
Phone:
Academic Degree:
Field:
Institute, Faculty and Department:(Country)
Paste the Receipt here

E-mail:Date

Obtained/
Day

Expected:/MonthYear(Doctor)
Doctoral Program in Environmental Studies
Degree Program in Life and Earth Sciences
Graduate School of Science and Technology
University of Tsukuba

NameLevel

Level

年mm

月Curriculum Vitae

yyyydd日

受験番号※(Fall Semester)(Doctor)
Doctoral Program in Environmental Studies
Degree Program in Life and Earth Sciences
Graduate School of Science and Technology
University of Tsukuba(Fall Semester)
受験番号※Work Experience
Name in Full
FAMILY
Date of Birth:
Day

Work Experience

Applying forFirst

MiddleDoctoral Program in Environmental Studies/Month/

From / To(Month / Year)

Name of Organization / Company
Position and the Details of Your Job or Research

Work Experience

From / To(Month / Year)

Name of Organization / Company
Position and the Details of Your Job or Research

Work Experience

Degree Program in Life and Earth Sciences,
Graduate School of Science and Technology

From / To(Month / Year)

Name of Organization / Company
Position and the Details of Your Job or ResearchYear

(Doctor)

Admission and Photograph Tickets for the Examination

Monbukagakusho
OthersDoctor
受験番号

Name

Apply forMonbukagakusho
OthersPhoto Ticket※

Degree Program in Life and EarthSciences, Graduate School ofScience and Technology

Doctoral Program in
Environmental Studies

Examination

Oral Examination

Photo(4cm X 3cm)

Hatless, front phototaken within 3 months

ADHE

RE

Apply forName

受験番号(Fall Semester)Monbukagakusho

OthersDoctoral Program in
Environmental Studies

Degree Program in Life and Earth
Sciences, Graduate School ofScience and Technology※

Admission Ticket on TableDoctor

DHEREDoctor

Degree Program in Life and Earth
Sciences, Graduate School of
Science and Technology※

Admission Ticket
受験番号
Name

Apply for
Doctoral Program in
Environmental Studies

Examination

Oral Examination

PhotoA

Fill in your name and paste your photo. ※ Leave it blank.

DETA

CH

(4cm X 3cm)

Hatless, front phototaken within 3 months

(Fall Semester)(Doctor)

受験番号Reseach PlanName※

Date of birth (YYYY/MM/DD)

Prospective supervisor(You MUST contact him/her before submission.)

Prospective research title

Academic BackgroundUniversityProgram

Department

Main field

When you graduate (YYYY/MM)

Describe your motive for applying, contents of research theme, career path after graduation and its connection with yourproposed research. (Within 400 words)
Key words:

(Doctor)
Doctoral Program in Environmental Studies
Degree Program in Life and Earth Sciences
Graduate School of Science and Technology
University of Tsukuba(Fall Semester)
受験番号※Certificate of English Proficiency Waiver Request

I request an exemption from Certificate of English Proficiency submission for thefollowing reason:□ I am a national of a country, which uses English as an official language.

Nationality□ I have completed undergraduate / graduate school in a country whichuses English as an official language.

Country

Undergraduate / Graduate school

Date (MM/DD/YYYY)

Signature(Fall Semester)
受験番号※

Name and Address SheetThis is used for a cover pasted on an envelope for notification of the results.
Write your name and address on the following sheets in clear and accurate writing.
Apply toDegree Program in Life and Earth Sciences, Graduate School of Science and Technology
Doctoral Program in Environmental Studies

NameOverseas

NameAddressCountryZip codeJapanAddress

NameDoctoral Program in Environmental Studies
Degree Program in Life and Earth Sciences
Graduate School of Science and Technology
University of Tsukuba(Fall Semester)
受験番号※Application Checklist
Apply toGraduate School:

Degree Program in Life and Earth Sciences, Graduate School of Science and Technology

Program:

Doctoral Program in Environmental Studies

Applicant’s Name:
Check your documents on this list before submission.
Name of Paper

CheckApplicants

Note【Forms provided by University of Tsukuba】
1. Application FormAll

2. Curriculum VitaeAll

3. Work Experience

If applicable

4. Admission, Photo and Table Identification Tickets

All

Non-compliant pictures are
NOT accepted

5. Entrance Examination Fee

All

Attach the receipt toApplication Form

6. Research PlanAll

7. Certificate of English Proficiency Waiver Request

If applicable

8. Name and Address SheetAll

9. Application Checklist

All

10. Envelope CoverAll【Documents prepared by Applicants】
Original/Notarized copy

1. (Expected) Graduation Certificate

All

2. Degree Certificate

All

2. Academic Transcript

All

4. List of Academic Achievements/Publications

AllFree format (A4 size)

Presently employedFree format (A4size)

5. Approval Letter
6. Official Score Certificate of English Proficiency Test

If applicable

7. Certificate of Government-sponsored Scholarship (MEXT)

If applicable(Photocopy NOT accepted)

Original/Notarized copy
(Photocopy NOT accepted)

Certified copy

(Photocopy NOT accepted)

Original copy with Photo(Photocopy NOT accepted)

Free format (A4 size)(Fall Semester)

Envelope Cover305 8572

茨城県つくば市天王台１－１－１
1-1-1 Tennodai, Tsukuba-shi, IBARAKI筑波大学大学院理工情報生命学術院
生命地球科学研究群
Graduate School of Science and Technology University of TsukubaDegree Programs in Life and Earth Sciences

環境科学学位プログラム事務室 御中
Master’s Program in Environmental Sciences

環境学学位プログラム事務室 御中Doctoral Program in Environmental Studies

書留速達（出願書類等在中）

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Telephone:英語サイト用/Cre ポータル経由

University of Tsukuba
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筑波大日本語サイト（cvs+cre）/英語翻訳版

University of Tsukuba
How to make Payment of Examination Fee at Convenience Store or by Credit Card
Now you can transfer funds to pay for your entrance examination - 24 hours a day from your nearest Lawson, Ministop, FamilyMart, Seven-Eleven, store or Credit Card.

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2Credit Card Payment

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[11-digit Customer Number ]お客様番号[4-digit Verification Code ]
確認番号[13-digit Payment Slip Number]
払込票番号

Receipt Number

Please print out your "収納証明書"

Certificate of Payment

Touch theAll Paymentson the touch screen"各種代金お支払い" option
All Payments

番号入力画面に進む
Advance to the "Entering number" page

Multi-Payment ServiceEnter your
【お客様番号】【確認番号】
Customer Number

Confirm

Prease write down "受付番号"

Select the "代金支払い" button

Select the"各種代金・インターネット受付"
All Payments・Internet Reception
button on the touch screen

Touch"マルチペイメントサービス"

A multifunction copier can not
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All of your application information
is displayed. Check and Click "確定".

Touch the "各種サービスメニュー"
option Various Service Menus

Touch the "各種代金お支払い"
All Payments
optionPayment Slip Number

Input your card information.

[11-digit Customer Number ]お客様番号[4-digit Verification Code ]確認番号へTell the counter staff
that you want tomake an"Internet shiharai."
Then provide your Payment【払込票番号】

Please select credit card for thepayment method when making yourWeb application.

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Convenience Store Payment

Verification CodeEnter your
【お客様番号】【確認番号】
Customer Number

Verification Code●Loppi, FamiPort, issues a funds transfer receipt.
You will need to take this to the cash register within 30 minutes and make the actualpayment.
●Receive an Application Fee Statement. Detach the Certificate of Payment (receipt) portion.

●Make the payment at the register.
●Receive an Application Fee Statement.
Detach the Certificate of Payment(receipt) portion.

3 Application【Paying at Convenience Store】【Paying by Credit Card】
After making your payment,please make sure you have accessto a printer with paper(A4).
Access "申込内容照会"(Inquiry) at e-shiharai.net.
Please ｢1. Check your card.｣｢2. Input Receipt Number.｣｢3. Input your Birth Date.(YYYY/MM/DD)｣, and click"照会する".
Then all of your application information is displayed.
Click Blue-button "証明書を発行する" .
Affix the cutting portion of "収納証明書"(The Certificateof Payment) in the designated location.
Enclose in an envelope with all other necessary
application documents.

Affix the receipt portion to "The Certificate of Payment"in the designated location.
入学志願票

入学検定料・選考料 取扱明細書

入学検定料・選考料 取扱明細書

In the case that you have made your payment using a credit card, it is not necessary to enclose
a bank receipt of any kind.

明書
納証
料収
検定
大学
○○

Attach Your (Certificate of Payment) to the Application

納証明書

○○大学

検定料収

※When attaching the certificate of payment, be sure to use glue
which is suitable for use with thermal paper and pressure-sensitive paper.
Please check the glue label.
※In the case that you have made your payment at Convenience Store, it is notnecessary to enclose a bank receipt of any kind.

●During payment periods and application periods mentioned in theapplication documents, you can make a payment anytime.
Please confirm from application documents and complete payment intime for the application period.
●On the last date of the payment period, the web application will be closed
at 11pm, and the final deadline for the information terminal at convenience
stores (Loppi, Fami Port, ) will be at 11:30pm.
●Your inquiry about the payment of the entrance examination fee is notable to be handled at the convenience store. For further information, pleasecheck our website.
●Please note that refund is not possible once you have made a payment of
Entrance examination fee.

●A fee is added to Examination fee. For further info, please visit our website.
●Please directly contact the credit card company if your card is not
accepted.
●It will be announced on our website if either the convenience stores
which handle payments or the methods of payment,are changed.

■Payment Commission
Convenience
StoreEntrance exam fee \50,000 or less

432 yen(tax incl.)

Entrance exam fee \50,000 or more

648 yen(tax incl.)

Credit Card

Flat Fee

432 yen(tax incl.)