Graduate School of Science and Engineering
Ibaraki University

Doctoral Program
Application Guidelines
for the Entrance Examination

For entry on April 1, 2024
orSeptember 21, 2024

[Security Export Control]
In accordance with the Foreign Exchange and Foreign Trade Law of Japan, Ibaraki
University is committed to properly managing the university's export of goods,
provision of technology, and exchange of human resources from a security
perspective. As part of these efforts, the University confirms the research content, etc.
prior to accepting foreign students and researchers.
If any of the above items are restricted by law, there may be cases in which thedesired research may be restricted or prohibited, or education may not be provided.
In addition, if you do not confirm the content of your research in advance and request
confirmation after submitting your application, your application may be cancelleddepending on the results. Please be sure to confirm with expected supervisor that
expected supervisor can accept you after confirming the content of your research
before submitting the application documents. Please note that it takes about one week
to confirm the content of your research in advance, so please make your request wellin advance.
At the time of admission, applicants are required to sign a written pledge to comply
with the Foreign Exchange and Foreign Trade Law.

The Graduate School of Science and Engineering (GSSE) of Ibaraki University was
founded in 1995. The Institute of Applied Beam Science (IABS) was established aspart of the GSSE in 2004 for study and utilization of a wide variety of quantum
beams including, but not limited to electromagnetic radiation (X-rays, J-rays, andoptical laser beams) and particle beams (neutron, electron, proton) defined together as
Quantum Beams. We are excited to announce that GSSE have been expanded from
April 2016 with the Institute of Quantum Beam Science (IQBS) program. The
re-envisioned GSSE have three institutes that are IQBS, Institute of Complex Systems
Science, and Institute of Society’s Infrastructure Systems Science as the result of
reorganization of the six current institutes (Applied Beam Science, Material Science,
Industrial Science, Information and System Sciences, Physical Sciences,Environmental and Functional Sciences).
Successful applicants for graduate school at GSSE of Ibaraki University will enjoy
an engaging and enriching educational program in addition to pursuing their own,
individualized research studies in working toward becoming experts of theirrespective fields. Graduate students are expected to have an important role at the
GSSE of Ibaraki University by actively participating in research, assisting teachingand providing significant contributions to science and engineering. They will study
under the supervision of respected and dedicated faculty members at the GSSE. The
educational, scientific, and engineering programs will prepare the students to start
their life in their intended career choice after the graduation from the GSSE of Ibaraki
University.

I. Authorized Student Enrollment

࠙for Entry on April 1, 2024ࠚ
Major
Quantum Beam Science

Complex Systems Science

Society’s Infrastructure
Systems Science

Fields of Study
Environmental Radiation Science
Material Engineering and Quantum Science
Quantum Chemistry and Biochemistry
Beamline Science
Mathematics and Mathematical Information Science
Space and Global Environmental Systems Science
Functional Systems Science
Material Systems
Power Energy Systems
Industrial Production Systems
Measurement and Control Systems
Basic Social Infrastructure
Urban and Environmental Systems
Information and Telecommunication Systems

Enrollment
A few

A few

A few

࠙for Entry on September 21, 2024ࠚ
Major
Quantum Beam Science

Complex System Science

Society’s Infrastructure
Systems Science

Fields of Study
Environmental Radiation Science
Material Engineering and Quantum Science
Quantum Chemistry and Biochemistry
Beamline Science
Mathematics and Mathematical Information Science
Space and Global Environmental Systems Science
Functional Systems Science
Material Systems
Power Energy Systems
Industrial Production Systems
Measurement and Control Systems
Basic Social Infrastructure
Urban and Environmental Systems
Information and Telecommunication Systems

1

Enrollment
A few

A few

A few

II. Eligible ApplicantsApplicants must meet the following admission requirement:
Received or are expected to receive a master’s degree or its equivalent from an accredited
institution, prior to entry to the Graduate School of Science and Engineering of Ibaraki
University (GSSE).
Applicants who do not meet the requirement should apply for the “VI. Pre-screening for
Assessment for Applicant’s Eligibility” prior to application to the entrance examination.

III. Application Procedure
1. Contacting potential advisors: Those who would like to apply for the enrollment in the doctoral
program of the GSSE should contact their expected supervisor listed in the table “Faculty
Members” prior to their application. Those who accept to be the expected supervisor of theapplicants may help the applicants with arrangement of the application procedure.
2. Application deadline: 17 January 2024.
(a) By postal mail: Submission of the application requirements should be made by registered mail toreach the admission office by 16:00 JST, 17 January 2024.
(b) By E-mail: The E-mail to which the application requirements are attached should reach theadmission office by 16:00 JST, 17 January 2024. [The original hard copies of the documents ofwhich scanned digital copies are submitted as E-mail attachments should be submitted byregistered mail (such as EMS) to reach the admission office by the time of the entrance
examination.
3. Admission office: To which of the below-mentioned admission offices applicants have to submit
the application requirements is according to the expected supervisors as given in the table“Faculty Members”.
(1) Hitachi campus:
Admission Office, College of Engineering, Ibaraki University
4-12-1 Nakanarusawa, Hitachi, Ibaraki 316-8511, Japan
Phone: +81-294-38-5010 E-mail: ao.gsse[at]ml.ibaraki.ac.jp(2) Mito campus:
Admissions Office, College of Science, Ibaraki University
2-1-1 Bunkyo, Mito, Ibaraki 310-8512, Japan
Phone: +81-29-228-8332 E-mail: ao.gsse[at]ml.ibaraki.ac.jp
  *Please convert [at] in the email address to @ and send.

4. Advance Consultation for Applicants with Disabilities: Applicants with disabilities whoneed special cares in the admission processes and research/study activities at the GSSE may
consult the above-mentioned admission office before submitting the application
requirements.

2IV. Application Requirements
Application requirements are as follows. Applicants should use the prescribed forms for Form
1-6 of either of the hard copies in this application guidebook or those downloaded athttps://www.gse.ibaraki.ac.jp/en/guidance/doctor/. When the application requirements are
submitted as E-mail attachments, required material other than Form1-6 should be scanned into
JPEG files or PDF, and the original hard copies should be sent by registered mail to reach theadmission office by the time of examination.
Application requirements

Notes

Application Form andCurriculum Vitae(Form 1)

Use the prescribed form.

Admission Slip for
Examination, with
Applicant’s Photograph(Form 2)

Use the prescribed form.
Passport-size photograph (4 × 3 cm, taken within 3 months)
should be attached as indicated.
Use the prescribed form. In either Japanese (less than 2,000
characters) or English (less than 1,000 words).

Summary of Master’s Thesisor its Equivalent(Form 3)

‹1› Applicants received a master’s degree
Summary of Master Thesis or its Equivalent.
‹2› Applicants expected to receive a master’s degree
Summary of Master Thesis or its Equivalent to be submitted.

Research and Development
Achievement Records(Form 4)

Use the prescribed form.
Provide research and development achievements, such as
scientific publications, presentations in scientific meetings, andpatents.

Research Plan
(Form 5)

Use the prescribed form.
Describe the outline of intended research, in either Japanese(less than 1,000 characters) or English (less than 500 words).

Application Fee

JPY 30,000.
Payment of the application fee can be made by one of thefollowing three methods. According to the method of payment,
applicants should submit the Receipt of Transfer (᣺᭰ᡶ㎸ド᫂᭩) or the Certificate of Payment (཰⣡ド᫂᭩) to theadmission office together with other material of application
requirements.
Those who have completed the master's program at thegraduate school of Ibaraki University do not need to pay.
(1) Paying at a convenience store in Japana. Please refer to “ࢥࣥࣅࢽ࢚ࣥࢫࢫࢺ࢔࡛ࡢධᏛ᳨ᐃᩱᡶ㎸᪉ἲ㸦How to Pay the School Entrance Examination Fee at a3

Convenience Store㸧” when making your payment.
b. Please ensure that you receive a “ ྲྀᢅ ᫂ ⣽᭩(HandlingStatement)” or a “ྲྀᢅ᫂⣽᭩ව㡿཰᭩(Handling Statement& Receipt)” upon completion of payment.
c. Please detach the “཰⣡ド᫂᭩ (Payment Certificate)” portionof the “ྲྀᢅ᫂⣽᭩(Handling Statement)” or “ྲྀᢅ᫂⣽᭩ව㡿཰᭩(Handling Statement & Receipt)” you receive andsubmit it with your application documents.
d. Please be aware that applications are not accepted after 15:00
JST. on the final date of the application period.
(2) Paying by credit carda. Access the e-apply website (https://e-apply.jp/e/ibaraki-gs/)
and complete the payment procedure.
b. Once you have completed the procedure and the payment has
been transferred, you will be emailed a payment completion
notice containing a URL. Access this URL, download the PDF
file, and print the “⏦ࡋ㎸ࡳ᫂⣽(Application Statement)” .
c. Please detach the “཰⣡ド᫂᭩(Payment Certificate)” portion of
the “⏦ࡋ㎸ࡳ᫂⣽(Application Statement)” and submit ittogether with your application documents.
d. Please be aware that applications are not accepted after 15:00 JST
on the final date of the application period.
(3) Paying at a financial institution
a. Order a payment slip from the Admission Office. If you wantit sent by mail, please send us a reply envelope (size: 24cm ×33.2cm) with postal stamp of ¥380 including express mailfee.
b. Pay the examination fee with the payment slip at a nearby
financial institution in Japan.
You can pay at a teller’s window at financial institutions
throughout Japan, including post offices, banks, Shinkinbanks and JA banks.
c. Receive the “᣺᭰ᡶ㎸ཷ௜ド᫂᭩(transfer payment
receipt)” and the “᣺᭰ᡶ㎸ㄳồ᭩වཷ㡿ド(transfer
payment request / receipt)” after confirming they are stampedby the financial institution.

㺃You must pay the examination fee at a teller’s window of financial
institution.
ͤ Do not use an automatic teller machine (ATM).
㺃Submit the “᣺᭰ᡶ㎸ཷ௜ド᫂᭩(transfer payment receipt㸧”
with other application documents.
You need not submit the “᣺᭰ᡶ㎸ㄳồ᭩වཷ㡿ド(transfer
payment request / receipt)” because it is a copy for theremitter. Please keep it in a safe place until you receive theadmission slip for examination.
㺃“No.” in the columns on the payment slip, such as“Correspondence column” and “Remitter”, does not represent
your examinee number.

ࠝPoints to noteࠞ
1. The payment transfer fee must be paid by the applicant.
2. Once the application documents are received, theexamination fee paid cannot be refunded.
However, in case either you paid the examination fee but

4did not apply, or you mistakenly paid the fee twice, you candemand a refund of the examination fee. Please ask for theoffice below.
The amount to be refunded is the amount minus a transfer
fee.
Bursar’s Office, Financial Affairs Division, Financial
Affairs. Department, Ibaraki University(Phone:㸩81- 29-228-8561)
3. Please contact the following center if you have any queries
concerning how to make payment at a convenience store or by
credit card:
Learning and Education Application Service Support Center(operating company: Disco Inc.)(E-mail cvs-web@disc.co.jp)
4. If you live overseas and are unable to pay by the above
methods 1) to 3), please contact the following(E-mail ao.gsse@ml.ibaraki.ac.jp)
Official Transcript

Academic transcript for all post-secondary study undertaken,
regardless complete or incomplete. Institution grading scale
should be included.

Certificate of Graduation

Certificates of graduation (and expected graduation) of
undergraduate and graduate schools attended/attending.

Residence Certificate or
Copy of Passport

Foreign residents in Japan: Residence certificate issued by thehead of municipality giving applicants’ nationality and visa
status and length.
Non-resident in Japan: Copy of passport

Return Envelope(12.0cm × 23.5cm)

Only when the applicant lives in Japan and the application ismade by “post”, an envelope with the applicant’s name,address, postal code, and postal stamp of JPY 344 (including
express mail fee), in which the Admission Slip for Examination
will be sent to the applicant, will be submitted.
*When the application is made by E-mail or the applicant does
not live in Japan, Return Envelope is NOT necessary.
Admission Slip for Examination in PDF will be sent to theapplicant’s email address as an attachment.

Address Slip (Form 6)

Use the prescribed form.

V. Screening Procedure
1. Screening:
Screening is made based on the information given in the submitted Form 3-5 (Summary ofMaster’s Thesis or its Equivalent, Research and Development Achievement Records, andResearch Plan) and Transcripts, and on Interview, including oral examination to confirm
applicants’ knowledge in the applicants’ intended fields of research and/or development.
Please note that Interview will take about one hour.

52. Date of interview: Any time between 29 January 2024 and 31 January 2024 suitable for both theinterviewers and the applicant. Prior to submitting the application, you may inform thepotential supervisor the dates on which you are available for the interview. Exact date and timeof interview will be informed to the applicant beforehand.
3. Place of interview: One of the following three places, specified on the Admission Slip.
(1) Hitachi campus, Ibaraki University 4-12-1 Nakanarusawa, Hitachi-city(2) Mito campus, Ibaraki University 2-1-1 Bunkyo, Mito-city(3) Tokai satellite campus, Ibaraki University 162-1 Shirakata, Tokai-muraDue to the health and safety concerns for both interviewers and the applicant stemming from thecoronavirus (COVID-19), the applicant may have an online interview at home. If the applicant has
an online interview, expected supervisors will explain the procedure.
4. Notification of Results
Results of screening will be sent to successful applicants by postal mail on 19 February 2024.

VI. Pre-screening for Assessment for Applicant’s Eligibility
1. Application Documents(a) Application Form for Applicant’s Eligibility and Summary of Previous Research Activities
Use the prescribed form (Form 7-1)(b) Written Statement of Expected Supervisor for Applicant’s Eligibility
Use the prescribed form (Form 7-2)
Use the prescribed form (Form 4)(c) Research and Career Achievement Records(d) Copy of the scientific paper/publication given in Form 4 (If you have more than one scientificpaper/publication, you may provide the copy of one of your selected scientificpaper/publications.)(e) Graduation Certificate of the Last School Attended(f) Certified Professional Career Record
Use the prescribed form (Form 8)(g) Reply Pertaining to the Qualifying Examination (if available*)(h) Self-addressed Reply Envelope (235×200mm) with JPY 344 postage stamp(s)In case the address is outside Japan and/or the application is made by E-mail, Reply
Envelope is not necessary. Results of pre-screening in PDF will be sent to the applicant’s
email address as an attachment.
*Applicants who have completed a curriculum offered by an overseas educational institution, an
educational institution in Japan that is recognized by a foreign country as having a graduate
course under the education system and which is separately designated by the Japanese Ministerof Education, Culture, Sports, Science, and Technology, or United Nations University andpassed examination and screening equivalent to which are prescribed in Section 2 of Article 16of the Standards for the Establishment of Graduate Schools must submit the application
document(f), “Reply Pertaining to the Qualifying Examination”.
2. Application deadline: 20 December 2023.

6

(a) By postal mail: Submission of the application requirements should be made by registered mail toreach the admission office by 16:00 JST, 20 December 2023.
(b) By E-mail: The E-mail to which the application requirements are attached should reach theadmission office by 16:00 JST, 20 December 2023. Required material other than Form 4,7-1,8should be scanned into JPEG files or PDF. [The original hard copies of the documents of whichscanned digital copies are submitted as E-mail attachments should be submitted by registeredmail (such as EMS) to reach the admission office by the time of the entrance examination.
3. Admission office: To which of the below-mentioned admission offices applicants have to submit
the application requirements is according to the potential supervisors as givenin the table “Faculty Members”.
(1) Hitachi campus: Admission Office, College of Engineering, Ibaraki University
4-12-1 Nakanarusawa, Hitachi, Ibaraki 316-8511, Japan
Phone: +81-294-38-5010 E-mail: ao.gsse[at]ml.ibaraki.ac.jp(2) Mito campus: Admissions Office, College of Science, Ibaraki University
2-1-1 Bunkyo, Mito, Ibaraki 310-8512, Japan
Phone: +81-29-228-8332 E-mail: ao.gsse[at]ml.ibaraki.ac.jp
  *Please convert [at] in the email address to @ and send.

4. Notification of Results
Results of pre-screening will be sent by express mail or by E-mail on 10 January 2024.

VII. Personal Record Disclosure
Personal records related to the GSSE entrance examination are disclosed only to the examinees
following the below-mentioned procedure of application.
1. Application period
8 April 2024 to 26 April 2024 (except Saturdays, Sundays, and national holidays).
9:00 - 17:00 JST
2. Applicants: Restricted to the examinee. Disclosure is not made for successful applicants.
3. Application Procedure
Come to the university with the following documents, and apply using the designated form.
(1) Admission Slip for Examination(2) Document to identify the individual (student ID card, driver’s license, passport, etc.)(3) Return envelope (size 3 vertical envelope, 12.0cm × 23.5cm)
Clearly write the address, including the zip code, and name of the applicant and put a stamp
worth JPY 564 (rate for a registered letter) on the envelope.
4. Place for application(a) Admissions Office, College of Engineering, Ibaraki University
4-12-1 Nakanarusawa, Hitachi, Ibaraki 316-8511, Japan(b) Admission Office, College of Science, Ibaraki University72-1-1 Bunkyo, Mito 310-8512, Ibaraki, Japan
5. Disclosure method
The personal record is sent by registered mail at a later date.
6. Disclosure content
Disclosure is made for unsuccessful applicants by the category of level (three levels).
However, in the case in which the number of unsuccessful applicants is fewer than five,
disclosure is not made.
The score and the rank are not disclosed.

8

VIII. Admission Guidelines
1. Enrollment procedure and Payment of fees(1) Information regarding the enrollment procedure and other related items will be given to
successful applicants.
(2) Payment of fees
Students who are supported by a Japanese Government Scholarship are exempted from both
admission fee and tuition.
Students who received a Master’s degree from
Admission
Ibaraki University and intend to enter to the
JPY 282,000feeDoctoral course are exempted from theadmission fee.
JPY 267,900
per semester
Tuition fee(JPY 535,800
annually)Notes(a) If admission fees are revised, then you will be obligated to pay the revised amount before
admission procedure.
(b) If tuition fees are revised, then you will be obligated to pay the revised amount.
(c) Full or part of financial aid is available to students for admission or tuition assistance.
Financial aid eligibility is based on financial need and academic achievement, or for those
who suffered from a natural disaster. For more details, please refer to the link below.
https://www.ibaraki.ac.jp/student/economicsupport/exemption/(3) For those coming from abroad to enroll in the Graduate School, it might take some time toacquire residence status. Please check the procedure and the time required for the acquisition at
the Embassy, etc. well in advance before deciding when to enroll.
(Reference)Website of the Ministry of Justicehttps://www.moj.go.jp/EN/
2. Prerequisites for Program Completion
To complete the Doctoral program, it is necessary to acquire at least 14 credits required in every
major, receive necessary supervision from supervisors, and then pass the dissertation review andthe final examination.
Students who show remarkable academic achievement can complete the Doctoral program in ashorter period.
Students who complete the Doctoral program are conferred a Doctorate of Engineering, aDoctorate of Science, or Doctor of Philosophy depending on the thesis.

9Table: Faculty Members
Faculty members who can be expected supervisors and their corresponding “Admission office”
Admission officeInstitute of Quantum Beam Science< Environmental Radiation Science>
Mito
Mito
Mito
Mito
Mito
Mito

NAKAMURA Asako
TAUCHI Hiroshi
TORIKAI Yuji
*3 YOKOYA Akinori
KINASE Sakae
MORIOKA Takamitsu< Material Engineering and Quantum Science>
Mito
Mito
Hitachi
Hitachi
Mito
Hitachi
Mito
Hitachi
Mito
Hitachi
Hitachi
HitachiMito
Mito
Hitachi
Hitachi
HitachiMito
Mito
HitachiFUKUI Takahiro*1 IGA Fumitoshi
IKEDA Teruyuki
IWAMOTO Chihiro
KUWAHARA Keitaro*3 MINATO Atsushi
NAKAGAWA Naoko
NISHI Tsuyoshi
SAKAGUCHI Makoto*3 SASAJIMA Yasushi
SATO Shigeo
SUZUKI Tetsuya
YOKOYAMA Makoto
HYAKUTAKE Yoshifumi
IWASE Kenji
NISHINO Souichiro
SATO Naoyuki
NAKANO Takehito
HIRADE Tetsuya
KAGAWA Hiroyuki< Quantum Chemistry and Biochemistry>
Hitachi
Mito
Hitachi
HitachiMito
Mito
Hitachi
Mito
Mito

EGUCHI Mika
FUJISAWA Kiyoshi
FUKUMOTO Hiroki
KOBAYASHI Yoshio*2 KOHZUMA Takamitsu
MORI Seiji
MORIKAWA Atsushi
NISHIKAWA Hiroyuki*3 OTOMO Seiu

10

Mito
Hitachi
Mito
Hitachi
Hitachi
Hitachi
Hitachi
Mito

SATO Itaru
UNNO Masaki
YAMAGUCHI Akira
YAMAUCHI Satoshi
KITANO Takashi
NAKASHIMA Kouichi
SHOUMURA Yasuhito
WATANABE Masayuki< Beamline Science>
Mito
Hitachi
Hitachi
Hitachi
Hitachi
Mito
Hitachi
Hitachi
Mito
HitachiMito
Mito
HitachiMito
Mito
Hitachi
Hitachi
Hitachi
HitachiIWASA Kazuaki
KOIZUMI Satoshi
KINOSHITA Toyohiko
KUNIEDA Satoshi
TSUTSUI Satoshi
METOKI Naoto
MORI Kazuhiro*3 OHYAMA Kenji
OKU Takayuki
TANAKA Ichiro
ABE Hitoshi
IINUMA Hiromi
HOSHIKAWA Akinori
KONDO Yasuhiro
SATO Tetsuya
HIGO Yuji
HOSHINO Masato
HOSOYA Takaaki
MAEDA Tomoki

Institute of Complex Systems Science< Mathematics and Mathematical Information Science>
Mito
Mito
Mito
Mito
Mito
Mito
Mito
Mito

*1 KIMURA Makoto
FUJIMA Shoichi
MURASHIGE Sunao*3 SHIMOMURA Katsunori
WATANABE Shinya
HASEGAWA Takehisa*2 OHTSUKA Fumiko
SUZUKI Kanako< Functional Systems Science >
Mito
Mito
Mito

KANOU Kouki
KITADE Osamu*3 KIM Haeng-Boo

11

Mito
Mito
Mito
Mito
Mito
Mito
Mito

NODA Satoko
FUKAYA Norihisa
KAGOSHIMA Hirotaka
MOROOKA Fuki
OHASHI Akira
OIKAWA Shimpei
SHIMAZAKI Yuichi< Space and Global Environmental Systems Science>
Mito
Mito
Mito
Mito
Mito
Mito
Mito
Mito
Mito
Mito
Mito
Mito
Mito
Mito

HASHIZUME Ko
KAWAHARA Jun
KITA Kazuyuki*3 KOARAI Mamoru
MOMOSE Munetake
OKADA Makoto
TURIBE Toru
YONEKURA Yoshinori*2 YOSHIDA Tatsuo
FUJIYA Wataru
HASEGAWA Takeshi
KATAGIRI Hideaki
NOZAWA Satoshi
WAKAZUKI Yasutaka< Industrial Production Systems>
Hitachi
Hitachi
Hitachi
Hitachi

SHIMIZU Jun
ZHOU Libo
OZEKI Kazuhide
NAKAMURA Masashi< Material Systems>
Hitachi
Hitachi
Hitachi
Hitachi
Hitachi
Hitachi
Hitachi

KURAMOTO Shigeru
SHIMAKAGE Hisashi
UDONO Haruhiko*3 WADA Tatsuaki
AONO Tomosuke*1 KURUMADA Akira
KOMINE Takashi< Measurement and Control Systems>
Hitachi
Hitachi
Hitachi
Hitachi
Hitachi
Hitachi
Hitachi
Hitachi*3 INUI Masatomo
IWAJI Yoshitaka*1 MASUZAWA Toru
MICHITSUJI Yohei
MORI Yoshikazu
NAGAYAMA Kazuaki
YOH Shikoh
ONUKI Teppei

12HitachiFUKUOKA Yasuhiro< Power Energy Systems>
Hitachi
Hitachi
Hitachi
Hitachi
Hitachi
Hitachi
Hitachi
Hitachi
Hitachi*3 INAGAKI Terumi
TANAKA Kotaro
TANAKA Nobuatsu
YANAGIDAIRA Takeshi
NISHI Yasuyuki
SAKAI Yasuyuki
UNO Masatoshi
LI Yanrong
HAMADA Kazuya

Institute of Society’s Infrastructure Systems Science< Basic Social Infrastructure>
Hitachi
Hitachi
Hitachi
Hitachi*3 SHINNOU Hiroyuki
SUZUKI Tomoya
FIJIYOSHI Akio
UMEZU Nobuyuki< Urban and Environmental Systems>
Hitachi
Hitachi
Hitachi
Hitachi
Hitachi
Hitachi
Hitachi
Hitachi
Hitachi
Hitachi
Hitachi
Hitachi
Hitachi
Hitachi
Hitachi

ENOMOTO Tadao
FUJITA Masafumi
HARADA Takao
HIDA Takenori
KUMAZAWA Takayuki*2 KOBAYASHI Kaoru
KUWAHARA YujiNOBUOKA Hisamichi
TAMURA Makoto
TONOOKA Hideyuki*2 TSUBOI Kazuhiro
YOKOKI Hiromune
KURUMATANI Mao
TSUJIMURA Sohei
HIRATA Terumitsu< Information and Telecommunication Systems>
Hitachi
Hitachi
Hitachi
Hitachi
Hitachi
Hitachi
Hitachi
Hitachi

HABUCHI Hiromasa*3 KAMADA Masaru
MIYAJIMA Teruyuki
NAKA Akira
TAKEDA Shigeki*3 UEDA Yoshikazu
YOKOTA Hirohisa
YONEYAMA Kazuki

13

Hitachi
Hitachi
Hitachi
Hitachi
Hitachi

KIMURA Takayuki
SODA Naoya
UNO Katsuhiro
WANG Xiaoyan
MATUI Takashi*1 Scheduled to retire in March 2025
*2 Scheduled to retire in March 2026
*3 Scheduled to retire in March 2027

14

Form 1Ⲉᇛ኱Ꮫ኱Ꮫ㝔⌮ᕤᏛ◊✲⛉༤ኈᚋᮇㄢ⛬Application for Admission to the Graduate School of Science and Engineering, Ibaraki University (Doctoral Program)ධ Ꮫ ᚿ 㢪 ⚊Application Form for Admission           ᥦฟ᪥ Filing date㸸᭶(Month) 㹝㹝㹝㹝 ᪥(Date) 㹝㹝㹝㹝 ᖺ(Year) 㹝㹝㹝㹝ධᏛ༊ศDesired date ofenrollment
㑅ᢤ༊ศ
Category of selection

䕕2024 ᖺ 4 ᭶ 1 ᪥ (April 1, 2024)
䕕2024 ᖺ 9 ᭶ 21 ᪥ (September 21, 2024)

ཷ㦂␒ྕExaminee No.

ͤ

‫୍ڧ‬
⯡
㑅
ᢤ General Category‫ ♫ ڧ‬఍ ே ≉ ู 㑅 ᢤ Special Category for Working Applicants‫ ڧ‬እᅜே␃Ꮫ⏕≉ู㑅ᢤ Foreign Student Admission

ࣇࣜ࢞ࢼ
ᛶู
Sex

Ặ  ྡName⏕ᖺ᭶᪥
Date of birth                      㸦Age  ᭶㸦Month㸧 ᪥㸦Date㸧  ᖺ㸦Year㸧‫ ⏨ ڧ‬Male‫ ڧ‬ዪ Female

ṓ㸧

ᚿᮃᑓᨷྡ
Desired majorᚿᮃᣦᑟᩍဨྡ
Expected supervisorᩥ㒊⛉Ꮫ┬ዡᏛ㔠⏦ㄳணᐃ
MEXT Scholarships planฟ ㌟ ᰯSchoolattending/attended‫ ڧ‬ᅜ㈝እᅜே␃Ꮫ⏕ࡢዡᏛ㔠࡟⏦ㄳࡍࡿணᐃ࡛࠶ࡿࠋ
 I have plans to apply for Japanese Government (Monbukagakusho:MEXT) Scholarships.
㹝㹝㹝㹝㹝㹝㹝㹝㹝㹝㹝㹝㹝㹝㹝㹝㹝 ኱Ꮫ
University㹝㹝㹝㹝㹝㹝㹝㹝㹝㹝㹝㹝㹝㹝㹝㹝㹝 Ꮫ㒊
Faculty/College㹝㹝㹝㹝㹝㹝㹝㹝㹝㹝㹝㹝㹝㹝㹝㹝㹝 Ꮫ⛉
Department༞ᴗ࣭༞ᴗぢ㎸
Date of (expected)
Graduation     ᖺ(すᬺ)㹝㹝㹝㹝㹝 Year     ᭶㹝㹝㹝㹝㹝 Month㹝㹝㹝㹝㹝㹝㹝㹝㹝㹝㹝㹝㹝㹝㹝㹝㹝 ኱Ꮫ኱Ꮫ㝔
University㹝㹝㹝㹝㹝㹝㹝㹝㹝㹝㹝㹝㹝㹝㹝㹝㹝 ◊✲⛉Graduate school㹝㹝㹝㹝㹝㹝㹝㹝㹝㹝㹝㹝㹝㹝㹝㹝㹝 ᑓᨷ㸦ಟኈ࣭༤ኈ㸧ㄢ⛬
Major of master’s programಟ஢࣭ಟ஢ぢ㎸
Date of (expected)
Graduation     ᖺ(すᬺ)㹝㹝㹝㹝㹝 Year     ᭶㹝㹝㹝㹝㹝 Monthࠛ  㸫

Phone

E-mail⌧ ఫ ᡤPresent address
ྜ᱁㏻▱᭩➼ࡢࠛ  㸫
Phone
E-mailཷ ಙ ሙ ᡤ
Addressfornotification of theapplication results
ὀព Note 1. ͤ༳ḍࡣ㸪グධࡋ࡞࠸࡛ࡃࡔࡉ࠸ࠋͤLeave blank.
2. ࠕྜ᱁㏻▱᭩➼ࡢཷಙሙᡤࠖࡣ㸪ධᏛỴᐃࡲ࡛ࡢ㏻▱ࢆཷࡅࡿሙᡤࢆグධࡋ㸪ኚ᭦ࡋࡓሙྜࡣ㸪㏿ࡸ࠿࡟ᒆࡅฟ࡚ࡃࡔࡉ࠸ࠋWhen the address for notification of the application results is changed, please
immediately inform the Admission Office of the College of Science/Engineering of Ibaraki University.
3. ᚿᮃᣦᑟᩍဨ࡟ࡣ㸪஦๓࡟㐃⤡ࢆྲྀࡗ࡚࠾࠸࡚ࡃࡔࡉ࠸ࠋ
Please contact in advance the expected supervisor.

ᒚ Ṕ ᭩
Curriculum Vitae
ධᏛ༊ศ
Desired date ofenrollment

䕕2024 ᖺ 4 ᭶ 1 ᪥ (April 1, 2024)
䕕2024 ᖺ 9 ᭶ 21 ᪥ (September 21, 2024)

ཷ㦂␒ྕExaminee No.

Ặ  ྡName

୰ᏛᰯྡName of Secondary School㧗➼ᏛᰯྡName of Upper Secondary School኱ Ꮫྡ
Name of University or Equivalent኱ Ꮫ 㝔ྡName of Graduate School໅ົඛྡName of company or employer‫ڧ‬༞ᴗ
Graduated‫ڧ‬༞ᴗぢ㎸
Expect to
Graduate⮬From‫ڧ‬༞ᴗ
Graduated‫ڧ‬༞ᴗぢ㎸
Expect to
Graduate⮬From‫ڧ‬༞ᴗ
Graduated‫ڧ‬༞ᴗぢ㎸
Expect to
Graduate⮬From‫ڧ‬༞ᴗ
Graduated‫ڧ‬༞ᴗぢ㎸
Expect to
Graduate⮬From‫ڧ‬༞ᴗ
Graduated‫ڧ‬༞ᴗぢ㎸
Expect to
Graduate

⮬
From

ᖺ

᭶

Year Month

ᖺ

᭶

᭶

᭶

໅ົඛྡ
Name of company or employer

᭶

⮬
From
᭶

᭶

⮬
From

ᖺ

ᖺ
Years

ᖺ

ᅾᏛᖺᩘ
Period of Attendance᭶ᖺYear Month

Years

ᖺ

ᅾᏛᖺᩘ
Period of Attendance᭶ᖺYear Month

Years

ᖺ

ᅾᏛᖺᩘ
Period of Attendance᭶ᖺYear Month

Years

ᖺ

ᅾ⫋ᖺᩘ
Period of Employment

᭶ᖺYear Month

Years

⮳
To

Year Month໅ົඛྡ
Name of company or employer᭶Year Month

⮳
To

⮬
From
ᖺ

ᖺ

ᅾᏛᖺᩘ
Period of Attendanceg⮳
ToYear Month

ᖺ

ᖺ
Years

⮳
To

Year Monthᖺ᭶Year Month⮳To

Year Month

ᖺ

ᖺ

ᅾᏛᖺᩘ
Period of Attendance⮳ToYear Monthᖺ‫ ڧ‬ዪ Female⮳
To

Year Month⫋  Ṕ
Employment
record‫ ⏨ ڧ‬Male

ᛶู
Sex
ᑠᏛᰯྡ
Name of Elementary SchoolᏛ  Ṕ
Educational
background

ͤ

ᖺ

ᅾ⫋ᖺᩘ
Period of Employment

᭶ᖺYear Month

Years

⮳
To

᭶

Year Monthᖺᅾ⫋ᖺᩘ
Period of Employment

᭶ᖺYear MonthYears

ὀព Note 1. እᅜࡢ኱Ꮫࢆ༞ᴗཪࡣ኱Ꮫ㝔ࢆಟ஢㸦ぢ㎸㸧ࡢ⪅௨௨እࡢ⪅ࡣ㸪㧗➼ᏛᰯධᏛ᫬࠿ࡽグධࡋ࡚ࡃࡔࡉ࠸ࠋ
Unless the applicant graduated from a foreign university or is expected to graduate a foreign graduate school,please fill the educational background after the graduation of the secondary school.
2. ⹫ഇࡢグ㍕ࢆࡋࡓሙྜࡣ㸪ධᏛࢆྲྀࡾᾘࡍࡇ࡜ࡀ࠶ࡾࡲࡍࠋ
False statement may disqualify your application.

Form 2Ⲉᇛ኱Ꮫ኱Ꮫ㝔⌮ᕤᏛ◊✲⛉༤ኈᚋᮇㄢ⛬Application for Admission to the Graduate School of Science and Engineering, Ibaraki University (Doctoral Program)ཷ  㦂  ⚊Admission Slip for ExaminationධᏛ༊ศDesired date ofenrollment

䕕2024 ᖺ 4 ᭶ 1 ᪥ (April 1, 2024)
䕕2024 ᖺ 9 ᭶ 21 ᪥ (September 21, 2024)

㑅ᢤ༊ศ
Category of
selection‫୍ڧ‬⯡㑅ᢤ General Category‫ ♫ ڧ‬఍ ே ≉ ู 㑅 ᢤ Special Category for Working Applicants‫ ڧ‬እᅜே␃Ꮫ⏕≉ู㑅ᢤ Foreign Student Admission

ᚿᮃᑓᨷDesired Majorཷ㦂␒ྕExaminee No.

ͤ              ᑓ ᨷ
 Majorࣇࣜ࢞ࢼ‫ ⏨ ڧ‬Male

Ặ
ྡ
Name

‫ ڧ‬ዪ Female‫ ڧ‬Ỉᡞ࢟ࣕࣥࣃࢫ Mito campus‫ ڧ‬᪥❧࢟ࣕࣥࣃࢫ Hitachi campus‫ ڧ‬ᮾᾏࢧࢸࣛ࢖ࢺ࢟ࣕࣥࣃࢫ Tokai satellite campus

ヨ㦂ሙExamination room………
………………………………………………………………………………………………………………………
Ⲉᇛ኱Ꮫ኱Ꮫ㝔⌮ᕤᏛ◊✲⛉༤ኈᚋᮇㄢ⛬Application for Admission to the Graduate School of Science and Engineering, Ibaraki University (Doctoral Program)෗  ┿  ⚊Applicant’s
PhotographධᏛ༊ศDesired date ofenrollment

䕕2024 ᖺ 4 ᭶ 1 ᪥ (April 1, 2024)
䕕2024 ᖺ 9 ᭶ 21 ᪥ (September 21, 2024)

㑅ᢤ༊ศ
Category of
selection‫୍ڧ‬⯡㑅ᢤ General Category‫ ♫ ڧ‬఍ ே ≉ ู 㑅 ᢤSpecial Category for Working Applicants‫ ڧ‬እᅜே␃Ꮫ⏕≉ู㑅ᢤ Foreign Student Admission

ཷ㦂␒ྕ
Examinee No.

ͤᚿᮃᑓᨷDesired Major




ᑓ ᨷ
Major

ࣇࣜ࢞ࢼ

‫ ⏨ ڧ‬Male

Ặ
ྡ
Name

‫ ڧ‬ዪ Female෗┿࣭Photo⦪ 4cm  ᶓ 3cm෗┿ࡢ࢘ࣛ࡟Ặྡࢆグධࡍࡿࡇ࡜
Write your name on
the back of the photo………………………………………………………………………………………………………………………………

ὀព Note1. ͤ༳ḍࡣ㸪グධࡋ࡞࠸࡛ࡃࡔࡉ࠸ࠋͤ Leave blank.
2. Ặྡࡣ㸪ఫẸ⚊ཪࡣࣃࢫ࣏࣮ࢺࡢ࡜࠾ࡾグධࡋ࡚ࡃࡔࡉ࠸ࠋࠕNameࠖmust be as given in the Resident Certificate or Passport.
3. ෗┿ࡣ㸪⦪㸲㹡㹫 × ᶓ㸱㹡㹫ṇ㠃ୖ༙㌟↓ᖗ࡛㸪ฟ㢪㸱࠿᭶௨ෆ࡟᧜ᙳࡋࡓࡶࡢࠋ
Photograph must be 3 cm × 4 cm in size and taken within 3 months before submission of the form.

Form 3ಟኈᏛ఩ㄽᩥせ᪨ࡲࡓࡣ◊✲⤒㐣ሗ࿌᭩
Summary of Master’s Thesis or Progress Report of Master Program ResearchධᏛ༊ศDesired date ofenrollment

䕕2024 ᖺ 4 ᭶ 1 ᪥ (April 1, 2024)
䕕2024 ᖺ 9 ᭶ 21 ᪥ (September 21, 2024)

㑅ᢤ༊ศ
Category of
selection‫୍ڧ‬⯡㑅ᢤ General Category‫ ♫ ڧ‬఍ ே ≉ ู 㑅 ᢤ Special Category for Working Applicants‫ ڧ‬እᅜே␃Ꮫ⏕≉ู㑅ᢤ Foreign Student AdmissionẶ  ྡNameཷ㦂␒ྕ
Examinee No.

ͤ

ᚿᮃᑓᨷྡ
Desired Major
ὀ Note ͤ༳ḍࡣ㸪グධࡋ࡞࠸࡛ࡃࡔࡉ࠸ࠋ ͤ Leave blank.

Ⲉ ᇛ ኱ Ꮫ ኱ Ꮫ 㝔 ⌮ ᕤ Ꮫ ◊ ✲ ⛉The Graduate School of Science and Engineering, Ibaraki University

Ặ ྡ

ᚿᮃᑓᨷྡ

ཷ㦂␒ྕ

Name

Desired Major

Examinee No.

Ⲉ ᇛ ኱ Ꮫ ኱ Ꮫ 㝔 ⌮ ᕤ Ꮫ ◊ ✲ ⛉The Graduate School of Science and Engineering, Ibaraki UniversityͤForm 4◊✲ཬࡧᴗົୖࡢᴗ⦼ㄪ᭩
Research and Career Achievement Records
ධᏛ༊ศDesired date ofenrollment

䕕2024 ᖺ 4 ᭶ 1 ᪥ (April 1, 2024)
䕕2024 ᖺ 9 ᭶ 21 ᪥ (September 21, 2024)

㑅ᢤ༊ศ
Category of
selection‫୍ڧ‬⯡㑅ᢤ General Category‫ ♫ ڧ‬఍ ே ≉ ู 㑅 ᢤ Special Category for Working Applicants‫ ڧ‬እᅜே␃Ꮫ⏕≉ู㑅ᢤ Foreign Student AdmissionẶ  ྡNameཷ㦂␒ྕ
Examinee No.

ͤ

ᚿᮃᑓᨷྡ
Desired Major‫ ۔‬ୗグࡢ஦㡯ࢆᶓ᭩࡛グධࡋ࡚ࡃࡔࡉ࠸ࠋ
㸦㖄➹౑⏝୙ྍ㸧
Please fill in the following information. Please do not use a pencil when filling this form.
㸯㸬 Ꮫ⾡ㄽᩥ࣭◊✲ሗ࿌࣭≉チ➼ࡢྡ⛠ࠋ Scientific publications • Research reports •Numbers of patents
㸰㸬 Ⓨ⾜ཪࡣⓎ⾲ᖺ᭶ࠋ Year of publication or presentation.
㸱㸬 Ⓨ⾜ᡤ㸪Ⓨ⾲㞧ㄅ➼ཪࡣⓎ⾲Ꮫ఍➼ࡢྡ⛠ࠋ Name of publishers, scientific journals or conferences㸲㸬 ඲ⴭ⪅ྡࠋ Names of all authors.
㸳㸬 ࡑࡢ௚ࠋ Other information.

Ⲉ ᇛ ኱ Ꮫ ኱ Ꮫ 㝔 ⌮ ᕤ Ꮫ ◊ ✲ ⛉The Graduate School of Science and Engineering, Ibaraki University
ὀ Note 㸯㸬⏝⣬ࡀ୙㊊ࡍࡿሙྜࡣ㸪ࢥࣆ࣮ࡋ࡚౑⏝ࡋ࡚ࡃࡔࡉ࠸ࠋ
Additional sheets of paper may be attached if necessary.
㸰㸬ͤ༳ḍࡣ㸪グධࡋ࡞࠸࡛ࡃࡔࡉ࠸ࠋ ͤ Leave blank.

Form 5◊✲ィ⏬᭩Research Plan
No.1
ධᏛ༊ศ
Desired date ofenrollment

䕕2024 ᖺ 4 ᭶ 1 ᪥ (April 1, 2024)
䕕2024 ᖺ 9 ᭶ 21 ᪥ (September 21, 2024)

㑅ᢤ༊ศ
Category of
selection‫୍ڧ‬⯡㑅ᢤ General Category‫ ♫ ڧ‬఍ ே ≉ ู 㑅 ᢤ Special Category for Working Applicants‫ ڧ‬እᅜே␃Ꮫ⏕≉ู㑅ᢤ Foreign Student AdmissionẶ  ྡNameཷ㦂␒ྕ
Examinee No.

ͤ

ᚿᮃᑓᨷྡ
Desired Major
ὀ Note ͤ༳ḍࡣ㸪グධࡋ࡞࠸࡛ࡃࡔࡉ࠸ࠋ ͤ Leave blank.

Ⲉ ᇛ ኱ Ꮫ ኱ Ꮫ 㝔 ⌮ ᕤ Ꮫ ◊ ✲ ⛉The Graduate School of Science and Engineering, Ibaraki University

Form 6
㒑౽␒ྕ Postal code㸸ᐄྡ⚊Address Slipఫᡤ Address㸸ὀព
Cautionྜ᱁㏻▱᭩࣭ධᏛᡭ⥆᭩㢮➼ࡢ㒑㏦࡟฼⏝ࡋࡲࡍࠋఫᡤࡣᚲࡎཷࡅྲྀࡿࡇ࡜ࡢ࡛ࡁࡿሙᡤࢆグධࡋ࡚ࡃࡔࡉ࠸ࠋPlease fill in the address where you wish to receive theResult Notification Notice and other admission related
documents.
Ặྡࡣᚲࡎᚿ㢪⪅ᮏேࡢྡ๓ࢆグ㍕ࡋ࡚ࡃࡔࡉ࠸ࠋName must be the name of applicant him/herself.

ྡ๓ Name㸸ཷ㦂␒ྕ Examinee’s No㸸ͤͤࡇࡢḍࡣグධ୙せ࡛ࡍࠋLeave blank.

ᚲࡎ඲࡚ࡢᐄྡ⚊ࢆグධࡋ࡚ࡃࡔࡉ࠸ࠋ
Please fill in all of Address Slips.

㒑౽␒ྕ Postal code㸸㒑౽␒ྕ Postal code㸸ఫᡤ Address㸸ఫᡤ Address㸸ྡ๓ Name㸸ྡ๓ Name㸸ཷ㦂␒ྕ Examinee’s No㸸ͤͤࡇࡢḍࡣグධ୙せ࡛ࡍࠋLeave blank.

ཷ㦂␒ྕ Examinee’s No㸸ͤͤࡇࡢḍࡣグධ୙せ࡛ࡍࠋLeave blank.

Form 7-1
Ⲉᇛ኱Ꮫ኱Ꮫ㝔⌮ᕤᏛ◊✲⛉༤ኈᚋᮇㄢ⛬Application for Admission to the Graduate School of Science and Engineering, Ibaraki University (Doctoral Program)ධᏛヨ㦂ฟ㢪㈨᱁ㄆᐃᑂᰝ⏦ㄳ᭩
Application Form for Applicant’s Eligibility  ᥦฟ᪥ Filing date㸸᭶(Month)    ධᏛ༊ศDesired date ofenrollment
㑅ᢤ༊ศ
Category of selection

䕕2024 ᖺ 4 ᭶ 1 ᪥ (April 1, 2024)
䕕2024 ᖺ 9 ᭶ 21 ᪥ (September 21, 2024)

 ᪥(Date)    ཷ㦂␒ྕExaminee No.

 ᖺ(Year)    ͤグධ୙せͤ/HDYH%ODQN

‫୍ڧ‬
⯡
㑅
ᢤ General Category‫ ♫ ڧ‬఍ ே ≉ ู 㑅 ᢤ Special Category for Working Applicants‫ ڧ‬እᅜே␃Ꮫ⏕≉ู㑅ᢤ Foreign Student Admission

ࣇࣜ࢞ࢼ
ᛶู
Sex

Ặ  ྡName⏕ᖺ᭶᪥
Date of birth                      㸦Age  ᭶㸦Month㸧  ᪥㸦Date㸧  ᖺ㸦Year㸧‫ ⏨ ڧ‬Male‫ ڧ‬ዪ Female

ṓ㸧

ᚿᮃᑓᨷྡ
Desired majorᚿᮃ୺せ◊✲ศ㔝ཪࡣࢥ࣮ࢫDesired research fieldor courseᚿᮃᣦᑟᩍဨྡ
Expected supervisorฟ ㌟ ᰯSchoolattending/attended㧗➼ᩍ⫱ẁ㝵ࡢᏛᰯࢆ༞ᴗࡋ࡚࠸࡞࠸ሙྜࡣ
グධ୙せ࡛ࡍࠋ
An applicant who did not
graduate from a school of
the higher education levelmay not fill in this column.

                 ኱Ꮫ
University                 Ꮫ㒊Faculty                 Ꮫ⛉
Department༞ᴗ࣭༞ᴗぢ㎸
Date of (expected)
Graduation     ᖺ(すᬺ)     Year     ᭶     Month                 ኱Ꮫ኱Ꮫ㝔                 University                 ◊✲⛉Graduate school                 ᑓᨷ㸦ಟኈ࣭༤ኈ㸧ㄢ⛬
Major of master’s programಟ஢࣭ಟ஢ぢ㎸
Date of (expected)
Graduation     ᖺ(すᬺ)     Year     ᭶     Month໅ ົ ඛName of company
or employerࠛ  㸫

Phone

E-mailࠛ  㸫

Phone

E-mail⌧ ఫ ᡤPresent address

ㄆᐃ㏻▱᭩➼ࡢཷ ಙ ሙ ᡤ
Result notification
address

ὀព Note 1. ࠕㄆᐃ㏻▱᭩➼ࡢཷಙሙᡤࠖࡣ㸪ධᏛỴᐃࡲ࡛ࡢ㏻▱ࢆཷࡅࡿሙᡤࢆグධࡋ㸪ኚ᭦ࡋࡓሙྜࡣ㸪㏿ࡸ࠿࡟ᒆࡅฟ࡚ࡃࡔࡉ࠸ࠋ
If there are any changes in the result notification address, please inform the University immediately.
2. ᚿᮃᣦᑟᩍဨ࡟ࡣ㸪஦๓࡟㐃⤡ࢆྲྀࡗ࡚࠾࠸࡚ࡃࡔࡉ࠸ࠋ
Please contact in advance the expected supervisor.

ධᏛヨ㦂ฟ㢪㈨᱁ㄆᐃᑂᰝㄪ᭩
Summary of Previous Research Activities
ࣇࣜ࢞ࢼ
ཷ㦂␒ྕ
Examinee No.

Ặ  ྡ
Name
⌧  ⫋
Present
Position⏕ᖺ᭶᪥
Date of Birthͤ                 㸦Age ᭶(Month) ᪥(Date)  ᖺ(Year)ṓ㸧Ꮫ Ṕ࣭Educational background⮬ ᖺ㸭᭶ 㹼 ⮳ ᖺ㸭᭶Year㸭Month 㹼 Year㸭Month஦ 㡯࣭Names of schools attended㸭   㹼   㸭㸭   㹼   㸭㸭   㹼   㸭㸭   㹼   㸭㸭   㹼   㸭㸭   㹼   㸭⫋ Ṕ 㸦◊✲࣭㛤Ⓨ➼ࡢᴗົෆᐜࡀࢃ࠿ࡿࡼ࠺࡟ヲࡋࡃグධࡍࡿࡇ࡜ࠋ㸧
Employment records 㸦Fill in details about research and development employment㸧⮬ ᖺ㸭᭶ 㹼 ⮳ ᖺ㸭᭶Year㸭Month 㹼 Year㸭Month஦㡯࣭Names of Companies/Institutions, subjects of research and development㸭   ~   㸭㸭   㹼   㸭㸭   㹼   㸭㸭   㹼   㸭㸭   㹼   㸭㸭   㹼   㸭Ꮫ఍ཬࡧ♫఍࡟࠾ࡅࡿάື➼࣭Scientific Society and Social Activities⮬ ᖺ㸭᭶ 㹼 ⮳ ᖺ㸭᭶Year㸭Month 㹼 Year㸭Month஦ 㡯࣭Matters engaged㸭   㹼   㸭㸭   㹼   㸭㸭   㹼   㸭㸭   㹼   㸭㸭   㹼   㸭㸭   㹼   㸭ὀព Note ͤ༳ḍࡣ㸪グධࡋ࡞࠸࡛ࡃࡔࡉ࠸ࠋͤ Leave blank.
Ⲉ ᇛ ኱ Ꮫ ኱ Ꮫ 㝔 ⌮ ᕤ Ꮫ ◊ ✲ ⛉The Graduate School of Science and Engineering, Ibaraki University

Form 7-2
Ⲉᇛ኱Ꮫ኱Ꮫ㝔⌮ᕤᏛ◊✲⛉༤ኈᚋᮇㄢ⛬Application for Admission to the Graduate School of Science and Engineering, Ibaraki University (Doctoral Program)ฟ㢪㈨᱁ㄆᐃᑂᰝ࡟㛵ࡍࡿᚿᮃᣦᑟᩍဨ࡟ࡼࡿពぢ᭩
Written Statement of Expected Supervisor for Applicant’s Eligibility௧࿴  ᖺ  ᭶  ᪥⌮ᕤᏛ◊✲⛉༤ኈᚋᮇㄢ⛬ጤဨ఍ ጤဨ㛗 Ẋᚿᮃᣦᑟᩍဨᑓᨷ  ⌮ᕤᏛ◊✲⛉༤ኈᚋᮇㄢ⛬        ᑓᨷᚿᮃᣦᑟᩍဨ⫋఩࣭Ặྡ                 ༳⿕ᑂᰝ⪅      Ặࡢฟ㢪㈨᱁ㄆᐃᑂᰝ࡟ࡘ࠸࡚㸪ୗグࡢ㏻ࡾពぢ᭩ࢆᥦฟ⮴ࡋࡲࡍࠋグᇶ♏㈨᱁     ኱Ꮫ   Ꮫ㒊   Ꮫ⛉    ༞ᴗ
ࡑࡢ௚㈨᱁                  ༞ᴗ࣭ಟ஢ពぢグධḍ㸦ͤ1㸧

ͤ1ฟ㢪㈨᱁ㄆᐃᑂᰝ࡟࠾࠸࡚ࡣ㸪ಟኈࡢᏛ఩ཪࡣᑓ㛛⫋Ꮫ఩ࢆ᭷ࡍࡿ⪅࡜ྠ➼௨ୖࡢᏛຊࡀ࠶ࡿ࠿ྰ࠿ࢆฟ㢪๓࡟ᑂᰝࡋࡲࡍࠋ༤ኈᚋᮇㄢ⛬ጤဨ఍࡟࠾࠸࡚ࡣ㸪ࡇࡢࡇ࡜࡟ࡘ࠸࡚ᑂ㆟ࡋࡲࡍࠋᚑࡗ࡚㸪⿕ᑂᰝ⪅ࡀ㸪ಟኈࡢᏛ఩
ཪࡣᑓ㛛⫋Ꮫ఩ࢆ᭷ࡍࡿ⪅࡜ྠ➼௨ୖࡢᏛຊࡀ࠶ࡿ࡜ุ᩿ࡍࡿ⌮⏤ࢆグ㍕ࡋ࡚ࡃࡔࡉ࠸ࠋ
௨ୖ

Form 8ᅾ⫋ᮇ㛫ド᫂᭩
Certificate of Professional Career / Employment⌧ఫᡤ  ࠛ   㸫
Present Address  ________________________________________________________________________________ཷ 㦂 ⪅ Ặ ྡ
N a m e o f A p p l i c a n t  ________________________________________ධᏛ༊ศ
Desired date ofenrollment

䕕2024 ᖺ 4 ᭶ 1 ᪥ (April 1, 2024)
䕕2024 ᖺ 9 ᭶ 21 ᪥ (September 21, 2024)

㑅ᢤ༊ศ
Category of
selection‫୍ڧ‬⯡㑅ᢤ General Category‫ ♫ ڧ‬఍ ே ≉ ู 㑅 ᢤ Special Category for Working Applicants‫ ڧ‬እᅜே␃Ꮫ⏕≉ู㑅ᢤ Foreign Student Admission

ཷ㦂␒ྕ
Examinee No.

ͤὀ Note ͤ༳ḍࡣ㸪グධࡋ࡞࠸࡛ࡃࡔࡉ࠸ࠋ ͤ Leave blank.

Month 㹝㹝㹝㹝᭶ Date 㹝㹝㹝㹝᪥㸭 Year 㹝㹝㹝㹝ᖺᡤᒓᶵ㛵ྡ㸦஦ᴗᡤྡ㸧
Name of Institution/Company⫋   ✀Position of Applicantᅾ⫋ᮇ㛫 ཪࡣ ᅾ⫋ࡋࡓᮇ㛫
Period in employment⮬    ᭶      ᪥      ᖺ
Since  Month 㹝㹝㹝㹝 Date 㹝㹝㹝㹝 㸭 Year 㹝㹝㹝㹝  㹼⮳    ᭶      ᪥      ᖺ
Until   Month 㹝㹝㹝㹝 Date 㹝㹝㹝㹝 㸭 Year 㹝㹝㹝㹝ఫ   ᡤ 㸦 ᡤ ᅾ ᆅ 㸧  ࠛ   㸫
Address of Institution/company
  ________________________________________________________________________________໅ົඛྡName of institution/company or employer  ________________________________________⫋
ྡP o s i t i o n  ________________________________________

Ặྡ
N a m e 㸦 S i g n a t u r e 㸧  _____________________________________ ॓コンビニエンスストアでの入学検定料払込方法
下記のコンビニ端末にてお支払いください（インターネット登録不要）

お 申 込み1

マルチコピー機

https://www.lawson.co.jp

マルチコピー機

https://www.sej.co.jp

https://www.ministop.co.jp

https://www.family.co.jp

最寄りの「セブン-イレブン」にある「マルチコピー機」へ。

最寄りの「ローソン」「ミニストップ」にある「Loppi」へ。

最寄りの「ファミリーマート」にある「マルチコピー機」へ。

TOP画面の「学び・教育」
よりお申込みください。

「各種サービスメニュー」
より
TOP画面のお申込みください。

「保険／学び・教育」
より
TOP画面のお申込みください。

学び・教育「各種申込（学び）」を含むボタン

保険／学び・教育

入学検定料等支払

学び･教育･各種検定試験

学び・教育

大学・短大、専門、小・中・高校等お支払い

大学・短大・大学院 入学検定料支払いサービス▼

茨城大学大学院

をタッチし、申込情報を入力して「払込票／申込券」を発券ください。
＊画面ボタンのデザインなどは予告なく変更となる場合があります。

お 支 払い2①コンビニのレジでお支払いください。
端末より
「払込票」
（マルチコピー機）
または「申込券」（ Loppi、
マルチコピー機）が出力されますので、30分以内にレジにてお支払いください。
＊出願期間最終日の支払受付時間は15時までとなります。 ＊お支払い済みの入学検定料はコンビニでは返金できません。
＊お支払期限内に入学検定料のお支払いがない場合は、入力された情報はキャンセルとなります。
＊すべての支払方法に対して入学検定料の他に、払込手数料が別途かかります。

（セブン-イレブン、
ローソン、
ミニストップ）

払込手数料
（税込）

入学検定料が5万円未満

440円

入学検定料が5万円以上660円（ファミリーマート）②お支払い後チケットとレシートの2種類をお受け取りください。

チケット形式

レシート
取扱明細書兼領収書「取扱明細書」（マルチコピー機）または「取扱明細書兼領収書」（ Loppi）。

②お支払い後受領書（レシート）をお受け取りください。

受領書

出願

3

「取扱明細書」
または「取扱明細書兼領収書」の「収納証明書」部分を切り取り、他の出願書類とともに提出してください。

【 操 作などのお問 合わせ先 】 学び･教育サポートセンター

https://e-apply.jp/

受領書（レシート）を
他の出願書類とともに提出してください。

TEL 0120-202079※コンビニ店頭ではお応えできません。

How to Pay the School Entrance Examination Fee at a Convenience Store[1] Request to Make a Payment
Franchise: 7-Eleven
Kiosk: Multi-purpose copier 
Process: From the main screen select: [Ꮫࡧ࣭ᩍ⫱] (Learning/Education) ↓ [ධᏛ᳨ᐃᩱ➼ᨭᡶ] (Pay fees such as the school entrance examination fee)
Franchise: Lawson, Mini Stop
Kiosk: Loppi
Process: From the main screen select: [ྛ✀ࢧ࣮ࣅࢫ࣓ࢽ࣮ࣗ] (Menu for various services)
Then choose the button that includes: [ྛ✀⏦㎸㸦Ꮫࡧ㸧] (Applications (learning)) ↓[Ꮫࡧ࣭ᩍ⫱࣭ྛ✀᳨ᐃヨ㦂] (Learning/Education/Official Examinations)↓[኱Ꮫ࣭▷኱ࠊᑓ㛛ࠊᑠ࣭୰࣭㧗ᰯ➼࠾ᨭᡶ࠸ ]Make a payment to a university, junior college, vocational school, elementary/junior high/high school, etc.)
Franchise: FamilyMart
Kiosk: Multi-purpose copier
Process: From the main screen select: [ಖ㝤㸭Ꮫࡧ࣭ᩍ⫱] (Insurance/ Learning/Education)↓[Ꮫࡧ࣭ᩍ⫱] (Learning/Education) ↓[኱Ꮫ࣭▷኱࣭኱Ꮫ㝔ධᏛ᳨ᐃᩱᨭᡶ࠸ࢧ࣮ࣅࢫ] ( University, junior college, or graduate school entrance
examination fees payment service)                 ‫ۃ‬
Tap Ⲉᇛ኱Ꮫ኱Ꮫ㝔 (Ibaraki University Graduate School) and enter your application information to have a ”ᡶ㎸⚊/⏦㎸ๆ(payment slip/request ticket)” issued to you.

[2] Make a Payment   Please make a payment with the convenience store cashier.
    ○ The kiosk will print a ”ᡶ㎸⚊ (payment slip)” from multi-purpose copiers, or a “⏦㎸ๆ (request ticket)” at Loppi andmulti-purpose copiers. Please make your payment with the cashier within 30 minutes of receiving your payment “slip/request
ticket”.
    㹙7-Eleven, Lawson, Mini Stop㹛 ○ After making the payment, please obtain a ticket (a “ྲྀᢅ᫂⣽᭩ (handling statement)” from multi-purpose copiersor a “ྲྀᢅ᫂⣽᭩ව㡿཰᭩ (handling statement/receipt)” at Loppi) and a receipt.
㹙FamilyMart㹛 ○ After making the payment, please obtain a “ཷ㡿᭩(receipt)”.
* Payments are not accepted after 15:00 JST on the final day of the application period.
* The school entrance examination fee that has been paid cannot be refunded at the convenience store.
* The information entered will be voided if you do not pay the school entrance examination fee within the payment period.
* In addition to the school entrance examination fee, money transfer fee for applying is necessary, regardless of payment
method.
       <Payment Fees> For school entrance examination fees of less than ¥50,000: ¥440(with tax)              For school entrance examination fees of ¥50,000 or more: ¥660(with tax)            [3] Submit an Application㹙After making a payment at 7-Eleven, Lawson, or Mini Stop㹛○ Please detach the “཰⣡ド᫂᭩ (receipt certificate)” portion from the “ྲྀᢅ᫂⣽᭩ (handling statement)” or “ྲྀᢅ᫂⣽᭩ව㡿཰᭩ (handling statement/receipt)” and submit it along with your application documents.
㹙After making a payment at FamilyMart㹛○ Please submit “ཷ㡿᭩(receipt)” along with your application documents.                           