For those who are scheduled to graduate from the Doctoral Programin the Academic Year 2020 (Submission of Title)Those students who hope to graduate from the doctoral program (Doctoral Program of Medicine,Doctoral Program) in the academic year 2020 must submit the Doctoral Dissertation Title Form.
Those concerned should submit the following.
Who this affects: All those students of the doctoral program who hope to graduate in the academic year
2020(March 2021)
Documents to submit: The “Doctoral Dissertation Title Form” (博士論文題目届)(You can download it from the Graduate School of Medicine website, at
http://www.m.u-tokyo.ac.jp/daigakuin/index.html )Submission period: Both hard copy and an electronic data should be submitted.
〔Hard copy〕 From Monday, August 17 to 5 pm on Friday, September 4, 2020
〔Electronic Data〕From Monday, August 31 to 5 pm on Friday, September 4, 2020

Where to submit: Both hard copy and an electronic data should be submitted.
〔Hard copy〕
You must submit one hard copy to Graduate Student Affairs Section, Faculty of Medicine (医学部大学院担当)(1st floor, Building No. 2, Faculty of Medicine)→You may post it, or use the university postal system(学内便).
Please note that this form needs your research supervisor(指導教員)`s seal. However, we will accept
submitting the printed hard copy with the electronic signature. In that case, we will not respond to any questions
regarding how to use the electronic signature service so please prepare it by yourself.
*Please submit it by postal mail or by the university postal system(学内便) when the office is closed.
*If you want to confirm that the hard copy has arrived, please send it by registered mail and check the trackingnumber by yourself.

〔Electronic Data〕
You must submit an electronic data (Excel file) by uploading it to URL below. Please describe your student ID
number on the title of the file. (e.g. 41123456_2020 題目届.xlsx)*Please do not delete any sheets in the file.
*Other students can see the titles of files which has been uploaded, so please be careful not to include your nameon the title.
*We will not inform you when your electronic data is uploaded. If upload is successful, the message such as thefollowing is displayed: "uploading is completed ".When you upload your electronic data, please check it byyourself.

URL will be released in the last week of August.
Other: When you submit the Doctoral Dissertation Title Form, please nominate 7 examination committee
members. When you nominate them, please refer to the List of Faculty Member Codes. The List ofFaculty Member Codes are included in the “Doctoral Dissertation Title Form” file.
- Talk with your research supervisor(指導教員) and nominate, in order of preference, 7 members forthese positions in total.
*The actual members of examination committee will be 5 in total (3 from the nominated members, 2selected from division) but in order to ensure fairness of selection among faculty, you must nominate 7members- You may nominate up to one person from your own department(専攻).
- You may not nominate your co-researchers(共同研究者), research supervisor(指導教員), or faculty
members of your lab or research field(所属教室の教員), or those related to you by marriage.
* Consult with your research supervisor about who will be the co-researchers in your case. Please notethat you will need to attach the original copy of “Letter of Consent and Acceptance”(同意承諾書) by
all co-researchers when submitting the “Application for Conferral of Degree”(学位授与願).
(No photocopies accepted.)→Please note that this “Letter of Consent and Acceptance”(同意承諾書) needs your co-researchers’
signs and seals; however, we will accept the printed hard copy with the electronic signature if you can
prepare it by yourself.(We will not respond to any questions regarding how to use the electronic
signature service.)- Unless you obtain prior consent, you may not nominate Dean of the Graduate School of Medicine, theDirector of the University of Tokyo Hospital, the Director of the Institute of Medical Science, or the
Director of the Institute for Quantitative Biosciences, those who are scheduled to retire this academic
year.
→Faculty members mentioned above are written as “※要承諾” in the“備考/Others” box in the List ofFaculty Member Codes. If you want to nominate them as a candidate of examination committee, pleaseobtain prior consent from them by yourself and put a check mark in the box of "「※要承諾」確認欄/Prior consent" of the “Doctoral Dissertation Title Form”.
- You may nominate one faculty in the University of Tokyo, who is not included in the List of Faculty
Member Codes, if you obtain prior consent from head of the division(専攻長) and faculty him/herself.
Letter of Consent (no specific format) from head of the division is also required. ＊Please send
Graduate Student Affairs Section, Faculty of Medicine(医学部大学院担当) an e-mail because you
should fill in the different from “Doctoral Dissertation Title Form” .
Advance Notice: Supplementary Article (副論文)*If there is a supplementary article, please submit it when you apply for a conferral of degree(Next step).
Please do not submit with “Doctoral Dissertation Title Form”.
･There may be requirements for the submission of a supplementary article, depending on the department.
Please confirm with your supervisor.

*Department of Surgical Science：All students should submit a supplementary article when applying
for the Application for Conferral of degree(Next step). Please confirm with your supervisor and checkthe department’s requirements.

After you submit the Title Form, please submit the set for the Application for Conferral of Degreeby Thursday 12, November.

参考：審査委員候補者、指導教員が専攻を兼担している場合について
When Candidates of Examination Committee Member(審査委員候補者) or your research supervisor (指導教員)
belong to 2 or more departments

審査委員候補者が専攻を兼担している場合
When Candidates of Examination Committee Member(審査委員候補者) belong to more than 2 departments
教員コード/

Faculty Member 教員氏名/NameCodes

指導教員/Supervisor

専攻/Department

所属教室（専攻分野）/Research Field

備考/Others(備考に「※要承諾」とある場合のみ、各自、先生に承諾を得た上でプルダウンを選択)

外科学専攻※学籍上の指導教員「※要承諾」確認
欄/Prior consent

12
審査委員候補者（推薦順位順）/Candidates ofExamination
CommitteeMember

自専攻から2名以上推薦できません。You can't nominate 2 ormore people from yourDepartment.

345

外科学専攻兼担
外科学専攻兼担67

指導教員が専攻を兼担している場合
When your research supervisor (指導教員) belongs to more than 2 departments
教員コード/

Faculty Member 教員氏名/NameCodes

指導教員/Supervisor

専攻/Department

外科学専攻※学籍上の指導教員

所属教室（専攻分野）/Research Field

備考/Others
社会医学専攻兼担「※要承諾」確認
欄/Prior consent(備考に「※要承諾」とある場合のみ、各自、先生に承諾を得た上でプルダウンを選択)

1

審査委員候補者（推薦順位順）/Candidates of
Examination
Committee
Member2

社会医学専攻3

社会医学専攻45
6
7

指導教員が兼担している専攻からは何名でも可能。
You can chose any number ofpeople from the department whichyour research superviser belongs
to besides your department.