（Form 12）

Application Form for Continuing ApplicantsContinuation Conditions
Only student who meet all of the "Continuation Conditions" can omit the documents submitted for the second semester.
Please confirm the following conditions and check the box.
□ You have completed application for tuition fee exemption for the first semester of the current academic year.
（Completion of application means that both "document submission" and "online application" have been completed.）*Students who enroll in October can't omit the documents.
(including students who advance from a master's course to a doctoral course within our university in October)□ You didn't change the application category from the first semester of the current academic year.
□ You haven't withdrawn the application for tuition fee exemption for the first semester of the current academic year.

If you meet the Continuation Conditions above, please check the "Required Documents" and "Details of Change" below.

Required Documents□ 【All】[Form 12] Application Form for Continuing Applicants□ 【All】Income taxation certificates of the applicant and the household supporter (the latest certificate updated in June, 2024)□ 【Only for Japanese undergraduate students】[Form 11] Confirmation Form for Application Status of the Higher Education Study Support New Program□ 【If any changes to the application after the first semester's reference date】Documents required as a result of the changes (see below)

Details of ChangeHousehold Situations (The period： From the first semester's application (April 1) to the second semester's application (October 1))
QuestionsHas there been a change in the household supporter(s)/household
member(s) during the above period ?

Has there been any increase or decrease in the number of high school
students or above during the above period?

Has any person received a new disability certificate during the above
period?

Has your householder become a single-parent household due to changes in
the household supporter(s) during the above period?

Has there been a change in in the school commute classification for theapplicant/ high school students or above during the above period?

Check

Required documents□ Yes●[Form 1] Record of Family●[Form 10] Declaration regarding dependents（Fill in name, address, employment place of the person and date）

□ No

-

□ Yes

●Student ID card (Photocopy) or Certificate of enrollment (Original)●[Form 1] Record of Family

□ No

-

□ Yes

●Physical Disability Certificate, Rehabilitation Certificate etc.
*Name, certificate number, name of disability, and level (grade) of disability

□ No

-

□ Yes

●One of the certificates that show widow(er) or single parent(Income taxation certificate, withholding tax certificate, or tax return)or Family register (Original)

□ No

-

□ Yes

●[Form 1] Record of Family

□ No

-

□ Yes

●[Form 7] Supervisor’s Statement (Original)

Is this your first semester beyond the standard term of study?

□ No

-

【For Privately Financed International Students】Has there been a change
in your housing costs due to relocation or other reasons?

□ Yes●[Form 4] Budget Report Sheet (Original)●Photocopy of Apartment Lease Contract●Photocopy of Residence card (with new address)

□ No

-

□ Yes

●Residence card of the roommate (photocopy)●[Form 4] Budget Report Sheet (Original)●Photocopy of Apartment Lease Contract

□ No

-

□ Yes

*Please refer to page 14 in application guide.

□ No

-

【For graduate students exceeding the standard term of study for thesis preparation】【For Privately Financed International Students】Have you started living
together during the above period?

Has there been a sudden change in household finances?
*Please refer to page 14 in application guide.

（Please turn over）
Student ID number

（Form 12）

Application Form for Continuing Applicants
Income Situations (The period： From the first semester's application (April 1) to the second semester's application (October 1))
Questions

Check

Did you (and/or your householder(s)) change jobs or start working during
the above period and you (and/or your householder(s)) still employed at
the same place of employment the above period?

□ Yes●[Form 5] Certificate of (estimated) salary payment (Original)

□ No

-

Did you (and/or your householder(s)) leave your employment
during the above period?

□ Yes●Something that shows the date of retirement(ex ; Withholding Tax Certificate or Employee release form1 etc.）

□ No

-

Did you (and/or your householder(s)) change employment statusduring the above period?

□ Yes●[Form 6] Certificate of (planned) change of employment status (Original)

□ No

-

Did you (and/or your householder(s)) start a new self-employmentbusiness during the above period?

□ Yes●Photocopy of notification of discontinuance of business*A stamped receipt is always required.
●[Form 9] List of income amounts (Original)

□ No

-

Did you (and/or your householder(s)) go out of businessduring the above period?

□ Yes

Required documents●Photocopy of notification of discontinuance of business*A stamped receipt is always required.

□ No

-

Did you (and/or your householder(s)) start to receive a pension during theabove period ? (Excluding changes in pension amounts)□ Yes●Latest pension payment notice or Latest pension amount determination notice

□ No

-

Did you (and/or your householder(s)) stop receiving a pension during theabove period ? (Excluding changes in pension amounts)□ Yes●Something that pension payment have ended.

□ No

-

Did you (and/or your householder(s)) start to receive any allowances andbenefit during the above period ?

□ Yes●Certificate stating name, the amount of money received andthe period of receipt

□ No

-

□ Yes

-（What kind of allowances/benefits ・Who：

□ No

-

Did you (and/or your householder(s)) start to receive employment
insurance / unemployment benefits during the above period ?

□ Yes●Employment Insurance Beneficiary Certificate (both sides), page 1-4

□ No

-

Did you (and/or your householder(s)) stop receiving employment insurance/ unemployment benefits during the above period ?

□ Yes●Employment Insurance Beneficiary Certificate (both sides), page 1-4

□ No

-

Have you (and/or your householder(s)) been approved for welfare
during the above period ?

□ Yes●Notice of welfare decision (change) for the most recent one year
*If the period of receipt is less than one year, all notices are required.

□ No

-

□ Yes

-（Who：

□ No

-

□ Yes

●Notification of Decision or Certificate of Approval(NEW SPRING/ Next-Generation AI/ Female Graduate Students)

□ No

-

□ Yes

-（What kind of scholarships ・Who：

□ No

-

Have you (and/or your householder(s)) started to receive any scholarships
during the above period ?

□ Yes●Documents showing the amount and duration of benefits received(Notification, certificate, etc.)

□ No

-

Did you (and/or your householder(s)) stop receiving any scholarships
during the above period ? *Please fill out details in parentheses on the right.

□ Yes-（What kind of scholarships ・Who：

□ No

-

Did you (and/or your householder(s)) receive any financial assistancefrom others during the above period ?

□ Yes●Documents showing the amount and period of assistance (bank book, etc.)

□ No

-

Did you (and/or your householder(s)) finish any financial assistancefrom others during the above period ?

□ Yes

-

□ No

-

□ Yes

●[Form 10] Declaration regarding dependents

□ No

-

Did you (and/or your householder(s)) stop receiving any allowances and benefit
during the above period ? *Please fill out details in parentheses on the right.

Has your welfare certification been revoked during the above period?
*Please fill out details in parentheses on the right.

Have you (and/or your householder(s)) received acceptance forany of the fellowships during the above period?
Has the fellowship entitlement period ended during the above period ?
*Please fill out details in parentheses on the right.

Have there been any other changes during the above period ?

*Documents not listed above may be required depending on the family's financial situation and for other reasonsStudent ID number

（Form 12）

ExampleApplication Form for Continuing ApplicantsContinuation Conditions
Only student who meet all of the "Continuation Conditions" can omit the documents submitted for the second semester.
Please confirm the following conditions and check the box.
☑ You have completed application for tuition fee exemption for the first semester of the current academic year.
（Completion of application means that both "document submission" and "online application" have been completed.）*Students who enroll in October can't omit the documents.
(including students who advance from a master's course to a doctoral course within our university in October)☑ You didn't change the application category from the first semester of the current academic year.
☑ You haven't withdrawn the application for tuition fee exemption for the first semester of the current academic year.

If you meet the Continuation Conditions above, please check the "Required Documents" and "Details of Change" below.

Required Documents☑ 【All】[Form 12] Application Form for Continuing Applicants☑ 【All】Income taxation certificates of the applicant and the household supporter (the latest certificate updated in June, 2024)□ 【Only for Japanese undergraduate students】[Form 11] Confirmation Form for Application Status of the Higher Education Study Support New Program☑ 【If any changes to the application after the first semester's reference date】Documents required as a result of the changes (see below)

Details of ChangeHousehold Situations (The period： From the first semester's application (April 1) to the second semester's application (October 1))
Questions

Check

Required documents☑ Yes●[Form 1] Record of Family●[Form 10] Declaration regarding dependents（Fill in name, address, employment place of the person and date）

□ No

-

□ Yes

●Student ID card (Photocopy) or Certificate of enrollment (Original)●[Form 1] Record of Family

☑ No

-

□ Yes

●Physical Disability Certificate, Rehabilitation Certificate etc.
*Name, certificate number, name of disability, and level (grade) of disability

☑ No

-

□ Yes

●One of the certificates that show widow(er) or single parent(Income taxation certificate, withholding tax certificate, or tax return)or Family register (Original)

☑ No

-

□ Yes

●[Form 1] Record of Family

☑ No

-

【For graduate students exceeding the standard term of study for thesis preparation】☑ Yes●[Form 7] Supervisor’s Statement (Original)

Is this your first semester beyond the standard term of study?

□ No

-

【For Privately Financed International Students】Has there been a change
in your housing costs due to relocation or other reasons?

☑ Yes●[Form 4] Budget Report Sheet (Original)●Photocopy of Apartment Lease Contract●Photocopy of Residence card (with new address)

□ No

-

□ Yes

●Residence card of the roommate (photocopy)●[Form 4] Budget Report Sheet (Original)●Photocopy of Apartment Lease Contract

☑ No

-

□ Yes

*Please refer to page 14 in application guide.

☑ No

-

Has there been a change in the household supporter(s)/household
member(s) during the above period ?

Has there been any increase or decrease in the number of high school
students or above during the above period?

Has any person received a new disability certificate during the above
period?

Has your householder become a single-parent household due to changes in
the household supporter(s) during the above period?

Has there been a change in in the school commute classification for theapplicant/ high school students or above during the above period?

【For Privately Financed International Students】Have you started living
together during the above period?

Has there been a sudden change in household finances?
*Please refer to page 14 in application guide.

（Please turn over）
Student ID number〇〇〇〇〇〇〇

（Form 12）

ExampleApplication Form for Continuing Applicants

Income Situations (The period： From the first semester's application (April 1) to the second semester's application (October 1))
Questions

Check

Required documents

Did you (and/or your householder(s)) change jobs or start working during
the above period and you (and/or your householder(s)) still employed at
the same place of employment the above period?

☑ Yes●[Form 5] Certificate of (estimated) salary payment (Original)

□ No

-

Did you (and/or your householder(s)) leave your employment
during the above period?

□ Yes●Something that shows the date of retirement(ex ; Withholding Tax Certificate or Employee release form1 etc.）

☑ No

-

□ Yes

●[Form 6] Certificate of (planned) change of employment status (Original)

☑ No

-

□ Yes

●Photocopy of notification of discontinuance of business*A stamped receipt is always required.
●[Form 9] List of income amounts (Original)

☑ No

-

Did you (and/or your householder(s)) change employment statusduring the above period?

Did you (and/or your householder(s)) start a new self-employmentbusiness during the above period?

Did you (and/or your householder(s)) go out of businessduring the above period?
Did you (and/or your householder(s)) start to receive a pension during theabove period ? (Excluding changes in pension amounts)
Did you (and/or your householder(s)) stop receiving a pension during theabove period ? (Excluding changes in pension amounts)
Did you (and/or your householder(s)) start to receive any allowances andbenefit during the above period ?

□ Yes

-

□ Yes

●Latest pension payment notice or Latest pension amount determination notice

☑ No

-

□ Yes

●Something that pension payment have ended.

☑ No

-

□ Yes

●Certificate stating name, the amount of money received andthe period of receipt

☑ No

-

Has your welfare certification been revoked during the above period?
*Please fill out details in parentheses on the right.

Have you (and/or your householder(s)) received acceptance forany of the fellowships during the above period?
Has the fellowship entitlement period ended during the above period ?
*Please fill out details in parentheses on the right.

Have you (and/or your householder(s)) started to receive any scholarships
during the above period ?
Did you (and/or your householder(s)) stop receiving any scholarships
during the above period ? *Please fill out details in parentheses on the right.

-（What kind of allowances/benefits ・Who：Child rearing allowence・mother)
-

□ Yes

●Employment Insurance Beneficiary Certificate (both sides), page 1-4

☑ No

-

Did you (and/or your householder(s)) stop receiving employment insurance □ Yes/ unemployment benefits during the above period ?
☑ NoHave you (and/or your householder(s)) been approved for welfare
during the above period ?

*A stamped receipt is always required.

☑ No

Did you (and/or your householder(s)) stop receiving any allowances and benefit ☑ Yes
during the above period ? *Please fill out details in parentheses on the right.
□ No

Did you (and/or your householder(s)) start to receive employment
insurance / unemployment benefits during the above period ?

●Photocopy of notification of discontinuance of business●Employment Insurance Beneficiary Certificate (both sides), page 1-4
-

□ Yes

●Notice of welfare decision (change) for the most recent one year
*If the period of receipt is less than one year, all notices are required.

☑ No

-

□ Yes

-（Who：

☑ No

-

□ Yes

●Notification of Decision or Certificate of Approval(NEW SPRING/ Next-Generation AI/ Female Graduate Students)

☑ No

-

□ Yes

-（What kind of scholarships ・Who：

☑ No

-

□ Yes

●Documents showing the amount and duration of benefits received(Notification, certificate, etc.)

☑ No

-

□ Yes

-（What kind of scholarships ・Who：

☑ No

-

Did you (and/or your householder(s)) receive any financial assistancefrom others during the above period ?

□ Yes●Documents showing the amount and period of assistance (bank book, etc.)

☑ No

-

Did you (and/or your householder(s)) finish any financial assistancefrom others during the above period ?

□ Yes

-

☑ No

-

☑ Yes

●[Form 10] Declaration regarding dependents

□ No

-

Have there been any other changes during the above period ?

*Documents not listed above may be required depending on the family's financial situation and for other reasonsStudent ID number〇〇〇〇〇〇〇