理⼯情報⽣命学術院数理物質科学研究群追試験（オンライン）申請
許可者の外部英語試験スコア票の提出⽅法について（10 ⽉期⼊試）
How to submit a score repot of an external English test
For examinees who are permitted to take the supplementary examination (Online)(The October entrance examinations for Graduate School of Science and Technology,
Degree Programs in Pure and Applied Sciences)
理⼯情報⽣命学術院数理物質科学研究群の⼤学院⼊試（10 ⽉期）において新型コロナウ
イルスの影響等により試験場での受験が出来ないため、追試験申請を許可された出願者の外部英語試験スコア票の提出については「数理物質科学研究群の受験を希望する皆様へ外部英語試験スコア票の提出についてお知らせ（令和 2 年 6 ⽉ 30 ⽇）」に準じて以下のとおりとします。
On the October entrance examinations for Graduate School of Science and Technology,Degree Programs in Pure and Applied Sciences, examinees permitted to take thesupplementary examination has to submit a score report of an external English test according
to the procedure described below; the examinees are unable to sit for the entrance
examinations at the examination venue for reasons related to the COVID-19 pandemic andare granted the authorization to take the supplementary examination after requesting it.
Please be advised that the procedure below will be performed based on the notification on
July 30th 2020, “Notification about how to submit a score report of an external English test,”（１）試験初⽇までに有効なスコア票原本を書留により郵送（簡易書留）（＊）する（必着）。
Send a valid original test score report by simplified registered mail (＊) and it must
be received by us no later than the first day of the entrance examinations.
ただし、試験初⽇にスコア票原本の郵送（簡易書留）が間に合わない場合には、 以下の通り提出すること。
If you cannot send an original score and we do not receive it by the first day of theentrance examinations, follow the directions below.
１）試験初⽇までにインターネット上で表⽰されるスコアをプリントしたものを、「英語スコア票提出誓約書」を添えて、郵送（簡易書留）する（必着）。
Send a printed page showing your score on the Internet with “Pledge Regarding
Submission of a Score Report of an External English Test” by simplified registeredmail and it must be received by us no later than the first day of the entrance
examinations.
２）スコア票原本を以下の期⽇までに郵送（簡易書留）する（必着）。

期⽇までに原本の到着が確認できなかった場合は、いかなる理由であっても選考の対象となりません。
Send the original score report by simplified registered mail and it must be received
by us by the designated date below. (If you fail to submit the original score report
and we do not receive it by the due date, you will be excluded from the selection
process regardless of the reason.)（提出期⽇）
10 ⽉期：令和 2 年 10 ⽉ 19 ⽇（⽉）までにスコア票の原本を提出
October Period: Send the original score report and it must be received by us by
October 19th 2020 (Mon.)※ただし、試験⽇当⽇の体調不良等により追試験を申請し許可された場合については個別に提出⽅法の指⽰をします。
In case you have requested a supplementary examination due to a reason such as your healthcondition on the day of the examinations and are permitted to take the supplementary
examination, we will individually notify you of the procedure for submitting a score report.
＊郵送先

３０５−８５７１

ア⽀援室

⼤学院教務

茨城県つくば市天王台１−１−１

筑波⼤学数理物質エリ＊Graduate School Affairs, Academic Service Office for the Pure and Applied Sciences Area,
University of Tsukuba
1-1-1 Tennoudai, Tsukuba, Ibaraki, 305-8571 Japan

２０２０年⽉⽇

英語スコア票提出誓約書
受験番号
受験学位プログラム
受験サブプログラム
⽒名

私は、次の理由により本⽇提出ができませんので、後⽇提出する英語スコア票原本が以下と相違ないことを誓約します。
１．
試験種別

英語試験の受験⽇（〇で選択）

受験番号（年⽉⽇）

TOEIC

TOEFL

IELTS
TOEFL Home Edition

２．提出できない理由

３．提出予定⽇
年⽉⽇

署

名

総合得点

Date.

Pledge Regarding Submission ofa Score Report of an External English Test
Examineeʼs number:
Program you have applied to:Name:

I cannot submit a score report of an external English test today due to thefollowing reason.
I pledge that the information written in 1. below is consistent with the originalscore report I am going to submit later.
1.
Please circle the test you took
TOEIC

Examineeʼs number ofexternal English test

TOEFL

IELTS
TOEFL Home Edition

2. Reason why I cannot submit a score report today

3. Scheduled date of submission (day, month, year)

Signature

Test dateOverall（day, month, year）

score