If you are already enrolled in Osaka University, enter the number here.
Student ID No.
Paste yourFY( 2025 )Application for Admission for
Graduate School of Information Science and Technology, Osaka University
Doctor Course – Special Selection in December for International Applicants

photograph
4cm x 3cm

Please leave blank in the fields with *.
Signature

Name of preferred supervisor**

Preferred major
NameGenderDay

MonthYear

Legal domicile (Prefecture for Japaneseor nationality for international students)

Date of birth□ Foreign□ Unsponsored
government-sponsored
students
student(Select the corresponding number from “application qualification” in Application Guideline.)

Application

Contact (Note 1)

Applicantqualification

For international students□ Japanese government
scholarship student

Last school attended
Date of graduation or expected graduation
Day/ MonthAddress
Current address
Phone
Email address
Name
Japan
ContactAddress
Phone
Name
Home country
ContactAddress
Phoneinternational/ Yearzip code
Mobilezip code

zip code
ResumeEducational
background(Note 2)
Employment
history(if applicable)

From
Fromtoto

From
From
Fromtototo

From
From
Fromtototo

I will submit [□at the time of application □on the first examination day].
□I will not submit.
For person in employment
I will [□resign □not resign] after admission.
Note 1)
For international students, make sure to enter contact information both in Japan and home country. For other students,
enter contact information in Japan only.
2) In the educational background field, start entering with high school entrance information. For international students,start entering with primary school entrance information. In addition, make sure to enter information regarding research
student or student of Japanese-language school if applicable.
Academic affairs*Check*TOEIC score, etc.

Examination Admission Card ( FY 2025)

1. Front upper body, nohats, single person
taken within the past 3months
2. 4 cm x 3 cm
3. Paste the same
photograph as the oneused for Photo
Identification Card.

Major name
Examinee’s number

Photograph*Name

Shooting date:

Graduate School of Information Science and Technology, Osaka University----------------------------------------------------------------------Do not detach. ----------------------------------------------------------------------

Photo Identification Card ( FY 2025)
Major name
Examinee’s number

*

Name

Photograph
1. Front upper body, nohats, single person
taken within the past 3months
2. 4 cm x 3 cm
3. Paste the same
photograph as the oneused for Photo
Identification Card.

Shooting date:

Graduate School of Information Science and Technology, Osaka University

Please leave blank in the fields with *.

.

Graduate School of Information Science and Technology, Osaka University

Research Plan
Reception No.

*

Examinee’s No.

*

Preferred major
Name

Name of preferredsupervisor

Preferred research contents (Enter specifically.)(Note) (1) Please leave blank in the fields with *.
(2) Regarding the preferred course name, please refer to the Information Science and Technology website.
URL: http://www.ist.osaka-u.ac.jp/

Examinee’s No.

Name
Preferred major

Proof of Examination Fee Payment Form

Please paste

Proof of Payment for Examination Fee(Note) Please leave blank in the fields with *.

*Dispatch Slip
Address is where applicant wishes to receive correspondence.
Notification of success and admission procedure will be sent to this address.

Address

Postal Code
Name

Preferred Major
Examinee’s Number *Address

Postal Code
Name

Preferred Major
Examinee’s Number *(Note) Please leave blank in the fields with *.