* The Japanese version is the authoritative version, and this English translation isintended for reference purposes only. Should any discrepancies or doubts arise
between the two versions, the Japanese version will prevail.

Rules for Exemption from Examination Fees for Tokyo
University of Foreign Studies
November 8, 2016 Regulation No. 88
Amended:February 26, 2019 Regulation No. 14
Article 1 Purpose
These rules set out the provisions for exemption from examination fees inaccordance with Article 55-2 of the University Regulations of Tokyo University ofForeign Studies (established April 1, 1977) and Article 46-2 (established April 30,
1992) of the Graduate School Regulations of Tokyo University of Foreign Studies
Graduate School.
Article 2 Eligibility for Exemption
In terms of a student’s eligibility for exemption from payment of examination fees,
the circumstances of the person who is primarily responsible for paying theeducational expenses (the “financial sponsor”) of an applicant for admission to
Tokyo University of Foreign Studies or the Graduate School (excluding those who
apply for admission as non-degree students or research students) must have been
affected by a disaster, such as a storm or flood. In addition, the financial sponsor
must fall under one of the following categories.
1) The financial sponsor lives in an area to which the Disaster Relief Act (Act No.
118 of 1947) is applied, and falls under one of the following.
i) The home or property of the financial sponsor is totally destroyed, severely orpartially damaged, or else floodedii) The financial sponsor has died, or else their whereabouts are unknown.
2) Cases that are deemed by the President to be equivalent to the preceding item,and where the President determines that there are appropriate reasons for
granting exemption from payment.
2. Exemption from examination fees shall only apply to entrance examinations
taking place after the occurrence of the aforementioned disaster and during theacademic year in which the disaster occurred. However, this shall not apply incircumstances separately approved by the President.
Article 3 Amount of Exemption
Exemption from examination fees shall apply to the full amount of the examination
fee concerned.
Article 4 Application for Exemption
Individuals who wish to request exemption from examination fees must submit theApplication Form for Exemption from Examination Fees (Attachment 1) to thePresident along with the required certification at the time of their university
application. However, in the event that the applicant is unable to submit therequired documents at the time of application, they must pay the examination feeand submit the Application Form for Exemption from Examination Fees to thePresident afterwards. In this case, the required certification must be submitted assoon as they are issued to the applicant.
2. In the event of occurrence of a disaster after the submission of the university
application, individuals who wish to request exemption from examination fees
must submit the Application Form for Exemption from Examination Fees to thePresident along with the required certification by the date specified by theUniversity.
Article 5 Grant of Exemption
Exemption from the examination fee shall be granted by the President based on therequest in the preceding article. However, any applicant who falls under Paragraph
2 of the preceding article shall be granted approval upon submission of theircertification.
2. Individuals whose request for exemption from the examination fee is denied
must pay the examination fee by the date specified by the University.
Article 6 Refunds
Individuals who have been granted exemption from the examination fee but havealready paid this fee and would like to request a refund of the examination fee
should submit an Examination Fee Refund Application (Attachment 2) to thePresident.
In this case, the President shall refund the examination fee.
Article 7 Revocation of Exemption
If, after exemption from examination fees has been granted, it comes to light thatthe student’s application contains false information, this exemption shall berevoked by the President with immediate effect.
2. Individuals whose exemption from examination fees is revoked must
immediately pay the University the required examination fee.
Article 8 Miscellaneous
In addition to the provisions in these Rules, requirements pertaining to exemption
from examination fees shall be stipulated separately.

（別紙様式１）
Attachment 1
令和

年月日

Date: __ /__/202_
東京外国語大学長

殿To President, Tokyo University of Foreign Studies

検定料免除申請書
Application Form for Exemption from Examination Fees
下記のとおり被災したので、検定料の免除を申請します。
I apply for the exemption from examination fee because I suffered the following damage;※以下の学部／大学院・入試区分のうち該当するものに〇をつけてください。

出願入試区分*Please circle the type of entrance examination below that you are going to take.

Application

1.

Entrance
Examination

学部一般（前期日程）
General Admission for Undergraduate Schools (First Admission Process)2.

Category

学部一般（後期日程）
General Admission for Undergraduate Schools (Second Admission Process)3.

学部特別（学校推薦型、帰国生等特別推薦、私費外国人留学生、日本留学試験利用、海外高校推薦）
Special Admission for Undergraduate Schools (Recommendee by high schools in Japan, forReturnees, for Privately-Funded International Students, The Examination for Japanese
University Admission for International Students (EJU), Recommendee by overseas high schools)

4.

3 年次編入学
Transfer Admission in the third year5.

大学院博士前期課程
Admission for Master’s Programs6.

大学院博士後期課程
Admission for Doctoral programs

学部の場合は学部名、志願言語・地域を記入。大学院の場合は入試の種類、専攻、コース（後期課程は分出願予定先野）を記入してください。

Schools toIn the case of applying to undergraduate schools, fill 1.the name of the Schools, 2. Major language andapply

3. Area of Studies. In the case of graduate schools, please fill in 1. the Type of Admission, 2. Major and3. Courses. (If applying Doctoral Program, Field of Study also need to be filled)

ふりがな
Name in1

Hiragana

志願者
氏名・住所
Applicant’sname and氏

名Name in Kanji

生年月日：address

年月日

Date of birth: __/__ , ____
住

(〒所－)

（Tel:）

Address

ふりがな
Name inHiragana

学費負担者
氏名・住所
Financial

氏

名Name in Kanji

Sponsor’sname and住address所（志願者との関係 *Relation to applicant：）

(〒）

－)

（Tel:

（罹災住所）
Location ofdisaster-hitbuilding※証明書に基づき該当する状況に〇をつけてください。
Based on the certificate, please circle the applicable situation below.

＊添付書類確認※学費負担者氏名と罹災証明書における家庭の所有者氏名が異なる場合は対Please check attachments

被災状況

象外とします。

Damage※If the name of the financial sponsor and the name of the owner of theSituation

household on the Disaster certificate are different, it is not applicable.

【被災状況】
1.

2.

Please circle the damage situation applicable below;

罹災証明書

学費負担者の自宅損壊（全壊・流出・半壊等）

Disaster Certificate

Damage to financial sponsor’s home (totally destroyed, flooded,Application Form

partial destroyed, etc.)

死亡診断書

学費負担者の死亡・行方不明

Death certificate

Death or Missing of financial sponsor.

その他 other（）（コピー可）
Copies are available

上記の補足説明等 Supplementary Explanation above2※

学費負担者の所有する家屋が被災した場合には、罹災証明書を添付してください。罹災証明書には、全壊・半壊等の状況がわかる内容を必要とします。罹災証明書に状況が記載されていない場合には、発行者へ記入の依頼を行ってください。
Please attach the Disaster's Certificate if the house owned by the financial sponsor is damaged. The Disaster’s certificate needs
to include the condition of the damage level (about total or partial destruction). If the Disaster's certificate does not include thesituation, please ask the issuer to fill it out.

※

学費負担者が災害を直接的な原因として死亡・行方不明の場合には、死亡診断書または公的機関が発行する証明書等を添付してください。
If the financial sponsor is dead or missing due to a disaster, please attach a death certificate or a certificate issued by a publicinstitution.

3

(別紙様式２)
Attachment2
検定料返還請求書
Examination Fee Refund Application
年月日

Date: __ __, 20__
国立大学法人東京外国語大学会計課長 殿
To Division Chief, Finance and Accounting Division of Tokyo University of Foreign
Studies

請求者

住所

〒―

Address

Applicant

電話

氏名
Name

Seal or番号

SignatureTel

請求金額 Amount ￥私は、東京外国語大学(学部・大学院)出願のために上記検定料を納付しましたが、免除となったため、納付済みの検定料の返還を請求いたします。
なお、お支払いの際には、下記口の口座へ振り込み願います。
Ipaid

theaboveexaminationfeetoapplyfor_________________(undergraduate/graduate school) of Tokyo University of Foreign Studies, but since it
was exempted, I am requesting a refund of the paid examination fee.
Please transfer to the following account.

【裏面に続く】Please turn over

記

振込先

銀行 Bank

金融機関名
Account
information
預金種別
Type of account

口座番号
普通

BankAccount

フリガナ
Name in Katakana

口座名義人
Name of accountholder
名義人住所
Address foraccount holder〒―支店 Branch