For those who are scheduled to graduate from the Doctoral Programin September 2021 (Submission of Title)Those students who hope to graduate from the doctoral program (Doctoral Program of Medicine,Doctoral Program) in September 2021 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 September 2021
Documents to submit: The “Doctoral Dissertation Title Form” (博士論文題目届)(You can download the from the Graduate School of Medicine website, at
http://www.m.u-tokyo.ac.jp/daigakuin/index.html )Submission deadline: 5 pm on Friday, March 5th 2021
〇Because of the COVID-19 pandemic, You may post it, or use the university postal system.
*In order to avoid the missing of documents, please specify the destination as"医学部学務チーム大学院担当" when using the university postal system.
*Our counter's service has been unavailable.
[Mail to]7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033
Graduate Student Affairs Section, Faculty of Medicine,the University of Tokyo
Other: When you submit the Doctoral Dissertation Title Form(博士論文題目届), please recommend
3 examination committee members.
*The actual members of examination committee will be 5 in total (3 of the nominated members, 2
selected from the department).
- 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), facultyfrom your lab, 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) byall co-researchers when submitting the “Application for Conferral of Degree”(学位授与願).
(No photocopies accepted.)- 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- You may nominate one faculty in the University of Tokyo, who is not member of Graduate School ofMedicine, if you obtain prior consent from head of the department(専攻長) and faculty him/herself.
Letter of Consent (no specific format) from head of the department is also required. Please enter
his/her name, affiliation precisely in the form.

Advance Notice: Supplementary Article (副論文)*If there is a supplementary article, please submit when you apply for conferral of degree(Next step).
･There may be requirements for the submission of a supplementary article, depending on the department. Pleaseconfirm with your supervisor.
*Department of Surgical Science：All students should submit a supplementary article. Please confirm withyour supervisor and check the department’s requirements.

After you submit the Title Form, please submit the set for the Application
for Conferral of Degree (学位授与願) and doctoral dissertation (and othernecessary forms) by Thursday 13, May. We will inform you of procedure
for the Application for Conferral of Degree later.
February 12, 2021
Graduate Students Affairs Section, Graduate School of Medicine

別紙《審査委員候補者選出の留意事項》〔ある教員が同一専攻内で複数の「教室（専攻分野）」に所属している場合〕
（例）

45612

内科学教員A●●学/△△学

●●学教室
教員A

△△学教室

教員B

教員A

教員C

↑指導教員
学生X
※

学生Xの指導教員が教員Aであり、教員Aの所属教室（専攻分野）が「●●学/△△学」と教員コード表に記載されている場合、学生Xは審査委員候補者として、教員Aだけでなく、教員B、教員Cのいずれも選ぶことができない。

〔ある教員が他の専攻も兼担している場合〕（例）

教員コード表に「外科学専攻」と「脳神経医学専攻」を兼担していると記載されている場合
外科学
教員D
◎◎学
脳神経医学専攻兼担
12345
98765 脳神経医学

※

教員D

■■学

外科学専攻兼担

上記のように教員が他専攻の兼担を行っている場合は、専攻毎に別の教員コードとなるので注意すること。
外科学専攻◎◎学教室

脳神経医学専攻■■学教室

教員D

教員D

教員E

教員F

↑指導教員
学生Y
※

学生Yの指導教員が教員Dであり、教員Dの教員コード表中の備考に「○○専攻兼担」と記載されている場合、学生Yは、「◎◎学」に所属する教員D、教員Eだけでなく、「■■学」に所属する教員D、教員Fについても審査委員候補者として選ぶことができない。