留学生【International Student】Check Sheet

・This checklist is intended to help you prepare the necessary certiﬁcation documents in advance of applying for a exemption (jugyoryo menjo shinsei授業料免除申請). Please read each application guideline carefully before applying.
・Please submit certiﬁcates and other documents that certify the applicant's status on the basis date April 1 for the first(spring) semester and October
1 for the second(fall) semester.
・The applicant may be asked to conﬁrm the circumstances or to submit additional materials during the screening process. Please be prepared to respondto e-mails and phone calls from the University. If we are unable to contact you, or if the requested materials are not submitted by the deadline specified by
the University, we may not be able to review your application due to incomplete documentation.

１．Items related to the applicant himself/herself
Required Documents（１）住⺠票Certiﬁcate of Residence in Japan※If the applicant has not yet entered Japan at thetime of application, it must be submitted as soon as
possible after arriving in Japan.

Details

CheckRequiredfor all
applicantsMust be marked "Certificate of residence for all members of thehousehold" and show the head of household and the relationship toplace where available

Municipal office

the head of household (omitted certificates are not acceptable).

*Those with the my number and resident registration code
omitted. Those with my numbers and resident registration
codes listed will not be accepted.

（２）所得課税証明書Income tax certiﬁcate (latest)*If you have no income, you must apply to themunicipal office for the certificate of no income andhave it issued.

・It is issued by the municipality in which you resided as ofRequired
for allapplicantsJanuary 1 of that year.If you moved after January 2, please have

Municipal office

it issued by the municipality of your previous residence.
・If you cannot be issued because you have not yet entered
Japan and are not registered as a resident as of January 1,
please inform the section in charge when you submit theapplication.

２．Income※Income as of the reference date. If you checked "Yes" in the check box, please submit the relevant documents.
Question（３）Do you receive a scholarship or salaried income fromyour employer in your home country?

Check

Applicable documents, etc.

place where available□Yes

Submit Scholarship Certificate or salary payment

Scholarship□No*The amount of money received and the period of receipt must

Organization

be indicated. If it is written in a language other than Japanese, aJapanese translation should be provided.

（４）Are your spouse and children in Japan?

□Yes
□No

（５）Are you (including your spouse) a JSPS Postdoctoral □Yes
Fellowship recipient (including prospective recipients) or a
Reading Program grantee?

□No

Please submit the "Income Tax Certificate. If your child is a high Municipal officeschool student or younger, you do not need to submit this form.
→Submit (6) if the child is a high school student.
・A copy of the letter of employment decision or a letter ofprospective employment.

Currently enrolled in school

University

留学生
3．Deductions※If you checked "Yes" in the check box, please submit the appropriate documents.
Question

Applicable documents, etc.

Checkplace where available

・Those attending national schools (universities, technical（６）Does your spouse or a family member living with youin Japan, a high school student or older?

□Yescolleges, high schools)→ "Certiﬁcate of Tuition Exemption

Application guideline

Status (Form No. 5)・Those attending a private university (including junior college)□No→ Certiﬁcate of enrollment from the private university(including junior college)・Those attending a vocational or special training college→Certiﬁcate of enrollment from the vocational or special※Submit the proofs after the basis date (April 1 for theAt school

training college.

first(spring) semester and October 1 for the second(fall)semester).

・A certiﬁcate of high school enrollment for those attending a high school.

・Those attending a preparatory school or vocational training
school→A copy of the student ID
Disability Certificate (copy) or Rehabilitation Certificate (copy)

Municipal office（８）Do you (including your spouse) or any of your family □Yes
members living in Japan, use long-term care insurance□No(requiring long-term care 3 or more)?

Certificate of Long-Term Care Insurance Coverage (photocopy)

Municipal office（９）Do you (including your spouse) or any of your family □Yes
members living with you in Japan, are receiving long-term□Nomedical treatment?

・Medical certiﬁcate（７）Do you (including your spouse) or any family
members living together in Japan, have any disabilities?

□Yes

The student himself/herself□No※A person who has been receiving long-termor Letter of Notification of Results of Long-Term Care Insurance
Certification (photocopy)

・Copies of receipts, etc. for medical consultation and medication (only for applicable diseases)

insurance
・Certiﬁcate of Eligibility for Maximum Amount (if any)

medical treatment (excluding chronic diseases) for 6
months or more as of the basis date and who willcontinue to receive medical treatment in the future.

・A copy of the notice of decision to grant high-cost medical care (if any)

※If a portion of the co-payment is covered by the・Certiﬁcate of the amount covered by private medical insurance, etc. (if any)high-cost medical care cost system or private

Medicalinstitution,company, etc.

medical insurance, the amount of the co-payment
minus the amount covered is eligible.
※Among hospitalization expenses, food expenses
other than diet therapy and differential bed charges
are not deductible.
（10）Did you suﬀer from ﬁre, windstorm, ﬂood, or otherdamage in Japan within the six months immediately□Yes

・Certiﬁcate of Disaster (copy)□No・「罹災申立書」Disaster Victimization Reportpreceding the semester for which you are applying (orsince January of the year prior to your enrollment for newstudents)?
※Damage outside of Japan is not eligible.

・「動産罹災申立書」Petition for Damage to Movable Property

Fire stations ・municipal offices

GunmaUniversitywebsite

・「不動産罹災申立書」Petition for Real Estate Damage
For international students in the Faculty of Science and Technology and Graduate School of Science and Technology, we will be giving out the results ofthe tuition exemption by hand at the office. You don't need to submit a "Stamped, self-addressed (Result notification) envelope".