契約番号5600

部屋番号100

大岡インターナショナルレジデンス入居審査申請書【留学生1Kタイプ用】
YNU Ooka International Residence Housing Application Form (Student 1K Type Room)
大岡インターナショナルレジデンスに入居したいので下記の通り申請致します。なお入居が認められた場合は部屋の決定に従い、各施設の定める諸規則を遵守することを誓います。Herewith I wish to apply for accommodation at YNU Ooka International Residence. I shall strictly observe rules and regulations and do understandthat room placement decision made by the management is final. I have read the application guidlines and am aware of the requirement for stay □ (mark a check ✓)ﾌﾘｶﾞﾅ/Katakana
氏名（漢字）

姓

名

Name/Block Letters

LastFirst(Middle)

国籍/Nationality

性別/Gender

生年月日/年(yr)Date of Birth

月(mth)

男M ／契約時使用言語（希望）日(day)

女F

日本語 ・ 英語(*1)

Preferred Language

JapaneseEnglish

＠E-mail (*2)
TEL (Incl.Country Code)〒

住所/
Address in Home Country□学生用1K【単身又は夫婦】室/

部屋タイプ/
Room Type同居家族/

1K for students 【single or married couple】
氏名/Name(28.32～28.76㎡） _____________ 号室 (Room #)性別/Gender 続柄/Relation

職業/Profession

Accompanying Spouse
希望入居期間/20

Period of Stay

※3月、9月の退室の場合、3月25日または9月17日までに退室して頂くことになります。
※The end of the period has to be on/before 25th in March or 17th in September

年(yr)月(mth)日(day)～20

年(yr)

月(mth)

学部・研究科・学府･国際教育センター
所属（予定）/Affiliation

指導教員名/Academic Advisor

Yr

学籍番号/Student ID□学部生/Undergraduate Student□大学院（修士）生/Master□研究生(予備教育生を含む)/Research(incl. Preparatory)
身分/
Student Status/
Source of Support

年次/ISC

College / Graduate School of日(day)

受験番号/Exam No.

□大学院（博士）生/Doctor□特別研究学生/Special Research□特別聴講学生/Special Audit□国費/MEXT Scholarship (研究留学生/Research･学部留学生/Undergraduate･日韓生/Japan-Korea･日研生/Japanese Studies･教研生/Teacher Training)□政府派遣/Foreign Gov. Scholarship (マレーシア/Malaysia･高水平/CSC･その他/Other□私費/Privately Financed (PPT･ILP･IMP･JICA･DD･GDACS･その他/Other))

在学期間/Enrollment Period

From: 20年(yr)月(mth)日(day) ～ To: 20

年(yr)月(mth)日(day)

進学予定/

From: 20年(yr)月(mth)日(day) ～ To: 20

年(yr)月(mth)日(day)

Post-Graduate Plans□修士/Master□博士/Doctor

入居時の在留資格/Visa Status upon enrollment□留学/Student□その他/Other (Type
申請書提出日/Date： 20

年(yr)□帰国/Leave Japan □その他/Otheｒ____________________________)月(mth)日(day)

署名/Signature___________________________________________________________(1*)日本語/英語の十分な能力がない場合、契約時に必ず自身で通訳を用意すること。/
If neither Japanese/English spoken an interpreter is to be arranged on applicant's own responsibility.
(2*)入居資格審査の結果通知はこちらのE-mailへ送られます。/Screening result will be sent to this E-mail address.
(3)学生，大学院生の方は，ご利用いただける駐車場はありません。/There is no parking space for undergraduate and graduate students.
※個人情報について/Privacy Policy： 本書にご記入頂いた個人情報の全項目は、当物件における入居審査の目的で横浜国立大学及び建物管理会社・運営会社間で利用されます。/All personal information received will be used by Yokohama National University and buildingmanagement companies for the purposeof screening applicants.

＜貸主記入欄＞
FOR OFFICIAL USE ONLY
YNU欄
入居資格確認日

申請管理番号【】IC欄/

担当_____________

入居日/

Rm#__________________

上長担当

システム登録SEKISUI HOUSE REAL ESTATE TOKYO, LTD.
Policy on handling customer information(Abridged version for use purpose notification)
SEKISUI HOUSE REAL ESTATE TOKYO, LTD. (hereinafter referred to as "the Company") complies
with laws and regulations concerning the protection of personal information and strives to handle andprotect customer information appropriately. Our business activities and the purposes of use of customer
information are as follows.
<The principal business of SEKISUI HOUSE REAL ESTATE TOKYO, LTD. and the SEKISUI HOUSEGROUP.>
1. Contract work of industrialized housing construction
2. Real estate sales
3. Real estate leasing
4. Contract work of various kinds of construction
5. Building renovation
6. Regional and urban development-related business7. Other businesses incidental to the above items<Purpose of use of customer information>
1. Provision of various SEKISUI HOUSE GROUP products and services, and provision of after-sales
services for these products and services.
2. Assistance and agency for various procedures (financing, acquisition of licenses, registration, etc.)
related to the provision of products and services.
3. Sales activities in the business of the SEKISUI HOUSE GROUP (sending or delivering materials andother information on products and services, providing information related to asset utilization, etc.)
4. Development and improvement of products and services.
<Publication of this Policy>
The full text of this policy is available on our website below, and the full text is always available at our head
office, sales offices, and other business locations.
https://www.sekisuihouse-f-tokyo.co.jp/privacy/＜Contact for inquiries regarding handling customer information>
SEKISUI HOUSE REAL ESTATE TOKYO, LTD. Customer Information Consultation Service
TEL: 0120-397-377
e-mail: ftk-cs-skw@sekisuihouse.co.jp