Ver. 23
Handbook for Doctoral Dissertation(Doctor of Philosophy in Agricultural Science)
For Dissertation Doctorate (Ronpaku)

THE UNITED GRADUATE SCHOOL OF
AGRICULTURAL SCIENCE,
GIFU UNIVERSITY

AFFILIATED

UNIVERSITIESGifu University
Shizuoka University

1. Qualifications for Submission
Conditions for Fulfillment:(1) Persons with over seven years experience of research in the agriculture field after
graduating from a four-year undergraduate program, or persons with over four years
experience of research in the agriculture field after completing a master’s program.
(2) Persons who have withdrawn from our doctoral program but have attended for more than
three years and have earned 12 credits.
(3) Persons who have graduated from a technical college (under the old education system) ora two-year college with over ten years experience of research in agriculture.
(4) Persons who do not apply to the conditions in (3) above and who have passed theeligibility review for doctoral dissertation application (hereinafter referred to as“eligibility review”).
(5) In addition to fulfilling the conditions above, the following requirements must be
fulfilled:
Preparation of at least four academic papers (independent papers or primary authorshipof co-authored papers) as “basic background papers”(6) The basic background papers indicated in (5) above must have been published or
accepted by a scientific journal with an established system of review. (“Scientificjournal” refers to a journal published by an academic or similar society able to nominate
candidates to membership in the Science Council of Japan, or an internationallyacknowledged scientific journal published by an academic or similar society outside
Japan.)In addition, previously presented papers, in principle, must be submitted to the samelevel of scientific journals as above.

Please consult your recommending professor for further details.

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Recognition Standards for Scientific Journals Whose Articles will be Used asa Prerequisite for Doctoral Dissertations:
I.

Scientific Journals
Scientific journals whose articles will be used as a prerequisite for doctoral dissertations
must satisfy the conditions below.
1.

The articles in the journals must be written in Japanese or English, or both.

2.

The journals must have a referee system.

3.

The journals must satisfy one or more of the followings.
a.

Journals listed on Web of Science Core Collectionb.

Journals listed on Current Contents Connect, Web of Sciencec.

Reviews in Agricultural Science: organized, edited and published by all-Japan UGSAS
groups.

d.

Journals published by groups that are listed in the 19th Session of Registered ResearchGroups by the Science Council of Japan or their renamed successor groups.

e.

Journals other than a. to d. above which are recognized by the Board ofRepresentatives and publicly announced by UGSAS.

II.

Additional recognition of scientific journals whose articles will be used as aprerequisite for doctoral dissertations:1.

Only qualified academic supervisors can apply to add journals which satisfy thecondition I.3.e. above.

Those who apply will be required to submit the evidence which

proves that the journals satisfy Ⅱ.2 or Ⅱ.3 below.
2.

In order to add a scientific journal published by an academic research group which has
its primal base in Japan to the scientific journals satisfying I.3.e. above, the academic
research group must satisfy all of the followings and be evaluated appropriate by the
Board of Representatives after hearing from two or more expert committee members.
a. Name, purpose, office location, qualifications of active members and therepresentatives of the group must be provided.
b. The group’s activities and achievements in relation to the improvement anddevelopment of scientific research must exceed three years.
c. Active members must be 200 or more scientists.
d. Meetings for presentations and discussions on scientific research by the active
members must be held once or more a year.
e. Journals for the presentation of academic research must be published once or more ayear.
f. General meeting or other equivalent meetings to determine the administrative andaction policy of the group must be held once or more a year.
g. Requirements to be an active member must not be restricted to individuals who live or-2-

work in a specific region.
3.

In order to add a journal which does not satisfy Ⅱ.2. above to the journals recognizedunder Ⅰ.3. e. above, the Board of Representatives must unanimously evaluate the journal
as a suitable one to publish academic papers that form the basis of the dissertation on it
after hearing from two or more expert committee members.

III. Expert committee members
The expert committee members mentioned in Ⅱ, who are appointed by the Borad ofRepresentatives, shall be selected from the qualified academic supervisors whose fields ofexpertise are close to those of the journal. One of the expert committee members must be amember of the Board of Representatives.
IV. Period of Validity
This agreement is applied from the degree application completing in March 2008.
Supplementary Provisions (Board or Representatives, August 1st, 2023)
This agreement shall come into effect on August 1, 2023.
Reference
When applying to add a journal that does not satisfy Ⅱ. 2. as a newly recognized scientificjournal whose article will be used as a prerequisite for doctoral dissertation review, thefollowing information regarding the journal is generally required to be reported.
1. Name of the journal
2. Publishing parent organization: If it is an academic association, add information on theassociation.
3. Publishing company (country)
4. History: number of years of publications, cumulative number of publications
5. Annual number of publications and dissertations
6. Referee system
7. Members of Editorial Board
8. Whether or not there is any restrictions of contributors; if it is an international journal,
whether or not there is a bias toward particular countries.
9. The database (index) the journal has been registered for10. (If available) Acceptance rate
11. (If available) Average period of time from submission to acceptance of about previous 10
papers. Information on the deviation between the length of period may be added.
12. (If available) Correspondence during referee reading
13. Cost of submission and publication
14. Comments by the applicant-3-

2. Submission Period
Applicants may submit their applications at any time.

3. Documents Required for Degree Application(1) Doctoral Application Form (Form No. 1-2).....................................................1 original(2) List of Publications (Form No. 2)......................................................................3 copies(3) Dissertation (in Japanese or English)※1.............................................4 copies & 1 PDF(4) Dissertation Summary (Form No. 3, approximately 2,000 characters in Japanese or
1,200 words in English).................................................................... 1 original & 1 PDF(5) Academic papers that form the basis of Dissertation※2....................................4 copies(6) Previously presented academic papers※2...........................................................4 copies(7) Curriculum Vitae (Form No. 4, Resume)..........................................................1 original(8) Letter of Consent (Form No. 5, for joint research papers)........................1 original each(9) A copy of the Diploma or Certification of Completion showing the latest degree conferred...............1 original(10) Certificate of Research History . (Form No. 6).................................................1 original(11) Extract of family Register (For foreign applicants, Resident Record) ※3.....................1 original(12) Institutional Repository Registration Application Form...................................1 original(13) List of documents required for degree application...........................................1 original(14) A recommendation letter from a recommending professor who
has the qualification to be a primary academic supervisor...............................1 original(15) Any other documents directed to submit※ To have the dissertation evaluated by the committee, temporarily bind the dissertations

and submit a number of copies according to the number of Evaluation Committee members(usually 4 copies, one of which should be a double-sided copy).
※1

Where to submit
To your recommending professor................Number of Evaluation Committee members
To the UGSAS Office................................ Dissertation with a double-sided copy + PDF※2

To your recommending professor................Number of Evaluation Committee members
To the UGSAS Office..............................................................................................1 copy

※3

Japanese nationals................................................................... Extract of Family Register
Non-Japanese citizens............................................................................. Resident Record-4-4. Submission Method
A. Dissertation and Other Documents to be Submitted
Documents must be submitted directly at the office of the United Graduate School of
Agricultural Science, Gifu University (the UGSAS Office), or by registered mail(kakitome).
B. Dissertation Evaluation Fee
Applicants will be required to pay a fee of 57,000 yen. Remit payment by order of the
UGSAS Office.
For those who have withdrawn from the Ph.D. program after studying beyond the standard
term (three years) will be required to pay a fee of 57,000 yen when more than one year has
passed since the student has withdrawn from the program. Remit payment by order of the
UGSAS Office.
Once paid, the evaluation fee will not be returned.
C. All dissertation submissions must be approved by the recommending professor of the United
Graduate School of Agricultural Science.

-5-5. Rules for Preparation of Dissertation
A. Dissertation(1) Dissertations may be submitted in either Japanese or English.
(2) Materials should be submitted on A4 size paper, double-spaced (typed, 24 to 26 lines perpage), with 2.5 to 3 cm margins on all sides.
(3) The front cover and the spine of the bound dissertations should indicate the dissertation
title (if in English, include Japanese translation on the format cover), year of submission(Western calendar), and name of the author. The name of the United Graduate School
should be indicated on the cover above the name of the author (see below).
(4) If photocopied, the copies should be one-sided only and should be able to endurelong-term preservation.
(5) The bound dissertations should have the following format:(See p. 13)
a. A black coverb. Gold letteringc. English title like below:「Studies on Ecological Management・・・」
Capitalize

lower case

Capitalize

２１cm

A

Title of Dissertation

B

Year (Arabic numerals)

Ａ

Ａ

C

･The United Graduate School of
Agricultural Science, Gifu University･Name of Author

Ｂ

Ｂ

D

Name of Author

Ｄ

Ｃ

３０cm

(6) On the first page, the dissertation title and the name of the author should be indicated,
and the Table of Contents should continue on the next page.
(7) In principle, the text should follow in the order of Introduction, Materials and Methods,
Results, Discussion, Conclusion, Acknowledgements, and References.

-6-(8) Numerical values shall be used for calculation, and SI units (international unit system)
should, in principle, be used for units (see JIS Z8202 and JIS Z8203, published by theJapanese Standards Association).
km, m, cm, mm, μm, nm, pm, l, dl, ml, μl, kg, g, mg, μg, pg, d (days), h (hours),min (minutes), s (seconds), ms, μs.
(9) The list of references shall be numbered and arranged in the order of citation. They
should be cited as “(1)” and “(2–4, 7)”, or “[1] and “[2–4, 7] in the text. Details in the listof references should be as follows:a. For journals: author name (all authors), title, journal name, volume and first–lastpage number. (DOI identifiers if necessary.)b. For books: author name, title, edition, pages cited, year of publication, publisher, andplace of publication.
c. For contributory works: author name, title of chapter, editor, title of publication,
edition, first–last page number, publisher, and place of publication.
Journal abbreviations should refer to the Igaku Chuo Zasshi, ISO 4 (Information anddocumentation —Rules for the abbreviation of title words and titles of publications), etc.
(Examples)(1) Kauffman GL, Aures D and Grossman MI. Intravenous indomethacin and aspirin
reduce basal gastric mucosal blood flow in dogs. American Journal of Physiology
238, 131–134, 1984.
(2) Colquhoun D and Sigworth FJ. Fitting and statistical analysis of single-channel
records. In: Sakmann B and Neher E [eds.], Single channel recording. 1st ed, pp.
191–263, Plenum Press, New York.
B. Academic Papers that form the basis of dissertation and Previously Presented Academic
Papers(1) Academic Papers that form the basis of dissertation should be collected in one volume,
provided with a temporary binding at the left margin, and clearly indicated on the coveras Academic Papers that form the basis of dissertation above the name of the author. (Seep. 14)(2) Previously presented academic papers should be collected in one volume, provided witha temporary binding at the left margin, and clearly indicated on the cover as previously
presented academic papers above the name of the author. (See p. 15)
C. Dissertation Summaries (Form No.3)(1) Dissertation summaries should be in Japanese (approximately 2,000 characters) or in
English (approximately 1,200 words).
(2) Summaries should be typed using the designated format. (See p. 19)
Prepare 1 copy and PDF(PDF/A).

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D. Dissertation Submission
Submit one bookbinding dissertation and its PDF (PDF/A) by the day before the degree
acquisition (or the designated day by the UGSAS Office) after your degree has been
determined by the committee. In case you make corrections or revisions after submittion, be
sure to submit the new version and its PDF by 17:00 of the day before the Graduate course
Committee meeting. If not, the old version will be registered on the Gifu University
Institutional Repository.
6. Dissertation Evaluation and Final Examination / Evaluation of Academic Ability
A. Procedures for Dissertation Evaluation(1) The submitted dissertations will be officially accepted after the Committee of Professors(Board of Representatives) has evaluated if the applicants have fulfilled thequalifications for submission and all the necessary documents have been submitted.
(2) The Committee of Professors (Board of Representatives) will form an Evaluation
Committee per dissertation after it has been officially accepted.
(3) The Evaluation Committee consists of one chair and two or more deputy chairs. The
chair of Dissertation Doctorate must be the recommending professor (qualified to be a
primary academic supervisor) of the dissertation. Deputy chairs must be, in principle,
faculty members who are qualified as primary academic supervisors (if needed, also can
include faculty members who are qualified for secondary academic supervisors, except
for lecturers can be included) and include professors from each participating universities.
(4) The Committee of Professors (Board of Representatives) can add additional
professors/researchers as Evaluation Committee members from other Gifu University
graduate programs, other universities’ graduate programs, research institutes, andgraduate programs or research institutes abroad if particularly necessary.
(5) The Evaluation Committee will hold a dissertation defense open to the public conductedby the chair at the participating universities where the chair is positioned.
(6) Dissertation defense consists of oral presentation by the applicant (in principle, presented
in Japanese or in English) and followed discussion.
(7) The Evaluation Committee will announce to each participating universities of theapplicant’s name, dissertation title, time, date, and venue of defense two weeks prior to
the defense.
B. Final Examination(1) Applicants below will give an oral presentation that is centered mainly on the insight into
the research area of the dissertation (for those applicants who have withdrawn from theprogram but have attended for more than 3 years and have earned 12 credits. They should
apply within 3 years of their withdrawal from the program will take an “exam pursuant to
the final examination”, however, the content will be the same as the final examination).

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(2) The final examination will be conducted by the chair of the Evaluation Committee inprinciple at the participating university where the chair is positioned.
C. Evaluation of Academic Ability/Exam Exemption(1) Applicants excluding those who are applying within 3 years of withdrawal, will give an
oral presentation that is centered mainly on the insight into the research area of thedissertation and a foreign language written exam.
(2) Foreign language exam will be an English exam. However, international students canchoose to take a Japanese exam instead of an English exam.
(3) Exams (1) and (2) above will be conducted by the chair of the Evaluation Committee atthe participating university where the chair is positioned.
(4) Those who had enrolled in the UGSAS for 3 years or more, have received necessary
research guidance, have completed prescribed credits and have withdrawn from UGSAS,
and who have submitted a dissertation within 3 years after withdrawal, are exemptedfrom English Exam.
D. Reporting of the Evaluation Results(1) The chair of the Evaluation Committee, in consultation with the deputy chairs, willsubmit “Dissertation Evaluation Results” form (Form No. 8), “Results for Evaluation of
Academic Ability” form (Form No. 10) or “Final Examination Results” form (Form No.
9) , and Dissertation Content Summary to the Dean.
(2) Based on the evaluation results report, the Committee of Professors will complete thedissertation evaluation and evaluation of academic ability within one year of theacceptance of the dissertation if the applicant is applying for a Dissertation Doctorate.
E. Final Decisions for Conferral of Degrees(1) To determine the conferral of degrees, the Dean will assemble a Committee of Professors
and discuss about the Dissertation Evaluation Results, Results for Evaluation of
Academic Ability or Final Examination Results, and Dissertation Content Summary,from the Evaluation Committee.
(2) The final decision of the conferral of degrees will be decided by ballot at the Committeeof Professors. 3/4 or more of the members present must approve to pass.
(3) The Dean will report the results of the Committee of Professors’ final decisions
concerning the conferral of degrees to the President of Gifu University.

-9-7. Diploma Sample

For Dissertation Doctorate

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-10-

名

8. Certificate Sample
For Dissertation Doctorate-11-9. Publication of Dissertation
A. Publication of Dissertation Summary and Evaluation Summary
Gifu University will publish Dissertation Content Summary and the summary ofdissertation evaluation results on the Gifu University Institutional Repository within 3 months
from Commencement day.
B. Publication of Dissertation(1) Those who have been awarded a Ph.D. degree must publish their dissertations on the
Gifu University Institutional Repository within 1 year of receiving the degree. However,this is not necessary if the dissertation has been published officially before receiving thedegree.
(2) The dissertation should be specified as “Ph.D. Dissertation Evaluated by Gifu
University” if published.
(From Gifu University Regulations on
Academic Degrees, Article 22)

10. Cancellation of Degree
If the degree had been obtained through illicit means or the degree had been dishonored,
the President of Gifu University will consult with the Graduate School Committee (Committee ofProfessors), cancel the granted degree, have the diploma returned, and release the information to
the public.
(From Gifu University Regulations on
Academic Degrees, Article 24)-12-Doctoral Dissertation (English Version)

Studieson

StudiesonEcological・・・←Title

Ecological（○○○○に関する研究）←Title in Japanese in the ( )・・・

２０○○←Year

20〇〇
YANAGIDO, TaroThe United Graduate School of Agricultural Science, Gifu University
YANAGIDO, Taro←Name-13-

（Academic papers that form the basis of dissertation）

Academic papers that form the basis of dissertation

Your Name-14-

（Previously Presented Academic Papers）

Previously Presented Academic Papers

Your Name-15-Form No.1-2：Doctoral Application Form

受 付 番 号
乙第

号

受付年月日
年

月

受理年月日

日

年

月

日

報 告 番 号
乙第号

別紙様式第１号の２（第６条関係） Form No.1-2

学

位

申

請

書

DOCTORAL APPLICATION FORM岐 阜 大 学 長

年

月

日

year

month

day

殿

To the President of Gifu University

推薦教員
氏
名

(自署)

Name of Recommending Professor

申 請

Signature者

Applicant
(自署)

氏

名

Name

Signature

岐阜大学大学院連合農学研究科における博士（農学）の学位の取扱細則第６条の規定に基づき，下記のとおり関係書類を添え学位の授与を申請いたします。
Herewith, I apply for the doctoral degree, with providing the following documents followed
after the details of regulations for handling Doctoral Degrees Article 6.
記 Descriptions
論 文 目 録 List of Publications
学 位 論 文 Dissertation
学位論文要旨 Dissertation Summary
履 歴 書 Curriculum Vitae
戸 籍 抄 本（又は住民票 Resident Record）

-16-

部 □
部 □
部 □
部 □
部 □

別紙様式第２号（第４条，第６条関係） Form No.2

論

文

目

録

LIST OF PUBLICATIONS

氏 名
Name
学 位 論 文 Dissertation
題目
Title of Dissertation
学位論文の基礎となる学術論文
Academic Papers that Form the Basis of Dissertation
１）

２）

３）

４）

-17-

既 発 表 学 術 論 文Previously Presented Academic Papers
１）

２）

３）

-18-

別紙様式第３号（第４条，第６条関係） Form No.3

学 位 論 文 要 旨
DISSERTATION SUMMARY
氏

名
Name

題

目

Title of Dissertation

学位論文要旨(Dissertation Summary)-19-Form No.4: Curriculum Vitae
別紙様式第４号（第４条，第６条，第７条関係） Form No.4
履
歴
書 CURRICULUM VITAE
フ リ ガ ナ氏
名Name (in Katakana)Name (in English)
生 年 月 日Date of birth

年
year

男 ・ 女
Male／Female

月
日生
month
day

本
籍
Country name〒
電話 TEL（）―
現
住所
Present address
学
歴（高等学校卒業以後の学歴を年代順に記入すること。）
Academic background(Start from senior high school level)

研 究 歴（研究期間・研究内容等を年代順に記入すること。）
Research history

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職

歴
Occupational history

学会及び社会における活動状況
Column on activities in academic societies or the community賞

罰
Special achievements-21-Form No.5: Letter of Consent

別紙様式第５号（第４条，第６条関係） Form No.5
承
諾書
LETTER OF CONSENT
年
year

月
日
month day

岐阜大学大学院連合農学研究科長 殿To the Dean of The United Graduate School of Agricultural Science, Gifu University
共著者氏名
Co-Author's Name

Signature

所属・職名
Affiliation and Position
論 文 題 目
Title of Paper

著 者 名Author(s) name
学術雑誌名（学会誌）
Name of Journal（巻・号・頁）(Vol., No., Page)
発行年月
Date published

（

．

年
year

月
month

に発表・印刷中・投稿中
published/in press/submitted
．
～
）

上記論文を
氏が，岐阜大学大学院連合農学研究科へ博士（農学）の学位申請論文として提出することを承諾します。
なお，当該論文は，学位論文の基礎となる学術論文として過去において使用せず，また，将来においても使用しません。
I hereby give my consent for Mr./Ms.
to submit theabove-mentioned paper in support of his/her doctoral application (in agriculture) at The
United Graduate School of Agricultural Science, Gifu University.
This paper has not been used in the past as an academic paper that forms the basis ofdissertation, nor will it be so used in the future.
投稿中，印刷中，発表と進んでもこの書類に効力を持ちます。
This document is valid even if it is being submitted, in press, or published.

-22-

Institutional Repository Registration Application Form
機関リポジトリ登録申請書
Institutional Repository Registration Application Form
令和

年

月

Date:

岐阜大学附属図書館長

日(yyyy/mm/dd)

殿

To the Director of Gifu University Library
私が執筆した博士学位論文について、下記のとおり電子データで提出します。
I submit an electronic copy of my doctoral dissertation to the Gifu University Library.
所

属

連合農学研究科

専攻

Faculty

The United Graduate School of Agricultural Science

CourseCourse:（フリガナ）
氏
名(Katakana)Name

姓 Family Name

学籍番号
SchoolRegister
Number

ミドル Middle Name

名 Given Name

印 Signature

修了後の連絡先（または帰省先）(郵便番号から）Contact Address
after Completion/
Returning HomeTEL：
E-mail：

論文題目（和文の場合は英訳、英語の場合は和訳を、（ ）で併記すること）
Dissertation Title(If in English(Japanese), write
Japanese (English)translation inparentheses)
岐阜大学機関リポジトリで全文公表します
Publish the above dissertation (full text) on the Gifu University Institutional
Repository
岐阜大学機関リポジトリでの全文公表の延期を希望します。ただし、全文
公表可能日までは、博士論文（要約版）を公表します。
Unable to publish the full text of my dissertation on the Gifu University Institutional
Repository, and request permission to publish a summary of my dissertation instead.
公表
Publication□＜公表可能日＞Possible date of full publication
本日より１年以内の場合（本日より１年以内の月日をご記入ください）※ 公表可能日 ： 令和

年

Date：

月

日以降

(yyyy/mm/dd) (No greater than one year)□＜未定の場合＞ If the date of full publication is undetermined:
本日より１年以内に「機関リポジトリ登録申請書」を提出します。提出しない場合は、その後、博士論文全文をインターネット公表することに同意します。
I agree to contact the UGSAS once a year to inform the current status of the publication bysubmitting this form. If I fail to apply for the yearly extension,
I understand that Gifu University will automatically upload my dissertation.
裏面あり Continued on Reverse Side-23-

延期を希望する場合は、記入してください。
State the reason for requesting delay.

延期を希望
する理由(詳細)
Reason forrequestingdelay(Explain indetail)

指導教員確認Supervisor's
Confirmation

氏名

署名又は押印

Name

Signature/Seal-24-

Form No.6: Certificate of Research History
別紙様式第６号（第６条，第７条関係）Form No.6

研 究 歴 証 明 書
CERTIFICATE OF RESEARCH HISTORY氏

名Applicant Name

（生年月日）

年

月日生

Date of Birth

year

month

day

上記の者は，下記のとおり研究に従事したことを証明します。
I, hereby, certify that the above person has engaged in the research.
年
月
日
year

month

day

研究機関の長所 属 長
職印

Name of Affiliation:
Position of the Head of the Affiliation (Director/ CEO):

Seal / Signature

Name:

記
１研究に従事した期間
Period of Research

年

月

日

year

month

day

～

年

月

日

year

month

day

２研究に従事した期間の身分
Position of Applicant during Research Period

３研究指導者の職・氏名
Applicant’s supervisor’s Name and Position

４主な研究事項（年代順に役割分担を記入すること。
）
Record of Applicant’s Main Research Topic, roles/responsibilities in ascending order of year

-25-

-26-

Recommending Professor:

1
1
1

１３． Resident Record *Issued within 3 months prior to application. *Copies are not acceptable.

１４． Institutional Repository Registration Application Form (Form No.6)

１５． English spelling of applicant’s name and nationalityof Representatives

Member of Board

確

認

Remarks

3. ‘○’ mark of documents (No.10) should be made for each of all co-authors if the academic papers

内容

学位論文の記述には、剽窃チェックソフトを用いた確認の結果、盗用、改ざん、捏造がないことを確認しました。

Ⅱ）学位論文に剽窃がないことの確認

Professor

Name of Recommending

Name of Recommending Professor（Signature）

4. English spelling of applicant’s name and nationality (for international students only) ( designated form) is used to diploma and English degree certificate.

professor for the number of member of evaluation committee (prospective), as they will also be used by the evaluation committee.

that form the basis of dissertation are co-authored.

Applicant2. Academic Papers that form the basis of dissertation and Previously Presented Academic Papers should be kept by the recommending

1

１２． Certificate of Research History

Note：1. All names in the doctoral application must be the same as used on the diploma.

1○ One copy each

１１． Diploma or Certification of Completion showing the latest degree conferred.

※Each from all authors

1

９． CURRICULUM VITAE (Form No.4)

１０． LETTER OF CONSENT (Form No.5)

1

８． Previously Presented Academic Papers

1+PDF

６． DISSERTATION SUMMARY (Japanese or English) (Form No.3)
1

1+PDF

５． Dissertation

７． Academic Papers that Form the Basis of Dissertation

2copies）

４．If academic papers that form the basis of dissertation have not yet been published in a journal or other publication,
documents indicating that the papers have been accepted (underline the titles and the "accepted" part).

3（1original，

1

３．Documents confirming that the organization is listed in the List of Academic and Research Organizations Registered with the 19th Science
Council of Japan, Current Contents and Web of Science.

1
3

DOCTORAL APPLICATION FORM (Form No.1)

copiesNumber ofMember of Board of Representatives：

２． LIST OF PUBLICATIONS (Form No.2)

1.

Documents to be SubmittedⅠ）Please put ✓in the box when you are ready for the relevant documents.

Applicant’s name:

学位論文申請関係書類チェックシート List of documents required for degree application

Form No.7: Request of Qualification for Doctoral Dissertation Exam Application
別紙様式第７号（第７条関係）Form No.7

学 位 論 文 申 請 資 格 審 査 願
REQUEST OF QUALIFICATION FOR DOCTORAL DISSERTATION EXAM APPLICATION

岐阜大学大学院連合農学研究科長 殿To the Dean of the United Graduate School of Agricultural Science, Gifu University

岐阜大学大学院連合農学研究科における博士（農学）の学位の取扱細則第７条の規定により，学位論文申請資格審査を受けたいので，所定の書類を添え申請します。
Herewith, I apply to request of qualification for doctoral dissertation exam application,with the prescribed documents followed after the details of regulations for handling Doctoral
Degrees Article 7.

年

月

year

month

日
day
（自署）

氏

名
Name

-27-

Signature

Form No.8: Dissertation Evaluation Results

別紙様式第８号（第９条関係）
学位論文審査結果の要旨

氏

名

主

査

副

査

副

査

副

査

副

査

副

査

副

査

審 査 委 員

題

目

審

査

結

果

-28-

の

要

旨

基礎となる学術論文
１）

２）

３）

４）

既発表学術論文
１）

２）

-29-

Form No.10: Results for Evaluation of academic Ability
別紙様式第１０号（第９条関係）

学 力 確 認 結 果 の 要 旨
氏

名

主

査

副

査

副

査

副

査

副

査

副

査

副

査

審 査 委 員

実施年月日

令和

年

月

日

試験方法（該当のものを○で囲むこと。）

確

認

結

果

-30-

の

要

口 頭 ・ 筆旨

答