SAMPLE（別紙様式－予１）(Preliminary Form 1)
Date :

年月日
2025/4/21
Year/Month/Day

大学院園芸学研究科
Dear the Main Academic Advisor,
主任研究指導教員 殿
The Graduate School of Horticulture,

大学院園芸学研究科

The Graduate School of Horticulture
環境園芸学専攻

Fill in your course,

コース

Division of Environment and Horticulture
Course:Horticultural Science

Fill in the exact name on syllabus

氏名Name印
Chiba Taro

ChibaSealTaro

学位論文予備審査願Application for Preliminary Thesis Review
学位申請論文の予備審査のため，下記の論文及び関係書類を添えて提出しますので，予備審査をお願いします。
I hereby submit the following thesis, together with related documents, and request a preliminaryreview.

記

学位論文（予備審査用）
Thesis (for preliminary review)

5 部
Copies

論文目録（予備審査用）
5 部
List of Papers (for preliminary review)
論文内容の要旨
Summary of Thesis Contents

5 部

その他参考論文等
Other Reference Papers, Etc.

5 部

Fill in the number of thesis committee
members + 1 (Academic affairs unit)

CopiesCopiesCopiesSAMPLE（別紙様式－１）

年(Attached Form 1)
Date:

月日
2025/4/21
Year/Month/Day

大学院園芸学研究科長 殿Dear the Dean of the Graduate School of Horticulture

大学院園芸学研究科

The Graduate School of Horticulture
環境園芸学専攻

コース

Division of Environment and Horticulture
Course:Horticultural Science

Fill in your course,
Fill in the exact name on syllabus

氏名印

NameChiba Taro

Chiba TaroSeal

学 位 論 文 審 査 願Application for a Thesis Review
千葉大学大学院園芸学研究科の博士後期課程学位（博士）に関する細則第２条の規定に基づき，下記の論文及び関係書類を添えて提出しますので，博士（）の審査をお願いします。

In accordance with Article 2 of the Chiba University Graduate School of Horticulture Regulations
for Doctor’s Degrees, I hereby submit the following thesis, together with related documents,
and request a review for the degree of Doctor of ( Agriculture ).
Fill in the degree you want to apply,
Entrance Year: After 2019 AY-Philosophy-Agriculture
学位論文-Landscape Architecture
Entrance Year: Before 2020 AY
Thesis-Philosophy
論文目録-Agriculture記

５ 部

Copies５ 部

List of Papers

Copies５ 部

論文内容の要旨

Summary of Thesis Contents

Copies５ 部

履歴書

Curriculum Vitae

Copies
各 ５ 部

その他参考論文等

Other Reference Papers, Etc.
承諾書

Copies１報につき１部

Letter of Consent

1 Copy of Each

Fill in the number of thesis

主任研究指導教員承諾印

committee members + 1 (AcademicMain Academic Advisor’s Seal of Consentaffairs unit)

氏名Name

園芸 花子園芸印Seal

SAMPLE（別紙様式－２）(Attached Form 2)論文目
List of Papers

録
No. 1

千大院園博甲第号
氏 名
報告番号
Chiba University Graduate School Doctoral
Report No.
NameThesis No.

Chiba Taro

１． 学位論文
Thesis１） 題名Title
Study of Academic Thesis Review of Horticulture Major

２） 既公表論文（著者名：論文名，発表誌，巻，号，頁，発表年月）
Publications (Author(s): Title, Journal, Volume, Number, Page, Month/Year of Publication)
Chiba Taro, Engei Hanako：Sample Study of Academic Thesis Review ofHorticulture Major1，Journal of ＊＊,Vol.5, No.1, P.111-114, 10/2022
Engei Hanako, Chiba Taro：Sample Study of Academic Thesis Review ofHorticulture Major 2，Journal of ＊＊,Vol.6, No.1, P.115-116, 11/2022

３） 未公表部分の公開方法及び時期
Method and date of future publications of unpublished parts.
方法Method
時期DateFill in the information of yourpublications. Please fill in with exact
words same as the appearance of thejournals

Fill in if you have, and revise and re-submit after thepublication is accepted.

２．参考論文（著者名：論文名，発表誌，巻，号，頁，発表年月）
Reference Papers (Author(s): Title, Journal, Volume, Number, Page, Month/Year of Publication)
Chiba Taro, Engei Hanako：Sample Study of Academic Thesis of Horticulture
Major 1，Journal of ＊＊,Vol.8, No.1, P.100-105, 10/2022
Chiba Taro, Engei Hanako：Sample Study of Academic Thesis of Horticulture
Major 2，Journal of ＊＊,Vol.9, No.1, P.106-110, 11/2022

Fill out if you have other reference papers, which
is different research from academic thesis but canbe reference.

SAMPLE（別紙様式－３）(Attached Form 3)

Date:

年
月
2025/4/21

日

Year/Month/Day

学位（博士）論文内容の要旨

Summary of Thesis Contents
Fill in your course,
Fill in the exact name on syllabus
１．論文申請者

環境園芸学専攻コース

Thesis Applicant Division of Environment and HorticultureCourse :Horticultural Science（ふりがな）

2023 年度入学
学生証番号 23HD＊＊＊＊
Year of Enrollment Student ID No.

氏 名NameChiba Taro

２．論文題名（外国語の場合は，その和訳を併記）
Title of Thesis (foreign language titles must be accompanied by a Japanese translation)
Study of Academic Thesis Review of Horticulture Major
園芸学専攻における博士論文審査に関する研究
３．論文概要（６００字程度）
Abstract (Approx. 300 words)
This is the Sample of Summary of Thesis Contents. This is the Sample of Summary of Thesis
Contents. This is the Sample of Summary of Thesis Contents. This is the Sample of Summaryof Thesis Contents. This is the Sample of Summary of Thesis Contents. This is the Sample ofSummary of Thesis Contents.
This is the Sample of Summary of Thesis Contents. This is the Sample of Summary of Thesis
Contents. This is the Sample of Summary of Thesis Contents. This is the Sample of Summaryof Thesis Contents. This is the Sample of Summary of Thesis Contents. This is the Sample ofSummary of Thesis Contents. This is the Sample of Summary of Thesis Contents. This is theSample of Summary of Thesis Contents. This is the Sample of Summary of Thesis Contents.
This is the Sample of Summary of Thesis Contents.
This is the Sample of Summary of Thesis Contents. This is the Sample of Summary of Thesis
Contents. This is the Sample of Summary of Thesis Contents.

４．学位に付記する専攻分野の名称
Degree Name

博士（）

Doctor of Agriculture
主任研究指導教員氏名
Engei Hanako
Name of Main Academic Advisor