Application for Admission for
2021 Engineering Science 21st Century Master’s Course Program
for Foreign Students with a MEXT Scholarship
Graduate School of Engineering Science, OSAKA UNIVERSITY
Applicants must type or write clearly in English block letters. (i.e. they must be written in printed letters,
sans-serif fonts, and not in cursive, so that they can be read easier.)
Numbers must be written in Arabic numerals.
Years must be written in the A.D. system.
Proper nouns must be written in full and not be abbreviated.
I. Applicant
,
Full Name
Family name First name Middle name
Nationality
Date of Birth
Year Month Day
Sex ☐ Male ☐ Female
Photo
Paste your photo or
digital image taken
Postal Code and within 6 months. Write
Mailing Address your name and
nationality on the back
of the photo.
Fax number +( ) Phone Number +( )
@
E-mail addresses
@
(1) Where is your place of birth? Include both the city and country in which you were born.
City: Country:
(2) Have you been to Japan before? If yes, how many times have you been to Japan?
☐ Yes Number of times
☐ No
(3) Do you have a passport?
☐ Yes a) Number
b) Date of issue (yyyy/mm/dd) / /
c) Date of expiration (yyyy/mm/dd) / /
d) Issuing authority
☐ No
(4) Do you have family (father, mother, spouse, son, daughter, etc.) in Japan?
☐ Yes ☐ No
(5) Are you a scholarship holder?
☐ Yes ☐ No
If yes, write the name and terms of the scholarship. (attach a copy of the certificate)
Name of the scholarship:
Terms (yyyy/mm/dd): from / / to / /
II. Preferred course/department, and language proficiency
(1) Program (select one)
Special Training Program for Robotics Engineers for the Post-Corona Society
(2) Course (select one)
Master’s Course
(3) Department (select one)
☐ Department of Materials Engineering Science
☐ Department of Mechanical Science and Bioengineering
☐ Department of Systems Innovation
(4) Supervisor and Division of your choice (please specify)
Professor
Division of
(5) Language proficiency
(a) English
TOEFL (Test of English as a Foreign Language)
☐ TOEFL-iBT ☐ TOEFL-CBT ☐ TOEFL-PBT
Score: Date of Examination:
If you have scores of other tests, please specify.
Test name:
Score: Date of Examination:
(b) Japanese
☐ Excellent ☐ Good ☐ Fair ☐ Poor
Attach a copy of a certificate of Japanese, if you have.
III. Education and employment records
(1) Educational Background: (State your academic background in detail.)
Year and month
Name of school Required (yyyy/mm) of
Degree
(City, Country) years entrance and
completion
Elementary Education
Elementary School from
to
Secondary Education
Junior High School from
to
Senior High School
from
to
Higher Education
Undergraduate Level from
(GPA: . )
to
Graduate Level from
to
For Higher Education,
School/Graduate School as well
as University must be
specified.
Total years of education as listed above: years months
(2) Record of Employment: (Begin with the most recent one.)
Name of Employer Period of Employment Position Type of Work
IV. Application for Admission
To the President of Osaka University
I understand and accept all the matters stated in the Application Guide, and hereby submit my application to the Graduate
School of Engineering Science, Osaka University as an international student of Master’s Course for October 2021.
Date of application (yyyy/mm/dd): / /
Applicant’s signature:
Applicant’s name in English block letters:
Details of Proposed Study
State the details of your major field of study and study plan in about 2,000 words.
Please note that this will be used as one of the most important references for selection.
Instructions
1. Applicant must type or write clearly in English block letters. (i.e. they must be written in printed letters, sans-serif
fonts, and not in cursive, so that they can be read easier.)
2. Numbers must be written in Arabic numerals.
3. Years must be written in the A.D. system.
Name of Applicant:
Abstract of Bachelor Thesis
State the abstract of applicant’s Bachelor thesis or equivalent in less than 2,000 words.
Name of Applicant:
