Sheet A
University of Niigata Prefecture
Graduate School of International Studies and Regional Development
Application Form[For International Students]
Exam ID / ※Period of Enrollment / Academic Year 2017 Fall Enrollment
English language proficiency / □Exempted from English test (English is the first language)
□Submission of score sheet (□TOEIC □TOEFL-iBT □TOEFL-PBT)
□Take CASEC test on Admission Exam day
Applicant’s Name / Sex / □M □F
Date of Birth / Year Month Date / Nationality
Contact Information / Postal code & Address:
Tel. Email:
Emergency Contact (Other than the above address) / Postal code & Address:
Name:
Relationship with the applicant:
Tel. Email:
Academic History / Year Month / Graduated High School Name:
Location:
Year Month / □Graduated from・□Expecting to graduate from
Name of University:
Department:
Major:
Year Month
Year Month
Employment
History / Year Month
Year Month
Year Month
Year Month
Awards
Notes: 1)Fill in the form or check ☑when applicable. The research subject you choose here is not final.
2) Do NOT write anything in the boxes with ※.
Sheet B
Statement of Purpose
Applicant’s Name / Exam ID / ※・Please tell us why you apply for our program and your academic interests in connection to your experiences to date (approximately 500 words in English, or 1,000 characters in Japanese).
1 / 2
Notes: 1)You may choose to handwrite or type in a separate paper.
2) Please do NOT write anything in the box with ※.
2 / 2
Sheet C
Research Plan
Applicant’s Name / Exam ID / ※・Please be aware that this is an extremely important document for the screening.
・Describe your research topic and plan in detail, and include references if necessary.
・You may choose to write either in Japanese or English (approximately 1,600 characters in Japanese, 800 words in English).
1 / 2
Notes: 1) You may choose to handwrite or type in a separate paper.
2) Please do NOT write anything in the box with ※.
2 / 2
Sheet D
University of Niigata Prefecture
Graduate School of International Studies and Regional Development
Entrance Exam
ExamCard / □Summer (July) □Fall (October) □Spring (February) / Exam ID / ※Department / International Studies and Regional Development / Attach your
photo here
Refer to the Guidebook
for instructions
4cm×3cm
Applicant’s Name / Sex
□M□F
Exam Venue / The University of Niigata Prefecture
Notes: 1) Bring this form with you if you take the exam at the exam venue.
2) Do NOT write anything in the box with ※.
(Do NOT separate)
Sheet E
University of Niigata Prefecture
Graduate School of International Studies and Regional Development
Entrance Exam
Photo Card / □Summer (July) □Fall (October)□Spring (February) / Exam ID / ※
Department / International Studies and Regional Development / Attach your
photo here
Refer to the Guidebook
for instructions
4cm×3cm
Applicant’s Name / Sex
□M□F
Exam Venue / The University of Niigata Prefecture
(Do NOT separate)
ApplicationFeeReceipt Sheet / □Summer (July) □Fall (October)
□Spring (February) / Exam ID / ※
Applicant’s Name / University of Niigata Prefecture Graduate School Application Fee
Attach the receipt here
*Students applying from foreign countries do not have to use this form.
Instead, please send the payment copy along with other application forms.