大学院｜GRADUATE SCHOOL

• 取扱窓口 / Charge of Section
  　学事課（大学院）　（実習館1階）/ Graduate School Section (Jisshukan 1st floor)
  　内線 / Extension：2216・2217
  　TEL / Telephone：0263-51-2216 or 51-2217
  窓口休止日 / Closed
  　土・日曜日、祝日、夏季・冬季休業、特別休業日
  　Saturdays, Sundays, holidays, summer vacation, winter vacation, special holidays

学籍・身上に変更事項がある場合は、速やかに該当する「願」・「届」等を提出してください。
If you changed the school register, your circumstance, you should entry at once.

※必要に応じて個別に連絡をとることがありますので、TEL・携帯・FAX・e-mailに変更があるときも速やかに学事課（大学院）へ届け出てください。
We will contact you depending on the situation, so if you changed number of telephone,
cellular phone, FAX, e-mail, you should report at the graduate school section.

提出方法 / Way to submit

窓口・郵送どちらかの方法で提出してください。
You can entry in person, by mail.

※電話、FAX、E-メールによる申し込みは、受け付けできませんのでご了承ください。
We do not accept by telephone, fax, e-mail, sorry.

分類	書 類 名 Documents	備　考 Note	書類形式 Application form
学 事 関 係	1.休学願 Petition for leave of absence	長期間欠席する場合 Use if you were absent long term
	2.復学願 Petition for re-enrollment	休学期間を満了する前に復学する場合 Use if you returned to school before permit term
	3.退学願 Petition for withdrawal from school	中途退学する場合、学生証を添付 Use if you withdrew from school: attach student ID card
	4.単位取得退学願 Petition for withdrawal from school with Credit Acquisition	退学年度の1月末日までに提出 Submit by the last day of January
	5.在学期間延長願 Petition for Extension of Enrollment in School	在学延長期間の前年度1月末日までに提出 Submit by the last day of January
	6.論文再入学願 Petition for Entrance to Graduate School	再入学希望年度の前年度1月末日までに提出 Submit by the last day of January
	7.選択科目履修届 Notification of elective course registration	毎年度定める期日までに提出 Submit by a day to set of every year
	8.指導教員届 Notification of academic advisor	副指導教員は2人以上選出 For choosing vice academic advisors in excess of 2 persons
	9.指導教員変更届 Notification of change of academic advisor	変更する指導教員の承認を得る Get academic advisor’s consent
	10.講義欠席届 Notification of absence	学会等により欠席する場合 Use if you were absence to academic meeting
	11.大学院学生学会参加等学外研究願 Petition for graduate student travel	単独参加の場合、主指導教員の作成した理由書を添付 If you travel alone, attach a written reason from your chief academic advisor.
	12.大学院学生学会参加等学外研究報告書 Report of graduate student travel	学会参加等学外研究から帰着後に提出 Submit after return to school
	13.大学院学生学会参加等学外研究旅費精算書 Statement of account for graduate student travel	旅費精算が必要な場合、帰着後に提出 Submit when you need travel expenses
	14.研究経過報告書 Research Program Report	毎年度定める期日までに提出 Submit by a day to set of every year
	15.受講レポート Lecture Report	授業日より2週間以内に提出 Submit by within 2 week
	16.研究テーマ報告書 Research Theme Report	研究テーマ発表を行う場合に事前提出 Submit it before you announce a research theme
身 上 関 係	17.住所変更届 Notification of change of address	住所に変更がある場合 Use if you changed address
	18.本籍地変更届 Notification of change of family address	戸籍抄本を1通添付 Attach a copy of the family registration
	19.改姓（名）届 Notification of change of name	戸籍抄本を1通添付 Attach a copy of the family registration
	20.旧姓使用届 Notification of use of previous name	旧姓の使用を希望する場合 Use if you want to use a previous name
	21.保証人（I・II）変更届 Notification of change of guarantor(Ⅰ･Ⅱ)	印鑑登録証明書を添付 Attach a copy of the seal registration
	22.保証人住所変更届 Notification of change of guarantor’s(Ⅰ･Ⅱ) address	保証人の住所に変更がある場合 Use if you changed guarantor’s address
	23.学費負担者変更届 Notification of change of school expenses payer	学費負担者に変更がある場合 Use if you changed school expenses payer
	24.勤務先変更（就職）届 Notification of change of job (full-time).	大学院在学中に就職又は転職する場合 Use if you changed job or steady job while you are student
そ の 他	25.通学車両使用申請書 ※Japanese version only.	申請書と誓約書を提出 Submit application and written oath
	26.誓約書 ※Japanese version only.	「職員通勤車両規程」を遵守 Follow the “Regulations for Staff Use Car Park”
	27.交通事故届 Notification of traffic accident	交通事故の当事者になった場合 Use in case you are directly involved in a traffic accident
	28.保健医登録関係書類 Related paper of register for a doctor authorized to treat patients covered by health insurance plans	保険医未登録者が本学病院で診療する場合、登録が必要 In case of treat at patient in M.D.U. hospital, need register for a doctor authorized to treat patient covered health insurance plans	窓口 In person