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- 長崎大学への留学 - 国際サマー/ウィンタープログラム（出願フォーム）

国際サマー/ウィンタープログラム（出願フォーム）

Online Application for International Summer/Winter Program

Guideline for online application

Guideline for online application: Do not use the browser back/forward command when completing the application. Instead, use the form back/confirmation button to proceed. (If you use browser back/forward, the application content will be reset.)

Your application will not be submitted until you have clicked “send” button Application cannot be saved

Personal Information
Name
Date of birth
Gender	MaleFemaleOther
Nationality
Email Address
Telephone
Home University
Program	I would like to apply for the "Online Program" (If the Online Program is not conducted I wish to participate in the Face-to-Face Program)I would like to apply for the "Online Program" (If the Online Program is not conducted I do "NOT" wish to participate in the Face-to-Face Program)I would like to apply for the "Face-to-Face Program" (If the Face-to-Face Program is not conducted I wish to participate in the Online Program)I would like to apply for the "Face-to-Face Program" (If the Face-to-Face Program is not conducted I do "NOT" wish to participate in the Online Program)
Current Year
Level	Introductory①Introductory②N4 Level CourseN3 Level CourseN2 Level Course

Home University
Name of Office
Contact Person
Address
Email Address
Telephone
Fax

Declaration
I am enrolled in a foreign university (undergraduate or graduate school)
I am applying for the course level that matches with my Japanese language skill, and I confirm that I meet the language requirement of the course
I will be sure to buy an international travel insurance (face-to-face Program)
I have an environment to take online classes through ZOOM (Online Program)
I apply for this program understanding the content above and fulfilling the conditions set forth above.
× Upload a photo data (jpg or png) less than 2 MB and taken within 3 months
× Upload the Official Certificate of Enrollment by jpg or png or PDF
× Upload a Copy of your passport photo page by jpg or png or PDF

留学生教育・支援センター
〒852-8521 長崎県長崎市文教町1-14
E-mail：ryugaku@ml.nagasaki-u.ac.jp

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