Sheet 1:  Input_form

	
	
	
	
	
	
	

		
Please fill in this  form.
		


		


		


		


	
	

		


		
Entry column
		


		
Example
		
note
		


	
	

		
Phonetically in Japanese 
		


		
リツメイタロウ
		


		


	
	

		
NAME
		


		
RITSUMEI Taro
		


		


	
	

		
Degree
		


		
← Select
		


		


	
	

		


		


		


	
	

		
Application 
		


		
6
		


		


	
	

		
Title
		


		
The Study of Natural Dam
		


		


	
	

		
Title（Japanese）
		


		
天然ダムの形状変化に関する研究
		


		


	
	

		
Permanent Address
		


		
Amarica
		


		


	
	

		
Date degree conferred
		


		
← Select
		


		


	
	

		
Postal code
		


		
000-0000
		


		


	
	

		
Adress
		


		
56-1 Toji-in Kitamachi, Kita-ku, Kyoto
		


		


	
	

		
Date of Birth
		


		
1/1/1980
		


		


	
	

		
Principal
		


		
Professor YAMADA Taro
		


		


	
	

		
Principal referee（Japanese）
		


		
山田　太郎教授
		


		


	



Sheet 2: Application

	
	
	
	
	
	
	
	
	
	
	
	

		
[Dissertation-based PhD]
		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		
 Ritsumeikan University
		


	
	

		
Application for Conferment of Doctoral Degree
		


	
	

		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		
Date
		


		
←Please fill in the application date.
(Example：2022/04/01)
	
	

		


		


		


		


		


		


		


		


		


		


		


	
	

		


		
President of Ritsumeikan University
		


		


		


		


		


	
	

		


		
President NAKATANI Yoshio
		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		
12/30/1899
		


		


	
	

		


		


		


		


		


		


		
0
		
seal or signature
		


	
	

		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


	
	

		


		
I hereby apply for the conferment of the doctoral degree in 
		
0
		
having
		


		


	
	

		


		
included with my application three copies of my dissertation, the following documents,
		


		


	
	

		


		
as well as the appropriate Screening Fee.
		


		


		


		


	
	

		


		


		
記
		


	
	

		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		
1
		
List of Dissertations 
		
2
		
copies
		


		
←（Example：●copies each）
	
	

		


		


		
2
		
Certificate of Registered Items in Resident Registry
		
2
		
copies
		


		
←（Example：●copies each）
	
	

		


		


		
3
		
Curriculum Vitae
		
2
		
copies
		


		
←（Example：●copies each）
	
	

		


		


		
4
		
Photograph
		
3
		
copies
		


		
←（Example：●copies each）
	
	

		


		


		
5
		
Dissertation Summary
		


		


		


		


	
	

		


		


		


		
(Japanese and English)
		
1
		
copies each
		


		
←（Example：●copies each）
	
	

		


		


		
6
		
Digital Media Containing Dissertation Summary
		
1
		


		


		
←（Example：●copies each）
	
	

		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


	



Sheet 3: Abstract_of_Doctoral（JAPANESE）

	
	
	
	
	
	
	

		
博士論文要旨
		


		


	
	

		


		


		


	
	

		


		


		


		


		


		


		


		


		


	
	

		
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【Notes】
Please use Microsoft Word
A4 Size / 2 pages max.

(Please refer to the following formatting guidelines)
Dissertation Title: MS Mincho font / 16 point / bold / centered
Name: MS Mincho font / 10.5 point / right-aligned
Please include your name in Katakana.
Main Dissertation Summary: MS Mincho font / 10.5 point / left-aligned
*For Mac: Hiragino Mincho font  *For Ichitaro: JS Mincho font
*Framing is not required for each of the above.

Submit both Japanese and English Versions.