東北大学 令和4年度(2022年度)特別選抜入学試験学生募集要項 グローバル入試I期(工学部)
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Please do not mark in the above space. Please print this as a double-sided form. Tohoku University Admission for Global Entrance Examination I Holders Applicant Assessment Form (Please ask your high school etc. to prepare this form.) Date____________________________ ATTN: President of Tohoku University School Name ____________________________ Principal's Name ____________________________ Form Preparer ____________________________ Official Seal Position_______________________ Name _______________________ Seal Address ____________________________ Phone No. ____________________________ Our school takes responsibility for its evaluation of the below-named applicant who holds a Global Entrance Examination I. 1.Applicant's Name Etc.Phonetic Japanese (if known) Gender (Male / Female) Date of Birth Date/Expected Date of Graduation/Completion: Name Date: 2.Desired School/Faculty etc.Desired School/Faculty Department/ Course School/Faculty of: Engineering Department of: Mechanical and Aerospace Engineering International Mechanical and Aerospace Engineering Course 3.Confirmation of Intent to EnrollAs a condition of applying via Tohoku University Admission for Global Entrance Examination I Holders, applicants must have a strong desire to study at Tohoku University and be committed to enrolling if accepted. Please confirm that this is the case with the applicant. After confirming, please enter a checkmark in the box below. □←The above applicant has a strong desire to study at TohokuUniversity and is committed to enrolling if accepted.For the Academic Year 2022

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