東北大学 令和5年度(2023年度)特別選抜入学試験学生募集要項 グローバル入試II期(理学部・工学部)
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Please do not mark in the above space. Tohoku University Admissions for Global Entrance Examination II Date____________________________ School Name Principal's Name Form Preparer ATTN: President of Tohoku University Position_______________________ Name _______________________ Our school takes responsibility for its evaluation of the below-named applicant who holds an Global Entrance Examination II. 1. Applicant's Name Etc.■ Phonetic Japanese (if known) Name 2. Desired School/Faculty etc. Desired School/Faculty School/Faculty of: ■■■■■Engineering 3. Comments on Applicant’s Schoolwork Applicant Assessment Form (Please ask your high school etc. to prepare this form.) ____________________________ ____________________________ ____________________________ Gender (Male / Female) Date of Birth Date: Department/ Course Department of: Mechanical and Aerospace Engineering International Mechanical and Aerospace Engineering Course Official Seal Seal Date/Expected Date of Graduation/Completion: For the Academic Year 2023 School of Engineering Please print this as a double-sided form. Address ____________________________ Phone No. ____________________________

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