Phonetic Japanese (if known) Name Desired School/Faculty School/Faculty of: Engineering Gender (Male / Female) Date of Birth Date: Department/ Course Department of: Mechanical and Aerospace Engineering International Mechanical and Aerospace Engineering Course Please do not mark in the above space. Date/Expected Date of Graduation/Completion: Official Seal Seal For the Academic Year 2026 Please print this as a double-sided form. Tohoku University Admission for Global Entrance Examination I Holders ATTN: President of Tohoku University School Name Principal's Name Form Preparer Our school takes responsibility for its evaluation of the below-named applicant who holds a Global Entrance Examination I. 1. Applicant's Name Etc. 2. Desired School/Faculty etc. 3. Confirmation of Intent to Enroll As 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 Tohoku Applicant Assessment Form (Please ask your high school etc. to prepare this form.) ____________________________ ____________________________ ____________________________ ____________________________ Address Phone No. ____________________________ University and is committed to enrolling if accepted. Date____________________________ Position_______________________ Name _______________________
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