免除申請に関する各種様式一覧/List of Forms for Exemption Applications
各種様式([A]在学者・[B]新入学者)
※各書類はA4サイズで片面印刷してください。
※紙媒体の配付はしませんので,各自ダウンロード・印刷し,記入の上,提出してください。
[A]在学者・[B]新入学者 共通
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- (様式 3)給与支給(見込)証明書
- (様式 8)給付奨学金受給状況申告書
- (様式 9)兄弟等の別生計に関する申立書
- (様式10-1) 私費外国人留学生家計収支状況(2025年1月1日以前から渡日していた学生用 [PDF]/[Excel]
- (様式10-2) 私費外国人留学生家計収支状況(2025年1月2日以降に渡日した学生又はまだ渡日していない学生用)[PDF]/[Excel]
- 損害額申告書
[医学系のみ]
※医学系の大学院(医薬保健学総合研究科医学博士課程,医科学専攻(修士課程)並びに先進予防医学研究科)学生は,1年次後期(4月入学者のみ)及び2年次前期以降の授業料免除申請の際,併せて提出してください(保健学,薬学,創薬科学専攻の学生は提出不要)。
[B]新入学者のみ
※[A]在学者は,本様式1-1,1-2ではなく,Web申請入力が必要です。Web申請入力の上,ダウンロード・印刷した本人調書を提出してください。
各種様式([C]大規模災害による家計急変・[D]新型コロナウイルスによる家計急変)
[C]大規模災害による家計急変
[D]新型コロナウイルスによる家計急変
English ver.
Forms ([A] Current Students/[B] New Students)
※All documents should be printed out A4 sized and single-sided copy.
※No paper copies will be distributed. Please download and print the form, fill it out, and submit it.
[A][B]Common form for current and new students
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- (form3) Record of (expected ) salary payment【English】
- (form8) Declaration of Scholarship Receipt【English】
- (form9) Declaration on the separate livelihoods of siblings【English】
- (form10-1) Household Income and Expenditure of Privately Financed International Students (for students who have been to Japan before January 1, 2025) 【English】[PDF]/[Excel]
- (form10-2) Household Income and Expenditure of Privately International Students(For students who have arrived in Japan after January 2, 2025 or who have not yet arrived in Japan)【English】[PDF]/[Excel]
- Declaration of the value of damage to housing and property resulting from disasters (to be submitted if the applicant has suffered a disaster such as a windstorm or flood within the year prior to the application)【English】
[Medical students only]
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- 授業料免除申請大学院学生推薦調書*Japanese text only
Students of the Graduate School of Medical (Doctoral Course in Medicine, Master’s Course in Medical Sciences) and Graduate School of Advanced Preventive Medical Sciences, they must submit this form “授業料免除申請大学院学生推薦調書” when applying for tuition fee exemption at the following time.
・In the second semester of the 1st grade (Only students who enroled in April)
・From the first semester of the 2nd grade onwards(All Studens).
*No need for Students of School of Health Science, School of Pharmacy, School of Pharmceutical Sciences.
[B]only new students
※[A] Current students must apply through the web-based application system rather than using Forms 1-1 and 1-2. Upon completion of the online application, please submit a downloaded and printed copy of the Personal Information Form.
Forms([C]sudden change in household finances due to large-scale disaster/[D]Sudden change in household finances due to COVID-19)
[C]sudden change in household finances due to large-scale disaster
[D]Sudden change in household finances due to COVID-19