2020 Academic Year Chukyo University Enrollment Procedure Guide

Be sure to read this guide carefully.

Please be aware that you will not be eligible for admission if the enrollment procedure deadline is exceeded with both the “Initial Enrollment Procedure” and “Final Enrollment Proce- dure” incomplete, and therefore due caution is advised.

Admissions office of Chukyo University Building No. 11, 3rd Floor, 101-2 Yagoto Honmachi, Showa-ku, Inquiries -shi, Aichi 466-8666, Tel (domestic): 052-835-7170 Tel (overseas): +81-52-835-7170

Weekdays: 9:00 to 17:00 Business hours There will be no one available to answer the telephone on Saturdays, Sundays, and national holidays. Congratulations on passing the entrance examination. Please find the enclosed documents necessary for the enrollment procedure. Please con- tact the Admissions office of Chukyo University if you have any questions.

Enclosed documents (enrollment procedure-related)

Notification of passing entrance examination (bank transfer forms for Initial and Final En- rollment procedures) Enrollment procedure Guide (in this booklet)

Documents necessary for enrollment procedure (sent out during the Final Enrollment procedure period)

Mount for pasting student ID photo Enclosed thick paper Student Ledger/Written Pledge & Consent Form This bo oklet, Appendix 1 (reverse side of Student Ledger)

Copy of payment certificate for admission fee and spring semester tuition fees (domestic) or Copy of request form for foreign remittance of admission fee and spring semester tuition fees (with receipt stamp or signature of financial institution transferring fees) (overseas)

Document necessary for orientation (in April)

Matriculation Registration Card This booklet, Appendix 2

Document necessary for health checkup (in April)

Health Questionnaire This booklet, Appendix 3 CONTENTS

I. Enrollment Procedure Flow (From Passing Entrance Examination to Admission)… 2 II. Enrollment Procedure Periods………………………………………………………… 3 III. Enrollment Procedure Method…………………………………………………… 4 - 9 1 . Initial Enrollment Procedure 2 . Final Enrollment Procedure 3 . Enrollment Refusal IV. For Those Who Have Completed the Enrollment Procedure………………… 10 - 15 1 . Entrance Ceremony 2 . Orientation (Schedule Following Admission) 3 . Student Commuter Passes 4 . Certificate of Enrollment and Student Discount Card 5 . Periodical Health Checkup 6 . Commuting by Car or Motorcycle 7 . Preliminary Consultation for Those Wishing Study Consideration 8 . For Those of Foreign Nationality (Status of Residence) 9 . Payments 10. Personal Computers 11. Teaching Support Using IT 12. Curriculum 13. Expenses 14. Scholarship System 15. Insurance Following Enrollment 16. Financial Support for Those From Disaster-stricken Areas V. Information for Guardians……………………………………………………………… 16 VI. Handling of Personal Information………………………………………………… 17, 18 VII. List of Authorized Clubs………………………………………………………………… 19 VII. Other (Lodging Information, Purchasing Your Student Commuter Pass, Chukyo University Co-Op, etc.)…………………………………………………… 20, 21 IX. Access to Chukyo University…………………………………………………………… 22 Appendix 1 Student Ledger/Written Pledge & Consent Form (Reverse Side of Student Ledger) Appendix 2 Matriculation Registration Card/Matriculation Registration Card Entry Method (Reverse Side of Matriculation Registration Card) Appendix 3 Health Questionnaire Appendix 4 Enrollment Refusal Notice Enclosed Envelope for Sending Enrollment Procedure Forms

1 I. Enrollment Procedure Flow (From Passing Entrance Examination to Admission)

The enrollment procedure involves a two-step payment system involving the “Initial Enroll- ment Procedure” and “Final Enrollment Procedure”. Please check the applicable periods for the respective procedures on the following page, and ensure that the stated proce- dures are completed within these periods.

Announcement of examination results

Initial Enrollment Procedure

Payment of admission fee (200,000 JPY) only * There is no need to submit documents or to notify the university after payment is made.

Final Enrollment Procedure

Payment of spring semester tuition fees and Submission of enrollment procedure forms

Enrollment procedure complete An “Enrollment Procedure Completion Notice” will be sent from the university to the e-mail address registered at the time of application.

Those enrolling Those refusing at university admission

Participation in entrance ceremony and orientation Appendix 4 Submission of Admission Refusal Notice (in April) (Submission deadline: Must arrive by 16:00 on March 31 (Tue), 2020)

2 II. Enrollment Procedure Periods

If the enrollment procedure deadline expires with both the Initial Enrollment Proce- dure and Final Enrollment Procedure incomplete, it will not be possible to gain ad- mission to the university, whatever the reason. You will no longer be eligible for ad- mission, and therefore caution is advised.

Initial Enrollment Procedure Final Enrollment Procedure period Admission examination method deadline (payment of spring semester tuition fees and (admission fee payment only) submission of enrollment procedure forms)

Entrance examination for returnee 2019 2020 students (first term exam) October 30 (Wed) February 18 (Tue) Entrance examination for returnee 2020 to students (second term exam) February 25 (Tue) March 10 (Tue) 2019 Entrance examination for foreign 2019 November 21 (Thur) students (first term exam) October 30 (Wed) to December 6 (Fri) Announcement Date of Examination Results Entrance examination for foreign to students (second term exam) February 25 (Tue), 2020 (The period for both the Initial Enrollment Procedure and Final Enrollment Procedure is the same.) *The procedure deadline is different for those with foreign nationality residing outside Japan due to the need to complete immigration procedures. Those applications will be notified separately.

3 III. Enrollment Procedure

The enrollment procedure will only be completed when the Initial Enrollment Procedure and Final En- rollment Procedure are complete. Those wishing to gain enrollment to the university must complete both the Initial Enrollment Procedure and Final Enrollment Procedure within the periods indicated.

Those failing to complete both the Initial Enrollment Procedure and Final Enrollment Pro- cedure by the deadline will no longer be eligible for admission.

1. Initial Enrollment Procedure (1) Of the payments made at the time of admission (admission fee + spring semester tuition fees), admission fee payment only is required to complete the Initial Enrollment Procedure (There is no need to submit the enrollment procedure forms.) * Please note that once the admission fee has been paid, it will not be returned for any reason.

Initial Enrollment Procedure period Enrollment procedure period stipulated for each admission examination method (2) Please submit the admission fee payment (200,000 JPY). Use method P6 if submitting the payment from inside Japan. Use method P8 if submitting the payment from outside Japan.

“Admission fee payment certificate” (inside Japan) Admission fee (200,000 JPY) Initial Enrollment Procedure com- ➡ “Admission fee foreign remittance request form” (outside Japan) ➡ payment pletion storage

*The procedure deadline is different for those with foreign nationality residing outside Japan due to the need to complete immigration procedures. Those applications will be notified separately.

2. Final Enrollment Procedure (1) Of the payments made at the time of admission (admission fee + spring semester tuition fees), (1) Payment of spring semester tuition fees and (2) Completion and submission of the enrollment procedure forms are required to complete the Final Enrollment Procedure.

Final Enrollment Procedure period Enrollment procedure period stipulated for each admission examination method

* When submitting enrollment procedure forms in person, be sure to notify the Admissions office of Chukyo University beforehand and please come to the office after transferring spring semester tuition fees. (tel: 052-835-7170). Those failing to complete the Final Enrollment Procedure by the enrollment procedure deadline will no longer be eligible for admission. * The procedure deadline is different for those with foreign nationality residing outside Japan due to the need to complete immigration procedures. Those applications will be notified separately. (2) An “Enrollment Procedure Completion Notice” will be sent to the e-mail address registered at the time of application after the Final Enrollment procedure is completed.

Payment of “Payment certificate for spring semester tuition fees” (inside Japan) Receipt of the Final Enrollment Proce- Completion and submission of Spring semester ➡ “Spring semester tuition fees foreign remittance request form” (outside Japan) ➡ ➡ dure completion the enrollment procedure forms tuition fees storage “Enrollment Procedure Completion Notice”

4 III. Enrollment Procedure

(1) Payment of spring semester tuition fees Use method P6 if submitting the payment from inside Japan. Use method P8 if submitting the payment from outside Japan.

(2) Completion and submission of enrollment procedure forms Complete the following documents, place them in the specified envelope, and send them to the university by post within the Final Enrollment Procedure period. * Send the enrollment procedure forms by Express simple registered mail or Express Mail Service (EMS) . Please note that any mistakes should be crossed out with a double line and rewritten correctly. * Refer to P9 for the forms submission address.

1 [Mount for pasting student ID photo] Student ID is used until graduation, and therefore the method on P9 should be used.

2 [Student Ledger / Written Pledge & Consent Form] ……………………… Appendix 1 Student Ledger: Be sure to enter all items in the thick-bordered box. Paste THE SAME PHOTO AS THAT OF YOUR Student ID photo 1 (uniforms not permit- ted) securely in the photo field so that it does not peel off (indicate your examinee number, and name clearly on the reverse side of the photo). Written Pledge & Consent Form: The signature of both the student and guarantor are required on admisson. *The guarantor may be the student’s guardian or person responsible for paying school expenses.

3 [Copy of payment certificate or foreign remittance request form] Domestic: Copy of both “admission fee payment certificate” and “spring semester tuition fees payment certificate” Overseas: Copy of both “admission fee foreign remittance payment certificate” and “spring semester tuition fees foreign remittance request form” Copies are required for both the admission fee and spring semester tuition fees.

3. Enrollment Refusal (1) Those refusing enrollment to the university after completing the Final Enrollment Procedure are re- quired to complete the necessary items and sign the “Enrollment Refusal Notice” in Appendix 4 of this booklet by the following deadline, and send it by Express simple registered mail or Express Mail Service (EMS) to the address below. *If sending the refusal notice by mail, write “Contains Enrollment Refusal Notice” on the envelope in red ink. Must arrive by 16:00 on March 31 (Tue), 2020 * Refer to P9 for the form submission address.

* If unable to submit the refusal notice by the deadline by mail, please take it to Admissions office of Chukyo University on the 3rd floor of the building No. 11 by the submission deadline. When doing so, be sure to notify Admissions office of Chukyo University by telephone beforehand (do- mestic: 052-835-7170, overseas: +81-52-835-7170).

(2) If the university does receive the “Admission Refusal Notice” by the stated deadline, payments made at the time of the admission (spring semester tuition fees), excluding the admission fee, shall be returned by the end of May 2020 (submitted documents shall not be returned).

5 III. Enrollment Procedure

If submitting payment from inside Japan. [About admission fee payment] Please submit the payment within the specified procedure period.

(本人保管) (貼付用) -1 -2 電信扱 入学金 第一次入学手続(4) 用 A(3)入学金振込受取書 A(2)入学金振込証明書 (1) (送 り 先銀行 の 本支店間振込依頼 は 手数料無料)書 (取扱店保管) 振太枠内 込 時 を の 打電 お 願し いて く だ さ い 。 入学金の納付について 依頼日 年月日 依頼日 年月日 依頼日 年月日 振込指定 電信扱 手数料 円 円 円 送ご り番 希 先 号 望 銀に の 〇行 印銀 行 円 金 額 金 額 1 三菱 UFJ 銀行 八事支店 普通 1510889 金 額 中京大学 普 通 普 通 (取扱店で切り離してください) 振 三菱 UFJ 銀行 振 三菱 UFJ 銀行 2 三井住友銀行 本山支店 普通 6503322 現 金 あなたの振込受付期日は、 込 1 八事支店 1510889 込 1 八事支店 1510889 内 先 普 通 先 普 通 当 手 年月日~ 銀 三井住友銀行 銀 三井住友銀行 行 2 本山支店 6503322 行 2 本山支店 6503322 3 りそな銀行 名古屋支店 普通 1263429 訳 年月日 までです。 に 普 通 に 普 通 ○ りそな銀行 ○ りそな銀行 3 1263429 3 1263429 受 口 略 ガク)ウメムラガクエン 1)入学金の納付に際しては、この振込用紙 印 名古屋支店 印 名古屋支店 称 取 座 を使用してください。 依 依 学校法人梅村学園 中京大学 (自動振込機は使用しないでください。) 頼 頼 人 名 2)振込の際、出納印を受けた「A 1票」 人 人 2 「A 票」を受け取ってください。 学校法人 梅村学園 学校法人 梅村学園 依 ① 「A 1票(入学金振込受取書)」は、振込金 受取人 受取人 中 京 大 学 中京大学 融機関の出納印をもって領収証に代えま すので、大切に保管してください。 上記のとおり振込金を受取りました。 上記のとおり振込いたしました。 頼 ② 「A 2票(入学金振込証明書)」は、「入学時 住 所 納付金振込証明書貼付欄(入学手続書類)」 に貼付してください。 人 出 納 印 収入印紙 出 納 印 出 納 印

(取扱店→依頼人) (取扱店→依頼人→中京大学)

(1) Circle the number for the desired bank on an original of the bank transfer form.

(本人保管) (貼付用) -1 (本人保管) -2 (貼付用) -1 -2 電信扱 入学金 電信扱 admission fee 第一次入学手続用 A入学金振込受取書 A 入学金振込証明書 第一次入学手続(送 り 先銀行用 の 本支店間振込依頼 はA 手数料無料)入学金振込受取書 (取扱書店保管)A 入学金振込証明書 (送り先銀行の本支店間は手数料無料)振込依頼書 (取扱店保管) 振太枠内 込 時 を の 打電 お 願し いて く だ さ い 。 振込時のお願い太枠内を打電してくださ い 。 円 入学金の納付について 依頼日 年月日 依頼日 年月日 入学金の納付につい依頼日 年月て日 依頼振込指日定 電信年月扱 手数日料 依頼日 年月円 日 依頼日 年月日 振込指定 電信扱 手数料 円 円 送ご り番 希 先 号 望 銀に の 〇行 印銀 行 円 円 円 送り先銀行ご希望の銀行番号に〇印 円 1 金 額 1 MUFG Bank Yagoto Branch 普通 1510889 金 額 金 額 金 額 中京大三菱 UFJ 銀行 八事支店学 金 普通額 1510889 金 額 中京大学 普 通 普 通 (取扱店で切り離してください) 普通 普通 (取扱店で切り離してください) 三菱 UFJ 銀行 三菱 UFJ 銀行 振 三菱 UFJ 銀行 振 三菱 UFJ 銀行 現 金 振 振 あなたの振込受付期日は2 三井住友銀行、 本山支店 普通 6503322 現 金 2 Sumitomo Mitsui Bank Motoyama Branch 普通 6503322 内 あなたの振込受付期日は、 込 1 八事支店 1510889 込 1 八事支店 1510889 込 1 八事支店 1510889内 込 1 八事支店 1510889 先 普 通 先 普 通 先 普通 当 手 先 普通 当 手 三井住友銀行 三井住友銀行 年月日~ 銀 三井住友銀行 銀 三井住友銀行 年月日~ 銀 2 銀 2 行 2 本山支店 6503322 行 2 本山支店 6503322 3 りそな銀行 名古屋支店行 普通本山支店1263429 6503322訳 行 本山支店 6503322 3 Resona Bank Nagoya Branch 普通 1263429 訳 年月日 までです。 に 普 通 に 普 通 年月日 までです。 に 普通 に 普通 りそな銀行 りそな銀行 ○ りそな銀行 ○ りそな銀行 略 ○ ○ 略 3 1263429 3 1263429 受 口 ガク)ウメムラガクエ印 3 ン 1263429 印 3 1263429 受 口 ガク)ウメムラガクエン 1)入学金の納付に際しては、この振込用紙 印 名古屋支店 印 名古屋支店 1)入学金の納付に際しては、この振込用紙称 名古屋支店 名古屋支店 称 を使用してください。取 座 取 座 を使用してください。 依 依 学校法人梅村学依園 中京大学 依 学校法人梅村学園 中京大学 (自動振込機は使用しないでください。) 頼 頼 (自動振込機は使用しないでください。)人 名 頼 頼 人 名 2)振込の際、出納印を受けた「A 1票」 人 人 2)振込の際、出納印を受けた「A 1票」 人 人 2 2 「A 票」を受け取ってください。 学校法人 梅村学園 学校法人 梅村学園 「A 票依」を受け取ってください。 学校法人 梅村学園 学校法人 梅村学園 依 ① 「A 1票(入学金振込受取書)」は、振込金 受取人 受取人 ① 「A 1票(入学金振込受取書)」は、振込金 受取人 受取人 中 京 大 学 中京大学 中 京 大 学 中京大学 融機関の出納印をもって領収証に代えま 融機関の出納印をもって領収証に代えま 上記のとおり振込金を受取りました。 上記のとおり振込いたしました。 すので、大切に保管してください。 上記のとおり振込金を受取りました。 上記のとおり振込いたしました。 すので、大切に保管してください。頼 頼 ② 「A 2票(入学金振込証明書)」は、「入学時 ② 「A 2票(入学金振込証明住 所 書)」は、「入学時 住 所 納付金振込証明書貼付欄(入学手続書類)」 納付金振込証明書貼付欄(入学手続書類)」 に貼付してください。 に貼付してください。人 人 出 納 印 収入印紙 出 納 印 出 納 印 収入印紙 出 納 印 出 納 印 出 納 印

(取扱店→依頼人) (取扱店→依頼人→中京大学) (取扱店→依頼人) (取扱店→依頼人→中京大学)

(2) Admission fee payment for Initial Enrollment Procedure (for submission to university) This is necessary for the Final Enrollment Procedure. Store in a safe place, enclose together with the docu- ments for submission when completing the Final Enrollment Procedure, and send to Chukyo University.

(3) Admission fee payment for Initial Enrollment Procedure (to be retained by the remitter) This should be retained by the remitter, and stored in a safe place until admission.

(4) These are bank transfer precautions to be referred to when submitting payments.

(本人保管) (貼付用) -1 -2 電信扱 入学金 第一次入学手続用 A入学金振込受取書 A 入学金振込証明書 (送 り 先銀行 の 本支店間振込依頼 は 手数料無料)書 (取扱店保管) 振太枠内 込 時 を の 打電 お 願し いて く だ さ い 。 入学金の納付について 依頼日 年月日 依頼日 年月日 依頼日 年月日 振込指定 電信扱 手数料 円 円 円 送ご り番 希 先 号 望 銀に の 〇行 印銀 行 円 金 額 金 額 1 三菱 UFJ 銀行 八事支店 普通 1510889 金 額 中京大学 普 通 普 通 (取扱店で切り離してください) 振 三菱 UFJ 銀行 振 三菱 UFJ 銀行 2 三井住友銀行 本山支店 普通 6503322 現 金 あなたの振込受付期日は、 込 1 八事支店 1510889 込 1 八事支店 1510889 内 先 普 通 先 普 通 当 手 年月日~ 銀 三井住友銀行 銀 三井住友銀行 行 2 本山支店 6503322 行 2 本山支店 6503322 3 りそな銀行 名古屋支店 普通 1263429 訳 年月日 までです。 に 普 通 に 普 通 ○ りそな銀行 ○ りそな銀行 3 1263429 3 1263429 受 口 略 ガク)ウメムラガクエン 1)入学金の納付に際しては、この振込用紙 印 名古屋支店 印 名古屋支店 称 取 座 を使用してください。 依 依 学校法人梅村学園 中京大学 (自動振込機は使用しないでください。) 頼 頼 人 名 2)振込の際、出納印を受けた「A 1票」 人 人 2 「A 票」を受け取ってください。 学校法人 梅村学園 学校法人 梅村学園 依 ① 「A 1票(入学金振込受取書)」は、振込金 受取人 受取人 中 京 大 学 中京大学 融機関の出納印をもって領収証に代えま すので、大切に保管してください。 上記のとおり振込金を受取りました。 上記のとおり振込いたしました。 頼 ② 「A 2票(入学金振込証明書)」は、「入学時 住 所 納付金振込証明書貼付欄(入学手続書類)」 に貼付してください。 人 出 納 印 収入印紙 出 納 印 出 納 印

(取扱店→依頼人) (取扱店→依頼人→中京大学)

6 III. Enrollment Procedure

[Spring semester tuition fees payment] Please submit the payment within the specified procedure period.

(本人保管) (貼付用) -1 -2 電信扱 授業料等 最終入学手続(4) 用 B(3)春学期分授業料等振込受取書 B(2)春学期分授業料等振込証明書 (1) (送り先銀行の本支店間は手数料無料)振込依頼 書 (取扱店保管) 振込時のお願い太枠内を打電してくださ い 。 円 春学期分授業料等の納付について 依頼日 年月日 依頼日 年月日 依頼日 年月日 振込指定 電信扱 手数料 円 円 送り先銀行ご希望の銀行番号に〇印 円 金 額 金 額 1 三菱 UFJ 銀行 八事支店 普通 0531506 金 額 中京大学 普通 普通 (取扱店で切り離してください) あなたの振込受付期日は、 振 三菱 UFJ 銀行 振 三菱 UFJ 銀行 2 三井住友銀行 本山支店 普通 5387838 現 金 込 1 八事支店 0531506 込 1 八事支店 0531506 内 年月日~ 先 普通 先 普通 当 手 銀 三井住友銀行 銀 三井住友銀行 年月日 までです。 行 2 本山支店 5387838 行 2 本山支店 5387838 3 りそな銀行 名古屋支店 普通 0147052 訳 に 普通 に 普通 但し、最終入学手続延期許可を受けた方は りそな銀行 りそな銀行 ○ 3 0147052 ○ 3 0147052 略 年月日~ 印 名古屋支店 印 名古屋支店 受 口 称 ガク)ウメムラガクエン 取 座 年月日 までです。 依 依 学校法人梅村学園 中京大学 頼 頼 人 名 1)春学期分授業料等の納付に際しては、この 振込用紙を使用してください。 人 人 (自動振込機は使用しないでください。) 学校法人 梅村学園 学校法人 梅村学園 依 受取人 受取人 中 京 大 学 中京大学 2)振込の際、出納印を受けた「B 1票」 2 「B 票」を受け取ってください。 上記のとおり振込金を受取りました。 上記のとおり振込いたしました。 頼 ① 「B 1票(春学期分授業料等振込受取書)」 住 所 は、振込金融機関の出納印をもって領収証 に代えますので、大切に保管してください。 人 ② 「B 2票(春学期分授業料等振込証明書)」 出 納 印 収入印紙 出 納 印 出 納 印 は、「入学時納付金振込証明書貼付欄(入 学手続書類)」に貼付してください。 (取扱店→依頼人) (取扱店→依頼人→中京大学)

(1) Circle the number for the desired bank on an original of the bank transfer form.

(本人保管) (貼付用) (本人保管) (貼付用) -1 -2 電信扱 -1 -2授業料等 電信扱 授業料等 最終入学手続用 B春学期分授業料等振込受取書 B春学期分授業料等振込証明書 最終入学手続(送り先銀行の本支店間は手数料無料)用 振込依B春学期分授業頼 書 (料等振取扱込店受取保書管)B春学期分授業料等振込証明書 (送り先銀行の本支店間は手数料無料)振込依頼 書 (取扱店保管) 振込時のお願い太枠内を打電してくださ い 。 円 振込時のお願い太枠内を打電してくださ い 。 円 春学期分授業料等の納付について 依頼日 年月日 依頼日 年月日 春学期分授業料等の納付につい依頼日 年月て日 依頼振込指日定 電信年月扱 手数日料 依頼日 年月日 依頼日 年月日 振込指定 電信扱 手数料 円 円 送り先銀行ご希望の銀行番号に〇印 円 円 円 送り先銀行ご希望の銀行番号に〇印 円 金 額 金 額 1 三菱 UFJ 銀行 八事支店金 普通額 0531506 金 額 金 額 1 三菱 UFJ 銀行 八事支店 普通 0531506 金 額 中京大学 普通 普通 (取扱店で切り離してください) 中京大学 普通 普通 (取扱店で切り離してください) あなたの振込受付期日は、 振 三菱 UFJ 銀行 振 三菱 UFJ 銀行 あなたの振込受付期日は2 三井住友銀行、 本山支店振 普通三菱5387838 UFJ 銀行 現 金 振 三菱 UFJ 銀行 2 三井住友銀行 本山支店 普通 5387838 現 金 込 1 八事支店 0531506 込 1 八事支店 0531506 込 1 八事支店 0531506内 込 1 八事支店 0531506 内 年月日~ 先 普通 先 普通 年月日~ 先 普通 当 手 先 普通 当 手 銀 三井住友銀行 銀 三井住友銀行 銀 三井住友銀行 銀 三井住友銀行 年月日 までです。 行 2 本山支店 5387838 行 2 本山支店 5387838 年月3日りそな銀行までです。名古屋支店行 普通2 本山支店0147052 5387838訳 行 2 本山支店 5387838 3 りそな銀行 名古屋支店 普通 0147052 訳 に 普通 に 普通 に 普通 に 普通 但し、最終入学手続延期許可を受けた方は りそな銀行 りそな銀行 但し、最終入学手続延期許可を受けた方は りそな銀行 りそな銀行 ○ 3 0147052 ○ 3 0147052 略 ○ 3 0147052 ○ 3 0147052 略 年月日~ 印 名古屋支店 印 名古屋支店 年月受 口 称 日~ ガク)ウメムラガクエ印 名古屋支店ン 印 名古屋支店 受 口 称 ガク)ウメムラガクエン 取 座 取 座 年月日 までです。 依 依 年月日学校法人梅村学までです。 依園 中京大学 依 学校法人梅村学園 中京大学 頼 頼 人 名 頼 頼 人 名 1)春学期分授業料等の納付に際しては、この 1)春学期分授業料等の納付に際しては、この 振込用紙を使用してください。 人 人 振込用紙を使用してください。 人 人 (自動振込機は使用しないでください。) 学校法人 梅村学園 学校法人 梅村学園 (自動振込機は使用しないでください。依 ) 学校法人 梅村学園 学校法人 梅村学園 依 受取人 受取人 受取人 受取人 中 京 大 学 中京大学 中 京 大 学 中京大学 2)振込の際、出納印を受けた「B 1票」 2)振込の際、出納印を受けた「B 1票」 2 2 「B 票」を受け取ってください。 上記のとおり振込金を受取りました。 上記のとおり振込いたしました。 「B 票頼」を受け取ってください。 上記のとおり振込金を受取りました。 上記のとおり振込いたしました。 頼 ① 「B 1票(春学期分授業料等振込受取書)」 ① 「B 1票(春学期分授業料等振込受取住 所 書)」 住 所 は、振込金融機関の出納印をもって領収証 は、振込金融機関の出納印をもって領収証 に代えますので、大切に保管してください。 に代えますので人 、大切に保管してください。 人 ② 「B 2票(春学期分授業料等振込証明書)」 出 納 印 収入印紙 出 納 印 ② 「B 2票(春学期分授業料等振込証明書)」 出 納 印 収入印紙 出 納 印 出 納 印 出 納 印 は、「入学時納付金振込証明書貼付欄(入 は、「入学時納付金振込証明書貼付欄(入 学手続書類)」に貼付してください。 学手続書類)」に貼付してください。 (取扱店→依頼人) (取扱店→依頼人→中京大学) (取扱店→依頼人) (取扱店→依頼人→中京大学)

(2) Spring semester tuition fees bank transfer certificate for Final Enrollment Procedure (for submission to university) This is necessary for the Final Enrollment Procedure. Store in a safe place, enclose together with the documents for submission when completing the Final Enrollment Procedure, and send to Chukyo Uni- versity.

(3) Spring semester tuition fees bank transfer certificate for Final Enrollment Procedure (to be retained by remitter) This should be retained by the remitter, and stored in a safe place until admission.

(4) These are bank transfer precautions to be referred to when submitting payments. (本人保管) (貼付用) -1 -2 電信扱 授業料等 最終入学手続用 B春学期分授業料等振込受取書 B春学期分授業料等振込証明書 (送り先銀行の本支店間は手数料無料)振込依頼 書 (取扱店保管) 振込時のお願い太枠内を打電してくださ い 。 円 春学期分授業料等の納付について 依頼日 年月日 依頼日 年月日 依頼日 年月日 振込指定 電信扱 手数料 円 円 送り先銀行ご希望の銀行番号に〇印 円 金 額 金 額 1 三菱 UFJ 銀行 八事支店 普通 0531506 金 額 中京大学 普通 普通 (取扱店で切り離してください) あなたの振込受付期日は、 振 三菱 UFJ 銀行 振 三菱 UFJ 銀行 2 三井住友銀行 本山支店 普通 5387838 現 金 込 1 八事支店 0531506 込 1 八事支店 0531506 内 年月日~ 先 普通 先 普通 当 手 銀 三井住友銀行 銀 三井住友銀行 年月日 までです。 行 2 本山支店 5387838 行 2 本山支店 5387838 3 りそな銀行 名古屋支店 普通 0147052 訳 に 普通 に 普通 但し、最終入学手続延期許可を受けた方は りそな銀行 りそな銀行 ○ 3 0147052 ○ 3 0147052 略 年月日~ 印 名古屋支店 印 名古屋支店 受 口 称 ガク)ウメムラガクエン 取 座 年月日 までです。 依 依 学校法人梅村学園 中京大学 頼 頼 人 名 1)春学期分授業料等の納付に際しては、この 振込用紙を使用してください。 人 人 (自動振込機は使用しないでください。) 学校法人 梅村学園 学校法人 梅村学園 依 受取人 受取人 中 京 大 学 中京大学 2)振込の際、出納印を受けた「B 1票」 2 「B 票」を受け取ってください。 上記のとおり振込金を受取りました。 上記のとおり振込いたしました。 頼 ① 「B 1票(春学期分授業料等振込受取書)」 住 所 は、振込金融機関の出納印をもって領収証 に代えますので、大切に保管してください。 人 ② 「B 2票(春学期分授業料等振込証明書)」 出 納 印 収入印紙 出 納 印 出 納 印 は、「入学時納付金振込証明書貼付欄(入 学手続書類)」に貼付してください。 (取扱店→依頼人) (取扱店→依頼人→中京大学)

7 III. Enrollment Procedure

If submitting payment from outside Japan. (1) Please submit payments from overseas in Japanese Yen as described below. Payments must be sent to the specified Chukyo University account.

送金先 (information regarding the recipient of payment)

1. 送金種類 (Type of Remittance) 電信送金 (Telegraphic transfer) 2. 通貨 (Currency) 日本円 (Japanese Yen) 3. 支払方法 (Method of payment) 通知払 (Advise and pay) 4. 被仕向送金手数料 (Remittance charge) 依頼人負担 (Due remitter) 5. 円為替手数料 (Yen exchange charge) 依頼人負担 (Due remitter) 6. 送金金額 (Amount of remittance) See bank transfer form. 7. 送金目的 (Purpose of payment) Admission fee or spring semester tuition fees 8. 銀行名 (Name of bank) 三菱 UFJ 銀行 (MUFG Bank, LTD.) 9. 支店名 (Name of branch) 八事支店 (Yagoto-branch) 名古屋市天白区八事天道318 10. 銀行住所 (Address of bank) (318 Yagototendo, Tenpaku-ku, Nagoya-shi, Aichi-ken JAPAN) 11. 口座番号 (Account number) 普通預金 (An ordinary saving) 1326435 (a/c: 1326435) 12. ス ウィフト コ ード (SWIFT Code) BOTKJPJT (BOTKJPJT) 学校法人梅村学園 中京大学 13. 受取人 (Name of recipient's account) (Gakkouhoujin Umemuragakuen Chukyo University) 名古屋市昭和区八事本町101-2 14. 受取人住所 (Address of recipient) (101-2 Yagoto Honmachi, Showa-ku, Nagoya-shi, Aichi-ken JAPAN) 15. 受取人電話番号 (Recipient's telephone number) 052-835-7111 (+81) 52-835-7111

(2) As a rule, the remitter must be the successful applicant, and the examinee number must be entered after the name of the remitter.

Example: If the examinee number is 888T5555, and the name of the successful applicant is James Chukyo: Enter “James Chukyo888T5555” as the name of the person making the transfer request.

If the remitter is not the applicant, enter the examinee number and name of the successful applicant (name on passport) in the “Message to payee” field of the remittance request form.

(3) The “Foreign remittance request form (with receipt stamp or signature of financial institution transfer- ring fees)” is required for final enrollment procedure, therefore please be stored in safe place.

(4) After transferring payment, notify Admissions office of Chukyo University of the fact by e-mail. Email: [email protected]

8 III. Enrollment Procedure

(1) To ensure that the exact amount is transferred to the Chukyo University account, be sure to enter “PAY IN FULL” in the Message to payee” field of the remittance request form. (2) Separate commission fees such as “inward remittance commission” or “yen exchange commission” required by local financial institutions are the responsibility of the person transferring the payment.

Admissions Office of Chukyo Univercity Building No.11, 3rd Floor, 101-2 Yagoto Honmachi, Showa-ku, Nagoya-city, Aichi JAPAN 466-8666 Tel: +81-52-835-7170

If mailing from overseas, please write the address of the sender in alphabet characters.

[Mount for pasting Chukyo University student ID photo] (1) Paste the same photo as that pasted in your Student Ledger. Please read the following precautions relating to photos.

(2) Student IDs are used until graduation (course completion), and therefore the following precautions must be observed when pasting your photo. ○Please use a color photo (vending machine (instant) photos for certification are acceptable, print sticker vending machines (print club booths, etc.), snapshots, black and white photos, and matte finish photos are not acceptable). Furthermore, paste the same photo as that pasted in your Student Ledger. ○Photos should show the upper half of the body from the front, and subjects should be clothed (uniforms not permitted), and hats should be removed. ○Photos should be cut to 3 cm (height) × 2.5 cm (width), with examinee number and name written clearly on the reverse side, and should not protrude from the box. The name (Kanji) printed on the“ Notification of passing entrance examination” and“ mount for pasting student ID photo” is indicated in JIS Level 2 (the name of students studying abroad is indicated in Katakana). However, the four characters“栁” “髙”, “﨑”, , and“德” only may be indicated in a notation other than JIS Level 2.

9 IV. For Those Who Have Completed the Enrollment Procedure

1. Entrance Ceremony The entrance ceremony shall be held as follows. Please be seated on time. April 1, 2020(Wed) Seating time: 10 : 00 Ceremony start time: From 10 : 30 * There is a dedicated reception for GLS majors near the entrance to the venue. Be sure to be seated by 10:00. Please note that the ceremony venue opens at 9:45. NTK Hall (Forest Hall) 1-5-1 Kanayama, Naka-ku, Nagoya-shi, AICHI Japan 460-0022 Tel. (052)-331-2141

To Sakae Meijo ―― From “Nagoya” station ―― Subway Line ● Chuo Line, Tokaido Line Furusawa Kouen N underground parking Get off at “Kanayama” station ● Get off at “Kanayama” station Music Plaza NTK Hall ● Change at “Sakae” station on subway , take Meijo Line and get off at “Kanayama” station Fushimi-doori ―― From “Yagoto” station ――

City bus Minami Otsudoori 19 terminal “Kanayama” ● Get off at “Kanayama” station on subway Meijo Line subway station JR Chuo Line

JR / Meitetsu Meitetsu “Kanayama” station main line JR Tokaido Line To Atsuta

(1) Writing implements (2) Identification (passport, residence card, etc.) * An identity check will be carried out when handing over student IDs. (3) Document proving graduation from high school, etc. (4) Matriculation Registration Card (in this booklet) Appendix 2 * A brief explanatory session will be held following the entrance ceremony. We ask everyone to then make their own lunch arrangements before orientation at the Nagoya Campus. * Those attending the entrance ceremony and orientation will be required to cover the cost of their own travel expenses from to Yagoto station, as well as the cost of lunch. * There is no particular dress code. Many participants wear formal clothing such as suits. * Guardians (guarantors) are also permitted to attend the ceremony, however, the number of people attending increases every year, and therefore it is becoming difficult to guarantee to seat for all those attending. If the ceremony hall is full, those without a seat are welcome to enjoy a live performance being held at the adjacent Village Hall.

10 IV. For Those Who Have Completed the Enrollment Procedure

2. Orientation (Schedule Following Admission) New student orientation is designed to help you make a smooth start to your life at the university. The schedule from the entrance ceremony to first day of class is as follows. * The schedule may be subject to change. * Information on where to meet and so on will be provided after the entrance ceremony. * Computer orientation and course registration will be held on April 2 (Thur). Be sure to bring a comput- er. There is no need to bring a computer on April 1 (Wed).

April 1 (Wed) April 2 (Thur) April 3 April 7 Time Details Time Details (Fri) (Tue) Orientation (4) Meeting: 10:00 Entrance ceremony (stu- 9:00 to 11:00 Japanese placement Start: 10:30 dent ID distribution) test * Please assemble after the entrance ceremo- ny for an explanation of the schedule. Details will be provided at the entrance ceremony. Nagoya 11:00 to 12:30 * Following the explanation, we ask every- Campus tour one make their own lunch arrangements, before orientation at the Nagoya Campus. Health Classes 13:30 to 15:30 Orientation (1) 12:30 to 13:30 Lunchtime checkup start Computer orientation * Please bring a computer. 15:30 to 15:45 Break 13:30 to 14:30 * See P13 for details on com- puters. 15:45 to 16:30 Orientation (2) 14:30 to 14:45 Break 16:30 to 16:45 Break 14:45 to 16:00 Consider a 4- year study program. 16:45 to 17:15 Orientation (3) 16:00 to 17:00 Course registration

(1) Writing implements (2) Laptop computer * Bring on April 2. There is no need to bring a computer on April 4.

3. Student Commuter Passes Commuter passes for the or Bus can be purchased in March. Refer to P20 for details.

4. Certificate of Enrollment and Student Discount Card An explanation of the Certificate of Enrollment and student discount card will be given during orientation.

5. Periodical Health Checkup All new students are required to undergo a periodical health checkup at the beginning of April. Please complete the Health Questionnaire (in this booklet Appendix 3 ), and bring it with you on the day of the checkup. Details on the date, time, and location of the checkup will be provided during orientation.

6. Commuting by Car or Motorcycle The use of automobiles to commute to the Nagoya Campus is prohibited. Motorcycles are prohibit- ed as a rule, however, motorized two-wheeled vehicles (with a displacement of fewer than 50 ccs) are permitted by the registration system.

11 IV. For Those Who Have Completed the Enrollment Procedure

7. Preliminary Consultation for Those Wishing Study Consideration Those wishing special study consideration due to such reasons as illness, injury, or disability must apply before carrying out the Final Enrollment Procedure. Interviews will be conducted if necessary. We ask that those who received special measures when taking the entrance examination please notify of this once again. [Applications and inquiries] Admissions Office of Chukyo University Building No. 11, 3rd Floor, 101-2 Yagoto Honmachi, Showa-ku, Nagoya-shi, Aichi 466-8666, JAPAN Tel (domestic): 052-835-7170 Tel (overseas): +81-52-835-7170 [Business hours] Weekdays: 9 :00 to 17:00

8. For Foreign Nationals (Status of Residence) If applying for obtaining “Student” residence status, changing your current status to "Student" or extending your period of stay, please complete the procedure by the specified date in accordance with the instruc- tions indicated in https://nc.chukyo-u.ac.jp/gls/ after completing the enrollment procedure.

9. Payments The term “payment” refers to a combination of “school expenses” and “miscellaneous expenses”. The spring semester payment for the admission academic year is included in the “payment made at the time of admission”. Subsequent payments must be submitted each semester. The bank transfer form for the fall semes- ter payment will be sent out to guardians around September 21 by the Financial Affairs Division. Refer to the “New student payments for academic year 2020” below for details.

Unit: JPY International Faculty GLS Major International Faculty GLS Major (foreign students) Remarks Payment at time of admission 847,500 716,775 Academic year fall semester payment 627,500 496,775 Annual payment for admission academic year 1,475,000 1,213,550 1. Breakdown of payment at time of admission International Faculty GLS Major International Faculty GLS Major (foreign students) Remarks Admission fee 200,000 200,000 (Note 1 ) Tuition fee 435,750 305,025 (Note 2 ) Educational en- 176,750 176,750 (Note 3 )

penses hancement fee School ex - Total school expenses 812,500 681,775 Post-educational support center fee 7,500 7,500 (Note 4 ) Alumni association fee 27,500 27,500 (Note 5 ) Payment breakdown expenses

Miscellaneous Misc. expenses 35,000 35,000 Total 847,500 716,775 2. Breakdown of academic year fall semester payment International Faculty GLS Major International Faculty GLS Major (foreign students) Remarks - Admission fee Tuition fee 435,750 305,025 (Note 2 ) es Educational 176,750 176,750 (Note 3 ) enhancement fee

School expens Total school expenses 612,500 481,775 Post-educational 7,500 7,500 (Note 4 ) support center fee Alumni association fee 7,500 7,500 (Note 5 ) Payment breakdown expenses

Miscellaneous Misc. expenses 15,000 15,000 Total 627,500 496,775 12 IV. For Those Who Have Completed the Enrollment Procedure

3. Breakdown of the annual payment for admission academic year (1 + 2) International Faculty GLS International Faculty GLS Major Major (foreign students) Remarks Admission fee 200,000 200,000 (Note 1 ) Tuition fees 871,500 610,050 (Note 2 ) Educational en- 353,500 353,500 (Note 3 ) hancement fee

School expenses Total school expenses 1,425,000 1,163,550 Post-educational support center fee 15,000 15,000 (Note 4 )

Payment breakdown Alumni association fee 35,000 35,000 (Note 5 ) expenses

Miscellaneous Misc. expenses 50,000 50,000 Total 1,475,000 1,213,550 In order foreign students to focus on their studies without worrying about their final situation, Chukyo University offers all foreign students a 30% reduction in their tuition fees over all 4 year of study.

(1) The term “payment” refers to a combination of “school expenses” and “miscellaneous expenses”. (2) Payment is divided up into spring semester payment and fall semester payment. The collected spring semester payment for the admission academic year is included in the “payment made at the time of admission”. (3) The bank transfer form for payment following admission will be sent out to guardians by the Financial Affairs Division. (The bank transfer form for the fall semester of the 1st year will be sent out around September 21.) (4) Following admission, separate course fees or practical training fees may be required for those students taking several particular subjects. (5) School expenses and so on may be subject to change either at the time of admission or while studying at uni- versity, following revisions to “university regulations”, etc. Furthermore, the collection method for school expens- es and miscellaneous expenses may also be subject to change. (6) Please be aware that once payments are made, they cannot be returned. However, if the admission refusal procedure is completed by the specified deadline, the payment made at the time of admission (excl. admission fee) will be returned.

Admission fee (Note 1) : at the time of admission only Tuition fees (Note 2) : the same amount for 2nd year onward Educational enhancement fee (Note 3) : the same amount for 2nd year onward Post-educational support center fee (Note 4) : the same amount for 2nd year onward Alumni association fee (Note 5) : the annual fee of 15,000 JPY from 2nd year onward * The above may also be subject to change following revisions to “university regulations”, etc.

10. Personal Computers At Chukyo University, computers are used not only for information related classes but also for general class- es and student activities. Consequently, personal computers (laptops) are must-haves for study at the university, and all students must prepare their own computer by the time of admission. A computer is required for orientation (April 2) following admission, and therefore we ask that you prepare one by this time. Please refer to the Email you will get in mid of December 2019, (For the second term applicants, we will send a Email at the time of the announcement of the examination result.) for details on the necessary specifications for laptop computers used for university life. [Computer related inquiries] Information Systems Section: Tel: (052)-835-1804 [Business hours] Weekdays: 9 :00 to 17:00

13 IV. For Those Who Have Completed the Enrollment Procedure

11. Teaching Support Using IT Students of the university can use Office software from Microsoft Corporation (Office 365 ProPlus) free of charge. Applicable to : Students at the university Applicable devices : Devices belonging to applicable students (installation on personal computers is also possible). Applicable software (OS) and number of times installation possible Computers (Windows, Mac) Smartphones (iPhone, Android) Tablets (iPad, Android) Excel ○ ○ ○ Word ○ ○ ○ PowerPoint ○ ○ ○ Access ○* × × Other (Publisher, OneNote, InfoPath, etc.) ○* × × Number of devices on which installation possible 5 5 5 * Excluding Mac edition. Permissible usage period: Only while enrolled at university. It will no longer be possible to use the Office software when eligibility is lost due to such reasons as graduation. 12. Curriculum Changes may have been made to the curriculum tables or subject names listed in the faculty introduction guide, etc. after printing. Please refer to the “Net Campus” website for examinees for the latest curriculum tables. 13. Misc. Expenses * The collection method for the following miscellaneous expenses may be subject to change. 1) Post-educational support center fee The Chukyo University post-educational support center was formed to seek further educational effec- tiveness by working closely with guardians (guarantors) to form a mutually cooperative relationship. Its main activities and functions are (1) granting scholarships, and (2) giving out education encouragement awards. The post-educational support fee is an expense necessary to carry out these activities. 2) Alumni association fee The Chukyo University alumni association was founded in 1958 for the purpose of “contributing to the building of friendship among members, and the growth of the alma mater”. Its main activities and functions involve pro- viding support and so on for the alumni association’s branch organizations (51 domestic branches, 5 overseas branches: 56 in total). The alumni association fee is an expense necessary to carry out these activities. 14. Scholarship System Applications for scholarships are handled by the Student Support Department (deals with scholarship related matters). Nagoya Campus (Tel) Domestic: 052-835-7173 Overseas: +81-52-835-7173 [Business hours] Weekdays: 9 :00 to 17:00 1) Current enrollment notice, higher education enrollment notice submission (1) Current enrollment notice Those students who have previously completed the Japan Student Services Association scholarship return procedure before entering the university, and who wish to postpone the return of the scholarship, are required to submit a “current enrollment notice (form specified by organization)” to the Student Support Department. (2) Higher education enrollment notice Those candidates who have been selected as prospective JASSO scholarship students before entering the university are required to attend the “reservation only explanatory session” after entering (information provided in material handed out at the entrance ceremony). Please bring documents such as the “Notifica- tion of Prospective University Scholarship Students” (higher education enrollment notice) issued by JAS- SO. An explanation of the various procedures involved up to the official selection as scholarship students will be given at this time. Please note that those who do not complete the various procedures will surren- der their claim to be prospective scholarship student candidates.

14 IV. For Those Who Have Completed the Enrollment Procedure

2) Recruitment after admission An explanatory session will be held to recruit scholarship student candidates. Students will be notified of the date and time of the explanatory session on the university website from around March. As a rule, recruitment is carried out in the spring semester only. (Reference) Applicable to 2019 academic year

Explanatory session Application accep- Scholarship Loan Monthly loan amount (JPY) Loan period (documents handed out) tance deadline type start Students living at home Select from 54,000 JPY, 40,000 JPY, From commencement of Class 1 30,000 JPY, or 20,000 JPY. loan to completion date (MM/ April (interest-free) Students living on own YY) of the shortest course of Early April Mid May Select from 64,000 JPY, 50,000 JPY, study, 40,000 JPY, 30,000 JPY, or 20,000 . however, a procedure for continuation is required Class 2 Selection from 20,000 JPY to 120,000 JPY April once a year. (with interest) in units of 10,000 JPY

* Class 1 scholarship: Interest-free scholarship Class 2 scholarship: Scholarship with interest (the annual rate is variable, with an upper limit of 3%) Refer to the following Chukyo University website for application conditions for each type of scholarship (undergraduate bursary). http://www.chukyo-u.ac.jp/support/studentlife/a11.html Information on scholarships for which explanatory sessions are held for recruitment will be provided with a dedicated information provision tool for university students the following admission. 15. Insurance Following Admission Students from all faculties are enrolled in this insurance to provide cover in the event of accidents occur- ring during education and research activities (also covers injuries sustained while commuting) (paid by university). This system ensures that insurance money is paid out in the event of bodily injury suffered as a result of sudden or unexpected accidents occurring while carrying out education and research activities. However, this insurance does not cover “illness”. Please refer to the “Guide for Disaster and Accident Personal Accident Insurance for Students Pursuing Education and Research (PAS) Members” distributed at the entrance ceremony for details on compensation. Students joining athletic clubs are obliged to enroll in accident insurance including liability insurance. An explanation is given when joining athletic clubs, however, all members must enroll in accident insur- ance including liability insurance. Students are also required to enroll in “sports safety insurance” at their own expense when joining athletic clubs. (Annual premium: 1,850 JPY) Students are obliged to enroll in this insurance when taking specific courses in specific faculties or departments. ◦ Personal enrollment: teaching practice, internships, all forms of practical training * Information on the enrollment procedure is given during orientation prior to participating in practical training. 16. Financial Support for Those From Disaster-stricken Areas Wishing to Enter Chukyo University Chukyo University has provided financial support for students devastated by large-scale disasters such as the Great East Japan Earthquake. We are currently working on plans for financial support for the academic year 2020. Details will be pro- vided on the Chukyo University website at the end of February 2020.

15 V. Information for Guardians

Please complete the enrollment procedure as early as possible. Completing the procedure means (1) submitting payments, (2) completing the necessary documents, and (3) submitting these documents by the scheduled dates. Please note that applicants or guardians will be notified of enrollment procedure completion after admission procedure forms, etc. have been checked.

1. Health Insurance Cards Health insurance cards are required when consulting a doctor due to illness, etc. while studying at the university. Please organize your own health insurance card if staying in lodgings.

2. Change of Address, etc. The procedure for changes to address, family name (renaming), or changes involved following a transfer for either students or their guardians (guarantors) will be explained during orientation.

3. On-campus Notifications Students will not be contacted or called unless there is an emergency. The subjects studied at the univer- sity differ for each student, and therefore we ask that you check your child’s schedule at the beginning of term.Furthermore, we ask that you keep in regular contact with your child if they are staying in lodgings, and ask for the contact details of their friends, and names, of their clubs or circles etc.

4. Commuting by Car or Motorcycle Commuting to the Nagoya Campus by automobile or motorcycle is completely prohibited. We ask for your understanding and cooperation (motorized two-wheeled vehicles (with a displacement of fewer than 50 ccs) are permitted by the registration system).

5. Payment Period The spring semester payment for the admission academic year is included in the “payment made at the time of admission”. Subsequent payments must be submitted each semester. Bank transfer forms for payments will be sent by post by the Financial Affairs Division. Please submit pay- ments by the scheduled date. ◆ Fall semester → Forms will be sent out around September 21 → Submit payment by October 20 ◆ Spring semester → Forms will be sent out around April 1 → Submit payment by April 30 * The above dates may be subject to change following revisions to university regulations, etc. while en- rolled at the university.

6. Other The university does not specify sportswear or shoes to be worn during physical education.

16 VI. Handling of Personal Information

Handling of Personal Information by Chukyo University

The university recognizes the importance of protecting personal information and observes laws and govern- ment ordinances, as well as policies, etc. stipulated by the Minister of Education, Culture, Sports, Science and Technology relating to personal information. The university makes every effort to ensure the safety and appropriate management of personal information through such means as establishing “Regulations Relating to the Protection of Personal Information” and “Personal Information Protection Regulations and Operational Bylaws” in accordance with the “Personal Information Protection Basic Policy” (see the next page) set forth by Umemura Educational Institutions. Please note that the university uses personal information deemed as being necessary for the following purposes to ensure the running of key areas of university management such as education and research and student support. In line with this, the “ Appendix 1 Student Ledger/Written Pledge & Consent Form” must be countersigned by both the student and their guarantor, and submitted together with other enrollment pro- cedure forms.

1. Support relating to student learning such as course management and grade management 2. Support relating to student life in general such as matriculation management (incl. guarantor informa- tion), school expense information management, general consultation and instruction relating to student life, extra-curricular activities, scholarship management, health checkups, and consultations, and mental consultations 3. Support relating to student future path and employment such as careers, internships, obtaining qualifica- tions, and job hunting 4. Support relating to international education such as study abroad and overseas training 5. Issuance of student IDs and all kinds of certificates 6. Dispatch of grade notifications and course status reports to guarantors 7. Dispatch of information and introductory material 8. Provision of information necessary for the Chukyo University alumni association 9. Provision of information necessary for university evaluation, as well as statistical surveys and analysis 10. Provision of other information necessary for business relating to the management and running of the university 11. Provision of information if obligated by law, if able to determine that it is necessary to protect the life, body, or assets, etc., or other rights and interests of the students themselves or third parties, or if unable to obtain individual approval at other times of urgent necessity

17 Umemura Educational Institutions Personal Information Protection Basic Policy

Established: April 1, 2005 Revised: April 1, 2018

Umemura Educational Institutions (hereafter referred to as “the institutions”) fully recognize the importance of protecting personal information, have established the following basic policy, and make every effort to protect all personal information relating to the institutions, beginning with that of students, pupils, and faculty members.

1. Handling of personal information The company (university) will make every effort to specify the purpose of personal information use, and obtain such information only within the scope for which it is necessary.

2. Use of personal information The company (university) will use personal information for the execution of business to the extent that it is necessary within the scope of the usage purpose indicated when the information was obtained.

3. Provision of personal information to third parties Unless stipulated by law, the company (university) will not provide third parties with obtained personal information without the consent of the individual.

4. Management of personal information The company (university) will appoint a personal information administrator for each department handling personal information, and make every effort to ensure that personal information is managed appropriate- ly. Furthermore, safety measures, beginning with information security measures, will be taken, and every effort will be made to prevent unauthorized access to personal information, or the loss, destruction, falsifi- cation, or leakage of personal information.

5. Outsourcing that includes the handling of personal information If outsourcing work that includes the handling of personal information, the company (university) shall in- struct and manage the contractor appropriately, such as by making measures to ensure the safe manage- ment of personal information compulsory.

6. Disclosure, correction, deletion of personal information If requested to disclose, make corrections to, or delete personal information by the student (or guardian), the institutions shall comply sincerely with such requests.

18 VII. List of Authorized Clubs

Athletic clubs (Nagoya Campus) Cultural clubs (Nagoya Campus) Karate club Natural science research society Boxing club Electronic data processing system research society Shorinji Kempo club History and culture research society Aikido club LAWPRAY law research society Athletic clubs (Toyota Campus) KOGUMAZA astronomy club Gymnastics club Tea Ceremony club Rhythmic sports gymnastics club New Sound Jazz Orchestra light music club Athletics club Art club Swimming club Mixed chorus Volleyball club Calligraphy club Basketball club IKAZUCHI TROUPE theatrical club Rugby club MC broadcasting club Soccer club Japanese music club Handball club Folk song club Regulation baseball club Manga club Semi-hardball baseball club Brass band Tennis club Igo club Soft tennis club Chukyo cinema club Table tennis club Philharmonic symphony orchestra Kendo club Culture club (Nagoya Campus) related inquiries Judo club Nagoya Campus Student Support Department Kyudo club Tel: (052)-835-7163 (direct line) (weekdays: 9:00 to 17:00) Automobile club University Festival Executive Committee Competitive skiing club Nagoya Executive Committee Bicycle racing club Toyota Executive Committee Weightlifting club Fencing club Athletic clubs (Toyota Campus) Skating club [No clubs have boarding houses] Badminton club Child welfare activities club Hockey club UNICORN comic art club Archery club Sound communication Ice hockey club TMP broadcasting club Softball club Chukyo University Hachimae Dance club Culture club (Toyota Campus) related inquiries Recreation club Toyota Campus Student Support Department American football club Tel: (0565)-46-1230 (direct line) (weekdays: 9:00 to 17:00) Gold club Ultimate club Cheerleading club Lacrosse club Athletic club inquiries Toyota Campus, Sports Promotion Department Tel: (0565)-46-6935 (direct line) (weekdays: 9:00 to 17:00)

19 Ⅷ . Other (Lodging Information, Purchasing Your Student Commuter Pass, Chukyo University Co-Op, etc.)

1. Lodging Information The university outsources a lodging introduction service to the following companies. When you contact the following companies, you will be required to confirm your nomination, gender, nationality, e-mail address, budget, floor plan, area, etc by email. Company (inquiries and document requests)

Contact information

NATIONAL STUDENTS INFOR- [email protected] MATION CENTER ☎ (0120) 749-234 (toll-free) (Yagoto branch)

minimini Corporation [email protected] (Yagoto branch) ☎ (0800) 888-3230 (toll-free)

Kyoritsu Maintenance Co., Ltd. [email protected] Student Union secretariat ☎ (052)-204-6101

Chukyo University Co-Op 1st Floor,Building No. 3, Nagoya Campus (Nagoya branch) 101-2 Yagoto Honmachi, Showa-ku, Na- Person in charge of lodging intro- goya-shi, Aichi-ken 466-0825, JAPAN duction ☎ (052)-831-2466

It takes time to complete the necessary procedures and move in, and therefore we recommend that you contact these companies as early as possible. Please note that rental agreements require various condi- tions, and rental may not always be possible.

2. Purchasing Your Student Commuter Pass University commuter passes for the Nagoya Municipal Subway or can be pur- chased in March.

Public transport Operation start date Documents to take to ticket counter Availability period (1) Notification of passing entrance examination Subway April 1 (2) Commuter pass application form March 15 to March 31 City bus (university certification stamp unnecessary) * “(2) Commuter pass application form” can be obtained at station ticket counters. * Your student ID will be required for student commuter passes for public transport other than the above (the same applies to commuter through-tickets).You will get your student ID after the entrance ceremony.

20 VIII. Other (Lodging Information, Purchasing Your Student Commuter Pass, Chukyo University Co-Op, etc.)

3. Chukyo University Co-Op At Chukyo University, some welfare work such as the running of the student cafeteria, books, and pur- chasing is outsourced to external contractors beginning with the Chukyo University Co-Op. Consequently, the material will be sent out to those who have completed the enrollment procedure if determined that the provision of various information from the Chukyo University Co-Op is deemed appropriate. * However, those who do not which to receive information should indicate this on a postcard, and send it to Admissions Office of Chukyo University. * Please select whether to use information from Chukyo University Co-Op after reading the material. [Inquiries] Chukyo University Co-Op Tel: (052)-831-2460 Website address: http://www.chukyouniv-coop.jp/

4. Cash Service ATMs (automatic cash machines) have been installed on the campus. [Nagoya Campus Building No. 4] Japan Post Bank, MUFG Bank

21 IX. Access to Chukyo University JR Chuo Line Kozoji

Nishiharu Shinseto Ozone Kamiotai

Hisaya- Marunouchi odori Higashiyama

Subway Line Meijo Subway Line Nagoya Fushimi Sakae Chikusa Imaike Motoyama Aichi Loop Railway

Tsurumai Subway Line Chukyo University Osu Kami Tsurumai kannon maezu Sakura-dori Subway Line Nagoya Campus Chukyo University Gokiso Homi Toyota Campus Yagoto

Meijo Subway Line Kaizu Akaike JR Chuo Line Aratama- Josui Toyotashi Kanayama bashi

Meitetsu main line Naka Meitetsu ・ okazaki Tokoname Line/ Airport Line JR Tokaido Line

Central Japan Okazaki International Airport

■Approx. 25 min from to Nagoya Campus Exit No. 5 Higashiyama Tsunami Nagoya Nagoya Fushimi Yagoto Direct connection Subway Line Subway Line Campus

■Approx. 20 min from Kanayama Station to Nagoya Campus Exit No. 5 Meijo Subway Line Direct connection Nagoya Kanayama counterclockwise Yagoto Campus

■Approx. 65 min from Nagoya Station to Toyota Campus

Nagoya Higashiyama Fushimi Tsunami Akaike Meitetsu Josui Approx. 10 min by Toyota Subway Line Subway Line Toyota line school bus Campus

Nagoya Campus *1st period begins at 9:00. [Using subway] Take or Meijo Line to “Yagoto”. Direct connection from Exit No. 5

Toyota Campus *1st period begins at 9:30. Take the free university bus from “Jousui” station. [Using Meitetsu and university bus] Get off at Meitetsu Toyota Line “Jousui” station and take university bus (approx. 10 min) * The subway Tsurumai Line “Akaike” station and Meitetsu Toyota Line (Toyota City direction) are connected. [Using Aichi Loop Railway] Get off at “Kaizu” station and walk (8 min).

22 Appendix 1 Please submit together with the Enrollment procedure forms.

Student Ledger * Student No. School of Department of Global Studies Examinee Paste photo here No. * Front-facing photo of Global Studies Major in GLS upper half of body without Note 1 hat has taken within last 3 Furigana Sex (M/F) Date of birth (MM-DD-YYYY) months ( 3 x 2.5 cm (height x width)) * Photo must be same as Name student ID photo and be a / / color photo. (alphabet) * Student uniforms not permitted Note 3

School type Name of school Admission date (MM/YYYY) Graduation date (MM/YYYY) Course National Public high school / / Private

Note 2 Note 2 Pass date for accredited test for high school graduation or equivalent MM DD YYYY High school equivalence test date MM DD YYYY Academic background

Name of clubs at high school

Furi- gana Sex (M/F) Date of birth (MM-DD-YYYY) Relationship

MM DD YYYY Name (alphabet) 〒 -

Current address Tel: ( ) - Mobile: ( ) - [Official name] Guardian (guarantor) * Enter official name of place of employment. Enter name of business/store if self-employed. Do not enter anything if retired, etc. [Department, position, etc.]

Place of employment * Enter name of department, position, etc.] Enter industry type if self-employed. Date of birth (MM- Phone No. of emergency con- Rela- Name DD-YYYY) Name of emergency contact tact tionship (MM/DD/YY) (mobile phones permitted) / / ( ) -

/ / ( ) -

/ / ( ) -

/ / ( ) -

Family information (excl. student) / / ( ) -

April 1, 2020 Admission MM DD YY

MM DD YY MM DD YY

MM DD YY MM DD YY

MM DD YY MM DD YY

* School register transfer MM DD YY MM DD YY Graduation

* Do not enter your matriculation number or information on school register transfer. Note 1 . Enter you nationality if a foreign student. Note 2 . Those who have passed the high school equivalency examination or university entrance qualification examination are required to enter this field. Note 3 . The pasting of photos printed with print sticker vending machines (print club booths, etc.), or photos that have been edited with computer software or smartphone applications is prohibited. ★ Do not use a ball - point pen that can be erased. Written Pledge & Consent Form

To President of Chukyo University Submitted (MM/DD/YYYY) : / /

In entering Chukyo University, I pledge to observe the university motto of “A focus of excel- lence in both learning and sports” and university regulations, and fulfill my duties as a student. Furthermore, I understand the purpose of personal information use stated in “Handling of Per- sonal Information by Chukyo University”, and consent to the handling of my personal infor- mation.

Student (to be completed by student) School of Global Studies Department of Global Studeis Major in GLS

Examinee No.

Name (alphabet)

Date of Birth (MM/DD/YYYY) / /

I accept full responsibility for the above individual during their period of study at the universi- ty, and pledge not to cause any inconvenience to the university. Furthermore, I understand the purpose of personal information use stated in “Handling of Personal Information by Chukyo University”, and consent to the handling of my personal information.

Guarantor (to be completed by guardian or person responsible for paying school expenses)

Relationship to student

Name (alphabet) 

Current address

Appendix 2

[Student Support Department] April 2020 Admission Student Registration Card (A) ㊙ Matriculation No. * Your matriculation number is indicated on the student ID handed out at the entrance ceremony, Family name First name Middle name Sex School of Department of (M/F) Name Global Global Studies (alphabet) Studies Major in GLS (Enter address after admission) 〒 - Prefecture Student Enter from prefecture

Current address Apartment No. Building No. Mobile: ( ) -

* Enter your home telephone number if you do not own a mobile phone.

April 2020 Admission Student Registration Card (B) ㊙ [same info. as above not permitted] Matriculation No. * Your matriculation number is indicated on the student ID handed out at the entrance ceremony, Family name First name Middle name Sex School of Department of (M/F) Name Global Global Studies (alphabet) Studies Major in GLS

(Enter address after admission) 〒 - Prefecture Enter from

Student prefecture

Current address Apartment No. Building No. Mobile Note 1: ( ) - Nationality

Date of birth (MM-DD-YYYY) / / Nationality code

Note 1: Enter your home telephone number if you do not own a mobile phone. Furigana Relationship code Family name First name Middle name Relationship Father / mother

Name (alphabet) Circle or enter Other ( ) (guarantor) Guardian Current address Student Registration Card Entry Method 1. Complete the Student Registration Card (A) (B) slip correctly as indicated in the entry method. 2. The Student Registration Card must be submitted. Failure to do so will make Student reg- istration impossible. 3. Be sure to submit a “Notification of Change” (using prescribed form) following any change to your name, nationality, guarantor, etc. while studying at Chukyo University.

[Entry Method] 1. Enter information clearly with a black pen (Do not use a ball ‐ point pen that can be erased.) Any mistakes should be crossed out with a double line and rewritten correctly above the relevant location. 2. Your Student number is indicated on the student ID handed out at the entrance ceremony, 3. Enter your address after admission (from April onward) for your current address. 4. Enter your current address from the prefecture. (1) Use - (hyphens) to separate the city block and street number, etc. in a manner that ensures that mail will arrive. (Example> 1丁目2番地3-4 △△荘A棟5号室 Building △△ A-5, 1-2-3-4 (2) Enter the name and room number for condominiums and apartments. 5. * Enter your mobile phone in the “Student - Mobile phone” field, or enter your home telephone number if you do not own a mobile phone. 6. If the current address of the student and guardian is the same, do not simply write “As above”, but enter the full address.

[Relationship codes]

01 Father 02 Mother 03 Grandfather 04 Grandmother 05 Uncle06 Aunt 07 Elder brother 08 Elder sister 09 Younger brother 10 Younger sister 11 Other than the above Nationality (region) codes ac Ascension Island eh Western Sahara li Liechtenstein sb Solomon Islands ad Andorra er Eritrea lk Sri Lanka sc Seychelles ae United Arab Emirates es Spain lr Liberia sd Sudan af Afghanistan et Ethiopia ls Lesotho se Sweden ag Antigua and Barbuda fi Finland lt Lithuania sg Singapore ai Anguilla fj Fiji lu Luxembourg sh Saint Helena al Albania fk Falkland Islands lv Latvia si Slovenia am Armenia fm Federated States of Micronesia ly Libya sj Svalbard and an Netherlands Antilles fo Faeroe Islands ma Morocco Jan Mayen ao Angola fr France mc Monaco sk Slovakia aq Antarctica ga Gabon md Mordova sl Sierra Leone ar Argentina gd Grenada mg Madagascar sm San Marino as American Samoa ge Georgia mh Marshall Islands sn Senegal at Austria gf French Guiana mk Macedonia so Somalia au Australia gg Guernsey ml Mali sr Surinam aw Alba gh Ghana mm Myanmar st Sao Tome and Principe az Azerbaidzhan gi Gibraltar mn Mongolia sv El Salvador ba Bosnia and Herzegovina gl Greenland mo Macau sy Syria bb Barbados gm Gambia mp Northern Mariana Islands sz Kingdom of Eswatini bd Bangladesh gn Guinea mq Martinique tc Turks and be Belgium gp Guadeloupe mr Mauritania Caicos Islands bf Burkina Faso gq Equatorial Guinea ms Montserrat td Chad bg Bulgaria gr Greece mt Malta tf French Southern and bh Bahrain gs South Georgia and mu Mauritius Antarctic Lands bi Burundi the South Sandwich Islands mv Maldives tg Togo bj Benin gt Guatemala mw Malawi th Thailand bm Bermuda Islands gu Guam mx Mexico tj Tajikistan bn Nation of Brunei gw Guinea-Bissau my Malaysia tk Tokelau Islands bo Bolivia gy Guyana mz Mozambique tm Turkmenistan br Brazil hk Hong Kong na Namibia tn Tunisia bs Bahamas hm Heard Island and nc New Caledonia to Tonga bt Bhutan McDonald Islands ne Niger tp East Timor bv Bouvet Island hn Honduras nf Norfolk Island tr Turkey bw Botswana hr Croatia ng Nigeria tt Trinidad and Tobago by Belarus ht Haiti ni Nicaragua tv Tuvalu bz Belize hu Hungary nl Holland tw Taiwan ca Canada id Indonesia no Norway tz Tanzania cc Cocos (Keeling) Islands ie Ireland np Nepal ua Ukraine cd Democratic Republic of the Congo il Israel nr Nauru ug Uganda cf Central African Republic im Isle of Man nu Niue uk United Kingdom cg Congo in India nz New Zealand um United States Minor ch Switzerland io British Indian Ocean Territory om Oman Outlying Islands ci Côte d'Ivoire iq Iraq pa Panama us United States ck Cook Islands ir Iran pe Peru uy Uruguay cl Chile is Iceland pf French Polynesia uz Uzbekistan cm Cameroon it Italy pg Papua New Guinea va Vatican City cn China je Jersey ph Philippines vc Saint Vincent and the co Colombia jm Jamaica pk Pakistan Grenadines cr Costa Rica jo Jordan pl Poland ve Venezuela cu Cuba ke Kenya pm Saint Pierre vg British Virgin Islands cv Cape Verde kg Kyrgyzstan and Miquelon vi United States Virgin Islands cx Christmas Island kh Cambodia pn Pitcairn Islands vn Vietnam cy Cyprus ki Kiribati pr Puerto Rico vu Vanuatu cz Czech Republic km Comoros ps Palestine wf Wallis and Futuna de Germany kn Anguilla pt Portugal ws Samoa dj Republic of Djibouti kp North Korea pw Palau ye Yemen dk Denmark kr South Korea py Paraguay yt Mayotte dm Dominica kw Kuwait qa Qatar yu Yugoslavia do Dominican Republic ky Cayman Islands re Reunion za South Africa dz Algeria kz Kazakhstan ro Romania zm Zambia ec Ecuador la Laos ru Russia zr Democratic Republic of the Congo ee Estonia lb Lebanon rw Rwanda zw Zimbabwe eg Egypt lc Saint Lucia sa Saudi Arabia zzz Other Hepburn romanization list あ い う え お・おう・おお が ぎ ぐ げ ご・ごう A Ⅰ U E O GA GⅠ GU GE GO か き く け こ・こう ざ じ ず ぜ ぞ・ぞう KA KⅠ KU KE KO ZA JⅠ ZU ZE ZO さ し す せ そ・そう だ ぢ づ で ど・どう SA SHⅠ SU SE SO DA JⅠ ZU DE DO た ち つ て と・とう ば び ぶ べ ぼ・ぼう TA CHⅠ TSU TE TO BA BⅠ BU BE BO な に ぬ ね の・のう ぱ ぴ ぷ ぺ ぽ・ぽう NA NⅠ NU NE NO PA PⅠ PU PE PO は ひ ふ へ ほ・ほう きゃ きゅ・きゅう きょ・きょう HA HⅠ FU HE HO KYA KYU KYO ま み む め も・もう しゃ しゅ・しゅう しょ・しょう MA MⅠ MU ME MO SHA SHU SHO や ゆ よ・よう ちゃ ちゅ・ちゅう ちょ・ちょう YA YU YO CHA CHU CHO ら り る れ ろ・ろう にゃ にゅ・にゅう にょ・にょう RA RⅠ RU RE RO NYA NYU NYO わ を ひゃ ひゅ・ひゅう ひょ・ひょう WA O HYA HYU HYO みゃ みゅ・みゅう みょ・みょう ん MYA MYU MYO N (M) りゃ りゅ・りゅう りょ・りょう RYA RYU RYO ぎゃ ぎゅ・ぎゅう ぎょ・ぎょう GYA GYU GYO じゃ じゅ・じゅう じょ・じょう JA JU JO びゃ びゅ・びゅう びょ・びょう BYA BYU BYO ぴゃ ぴゅ・ぴゅう ぴょ・ぴょう PYA PYU PYO

Notes Pronun- Use the letter“ M” in place of the let- Long No alphabet characters are neces- ciation ter“ N ( ん )” before“ B”“, M”, or“ P”. vowels sary for long vowels (–) such as“お う (ou)” or“おお (oo)” (the first vow- 難波 ( なんば ) → NAMBA el only should be used). 本間 ( ほんま ) → HOMMA 三瓶 ( さんぺい ) → SAMPEI 河野 ( こうの ) → KONO 大野 ( おおの ) → ONO 太郎 ( たろう ) → TARO

Double When using a small“つ (tsu)”, the Other Use a single letter“ U” for characters conso- latter consonant should be repeated. with“うう” pronunciation. nants 服部 ( はっとり ) → HATTORI 雄治 ( ゆうじ ) → YUJI 吉川 ( きっかわ ) → KIKKAWA 東宮 ( とうぐう ) → TOGU However, the letter“ T” should be added in the case of“ CHI ( ち )”, “CHA ( ちゃ )”,“ CHU ( ちゅ )”, or “CHO ( ちょ )”. 発地 ( ほっち ) → HOTCHI 八町 ( はっちょう ) → HATCHO Appendix 3

2020 Health Questionnaire

This survey is being conducted as part of our student support to ensure that you have a safe and full campus life, and the results will not be used for any other purpose. * Check your matriculation number on the student ID handed out at the entrance ceremony,

Faculty, department School of Global Studies Matriculation major Department of Global Studies Major in GLS No.

Furigana Date of Name birth MM DD YYYY

◆ Please answer the following questions. (Write or circle) [I] Please tell us about any illness or injury you have suffered in the past. Oral medica- Name of medical Name of illness Age Surgery Current condition tion institution 1 . Yes / No Yes / No

2 . Yes / No Yes / No

3 . Yes / No Yes / No

Please provide information that you feel the university should know about or details of any oral medication you are currently taking for your illness or injury.               [II] The following question regards chest X-rays. Have you ever been told of any abnormalities? □ At the age of, a re-examination revealed . □ Please tell us about your current condition.

[III] The following question regards electrocardiography (ECG). Have you ever been told of any abnormalities? □ At the age of, a re-examination revealed . □ Please tell us about your current condition.

[IV] Have you ever fallen unconscious, or suffered a seizure?  1 . No 2 . Yes (seizure, loss of consciousness)   Please tell us more about what happened.     □ At what age did this occur?: □ Did you visit the hospital?: No / Yes   □ What was the cause?       □ Name of illness, explanation from doctor       □ Are you currently being treated with medication?: No / Yes □ Name of medication:   □ Name of medical institution □ Hospital visit frequency:     □ Last occurrence: years of age 

Cont. on reverse side → [V] Have you ever suffer from insomnia? 1 . No 2 . Last bout: years of age □ I used over-the-counter medication Name of medication: □ I attended hospital Name of medication: 3 . I still suffer from insomnia □ I currently attend hospital Name of hospital: □ I am currently taking oral medication Name of medication: □ I use over-the-counter medication (name of medication: ) 4 . Other ( )

[VI] Do you use any medical devices in your daily life?               [VII] Do you wish any support or wish to discuss anything to help you with your life at university? 1 . I would like a consultation 2 . I would like support 3 . No Details:               [VIII] Please indicate if you have a handicapped person’s passbook. Grade: Type: Cause, name of illness:               [IX] Please write down any physical or mental concerns you may have following admission to the university?              

* Please bring on the day of the periodical health checkup. Appendix 4 (For those refusing admission who have completed enrollment procedure) Enrollment Refusal Notice / / To President of Chukyo University

School of Global Studies Major in GLS Department of Global / Studies Examinee No. Name

Address: 〒 -

I have completed the enrollment procedure, however, I decline to enroll at your university for the following reason. For this reason, please return any payments, excluding the admission fee, to the following bank account. 1 . Change of career path (finding job, etc.) [Reason for refusal] 2 . Enrollment at other university ( University, department) (Circle the appliable reason) 3 . Other:

Bank Name of Credit union financial Credit association branch institution Agricultural cooperative

Account No. Current No.

Account holder

Admissions office entry field Address: 〒 -

Tel: ( ) --

Name Relationship

Signature

Must arrive by 16:00 on March 31 (Tue), 2020

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* When submitting enrollment procedure forms in person, etc., please be sure to notify Admissions office of Chukyo University by telephone beforehand (domestic: 052-835-7170, overseas: +81-52-835-7170.