Online Registration for Thesis@Keio

Please read the information below carefully and make sure you fill out ALL THE FIELDS.

- To complete the application, you are also required to send us the application documents via e-mail and by post.

 Please visit our webpage for more details:

- Write your full and complete mailing address including the apartment number.
  This address must be valid until you leave for Japan.

- Please enter standard English characters only. DO NOT use characters with accent marks (e.g. à, ç, ö), Chinese characters, etc.

- When you complete this online registration, a confirmation e-mail  will be sent to the e-mail address you registered.
  If you do not receive a confirmation e-mail, please re-register.

- The screening result will be sent to your registered e-mail address about one month after your application reaches Keio University.

*Required fields (All except middle name)

Family name

First name

Middle name
Gender  Male    Female
Date of birth   e.g., 1986/01/25
Country/region of your home institution  
Home institution  
Graduate School/Department  
Are you enrolled in a master's or doctoral program?  Master's program    Doctoral program
Intended period of research at Keio (for ___ days, from yyyy/mm/dd to yyyy/mm/dd)
Theme of your thesis/dissertation
Please indicate one of academic faculty members by whom you wish to be supervised at Keio.
Have you studied at Keio under Thesis@Keio before?  Yes    No
How did you find out about Thesis@Keio?
Do you need to obtain a visa to enter Japan?  Yes    No
Please indicate your Japanese proficiency.  None    Beginner  Intermediate    Advanced  Native 
Please indicate your English proficiency.  None    Beginner  Intermediate    Advanced  Native 
Contact information:
Mailing address Apartment/Street
Postal Code
Telephone number

[e.g., 81-3-5427-1798]
Please be sure to include the country code. 

E-mail address


Confirm e-mail address


Check and Submit