Online Registration for Thesis@Keio

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.

Please visit our webpage for more details: http://www.ic.keio.ac.jp/en/study/short/thesis_at_keio/_application.html

- 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
Nationality*
Gender*		Male Female
Date of birth*		e.g., 1986/01/25 (yyyy/mm/dd)
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
Year-level*
Major/Minor*
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
	Town/City
	State/Province
	Postal Code
	Country
Telephone number*		[e.g., 81-3-5427-1798] Please be sure to include the country code.
E-mail address*		[e.g., taro_keio@keio.ac.jp]
Confirm e-mail address*		[e.g., taro_keio@keio.ac.jp]

Check and Submit