平成28年度後期分 授業料免除等申請提出書類チェック表【私費外

平成28年度後期分 授業料免除等申請提出書類チェック表【私費外国人留学生】
(後期分徴収猶予、月割分納を含む)※前期申請者用
Checklist for Application Documents for Exemption, etc., of Tuition Fees
for the latter half of the 2016 Academic Year
【Self-supporting Foreign Students】
(Includes Collection Extension, Monthly Installment Payments)
※Those who applied for the spring semester
学生番号
Student ID No.
氏 名
Name
提 出 書 類
申請書類
該当事項
Documents to be Submitted
①免除等申請にかかる申告書
Declaration Relating to the Application for Exemption of Tuition Fees
②在留カードまたは外国人登録証明書のコピー(一人世帯の人)
全員提出書類
Students living alone:
いずれ
Documents to be
か
A copy of the residence card or a copy of alien registration
one of
submitted by all
certificate
the
persons
followi
住民票(同居者全員分)
ng
For all the family members living together with the applicant:
Certificate of residence
前期申請から変 ③留学生生活調査書
Foreign Student Survey
更点のある人
Those who
applied for the
first half of the
2016 Academic ④私費外国人留学生生活実態調査票
Year, and have
Self-supporting Foreign International Student Living Conditions Survey
had changes since
then
.
.
チェック
欄
Check
□
□
□
□
□
⑤一緒に生活している人で高校、専門学校、各種学校、大学または大学院
在学生のいる人
→ 各学校長等が発行する「在学証明書」または学生証のコピー
The certificate of student status or a copy of Student Identification Card
(in cases where a person living together with the applicant is a student
<excluding the applicant and students of elementary and junior high
schools>)
該当者のみ
If applicable
⑥給与支払証明書 【本学所定用紙】
Payment Certificate [university designated form]
平成27年分の源泉徴収票のコピー
copy of tax withholding slip for the 2015 fiscal year
□
□
いずれか
one of the
following
最近3~6か月の給与明細書のコピー
copies of the pay statements of the past 3 to 6 months
⑦申請受付窓口で提出を求められたもの
Documents requested to be submitted at the application acceptance place
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□
□