Sample Form (how to fill in)

2014
MASTER’S THESIS
Title
ACADEMIC
SUPERVISOR
Graduate School of Science and Engineering
Ritsumeikan University
MASTER'S PROGRAM
MAJOR in
STUDENT ID
N U M B E R
N A M E
2014
MASTER’S THESIS
Title
ACADEMIC
SUPERVISOR
Graduate School of Science and Engineering
Ritsumeikan University
MASTER'S PROGRAM
MAJOR in
STUDENT ID
N U M B E R
N A M E 指導教員
Application for Conferment of Degree
(学位授与申請書)
Date:
DD
7
MM
2014
YYYY
Date of Submission
TO:
Professor Kenichi KASAHARA
Dean, Graduate School of Science and Engineering
Ritsumeikan University
As per the regulations of Ritsumeikan University, I wish to apply for conferment of the degree of
Master of (
); and I hereby submit two copies of my thesis for evaluation.
Engineering or Science
Name:
Student ID Number:
Major:
Graduate School of Science and Engineering
(Signature and Hanko)
CONTENT
Hanko
Thesis Title:
（Ritsumeikan University）
Indonesia Linkage ONLY
Record of Conferment of Master’s Degree
(論文等審査報告書)
Graduate School of Science and Engineering
Name
Date of Birth
Student ID Number
Type of Degree
Master of (
)
/
DD
/
MM
19
YYYY
Date of Enrollment
26 September 2013
Date of Conferment
23 September 2014
Engineering
Title of
Master’s Thesis
Examiners
Chief
Result of Thesis Examination
Final Result of Examination
印
Vice
印
Record of Conferment of Master’s Degree
(論文等審査報告書)
Graduate School of Science and Engineering
Name
Date of Birth
Student ID Number
Type of Degree
Master of (
)
/
DD
/
MM
19
YYYY
Date of Enrollment
26 September 2012
Date of Conferment
23 September 2014
Engineering or Science
Title of
Master’s Thesis
Examiners
Chief
Result of Thesis Examination
Final Result of Examination
印
Vice
印
Submit this if applicable
Consent Form for Use of Master’s Thesis or Equivalent
（修士学位論文等利用承諾書）
day
month 2014
year
Date of Submission
I accept the request made by the Graduate School of Science and Engineering, Ritsumeikan
University regarding the use of my Master’s thesis or equivalent and give my consent to the items
listed below relating to its use.
Title of Master’s thesis or equivalent
Graduate School:
Graduate School of Science and Engineering
Major:
Student ID Number:
Name:
[Hanko]
Academic advisor:
[Hanko]
Items for which your consent is sought
1. Use of master’s thesis or equivalent in print format
・To place your Master’s thesis or equivalent in Ritsumeikan University’s libraries to make it
available for consultation
2. Duplication
・To provide a photocopy of your Master’s thesis or equivalent to users, upon request, for
academic and research purposes
3. Conversion to electronic format and online publication
・To convert your Master’s thesis or equivalent to electronic format (PDF, etc)
・To make your Master’s thesis or equivalent available in electronic format (PDF, etc.) online via
the Ritsumeikan Research Repository (R-Cube)
x[Receipt for Master's thesis]
(Administrative Office copy / 事務室控)
stamp
Title
Supervisor
Student ID No.
[Receipt for Master's thesis]
Name
(Student’s copy / 学生控)
We acknowledge receipt of your Master’s thesis.
stamp
Title
Supervisor
Student ID No.
Name
Graduate School of Science and Engineering

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