Tohoku University Public Relations Division Date: / / 20 / ＊As a rule, applications should be made prior to the visit. Application to visit the lecture hall where LuXun studied Complete and submit the form, to visit to lecture hall where LuXun studied (previously known as the Sendai Medical College.) Name Address Applicant Telephone E-mail Company name Occupation Number of visitors ＊a maximum of 20 visitors are permitted at a time. / 1st preferred date Date of visit time /20 ～ : : / 2nd preferred date /20 ～ : : time ＊Visits are restricted to Tuesdays and Thursdays between 1:00pm and 3:00pm. Excluding public holidays, Tohoku University's anniversary holiday (June 22), and during the university administration's summer and winter holiday period. Purpose of visit How did you hear about the LuXun Lecture Hall? N.B. 1.□ Tohoku University's website 2.□ another website 3.□ from a friend 4. □ at an event 5.□ other Tohoku University is a non smoking premises. Drinking and eating is not permitted at the lecture hall. If the date of your visit or number of visitors change, please resubmit an application. Car parking is not available at the facilities. Send to ： Tohoku University Public Relations 2-1-1, Katahira, Aoba-ku, Sendai, 980-8577 Japan Tel: 022-217-6090 Fax: 022-217-6291 Email: [email protected] Application no. Visit consent form Dear / Your application to visit the LuXun Lecture Hall on the date below has been approved・declined month day year, between Tohoku University Public Relations Division ＜東北大学使用欄＞ 課 長 このことについて承認してよろしいか伺います。 課長補佐 係 長 係 : ~ / : / 20 / for office use only
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