Database of International Graduate

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Support for International Students
Alumni
Database of International Graduate

Registration and change

Personal information you provided was only used for the purpose written above and not used for the purpose other than the items below:

*Developing a database (for school-use only and not open to public)
*Sending information from Shinshu University (via e-mail newsletters etc.)
*Providing personal information for our alumni association

※ Required field.

Name（Alphabet）※
Name（Katakana）※
Name（Kanji）
Gender※
Country※	Region Country City
Graduation Year※	year
Student ID
Status of Enrollment※
Faculty/Division last belonged to:※
Academic Adviser
Address after graduation
E-mail※
Retype E-mail※
Tel
Presently Belong To:
Identification	Other
Do you want to receive any information including email newsletters from Shinshu University?	Yes No
Do you agree to provide your personal information given on this form to Shinshu University Alumni?	Yes No
Message	Such as your recent state, etc.