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    Eligibility Verification Form

    Uploaded by

    Calulla Riyadi
    This document is an eligibility verification form for Tokyo International University. It requests information such as name, date of birth, nationality, native language, educational background from elementary school through higher education, preferred year and major to apply to at TIU, English proficiency test scores, and other specialized education. The form is to be emailed to TIU's E-Track Admissions Office along with documents proving qualifications.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Eligibility Verification Form

    Uploaded by

    Calulla Riyadi
    19 views2 pages
    This document is an eligibility verification form for Tokyo International University. It requests information such as name, date of birth, nationality, native language, educational background from elementary school through higher education, preferred year and major to apply to at TIU, English proficiency test scores, and other specialized education. The form is to be emailed to TIU's E-Track Admissions Office along with documents proving qualifications.

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    eligibility_verification_form

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    This document is an eligibility verification form for Tokyo International University. It requests information such as name, date of birth, nationality, native language, educational background from elementary school through higher education, preferred year and major to apply to at TIU, English proficiency test scores, and other specialized education. The form is to be emailed to TIU's E-Track Admissions Office along with documents proving qualifications.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    19 views2 pages

    Eligibility Verification Form

    Uploaded by

    Calulla Riyadi
    This document is an eligibility verification form for Tokyo International University. It requests information such as name, date of birth, nationality, native language, educational background from elementary school through higher education, preferred year and major to apply to at TIU, English proficiency test scores, and other specialized education. The form is to be emailed to TIU's E-Track Admissions Office along with documents proving qualifications.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    TOKYO INTERNATIONAL UNIVERSITY

    ELIGIBILITY VERIFICATION FORM

    *You may need to download "Adobe Acrobat Reader" in order to fill out the form. Date :

    Name Sex M F
    First Middle Last

    Date of Birth Email address


    Year/Month/Day
    Native
    Nationality(ies)
    Language(s)

    EDUCATIONAL BACKGROUND
    ELEMENTARY EDUCATION (e.g. grade school, primary school, etc.)
    Duration
    Location Dates of Attendance Language of
    Name of School(s) (Year) in
    (City, State/Province & Country) (from Year/Month to Year/Month)
    school
    Instruction

    （Example) ABC Elementary School Tokyo, Japan Sep.2001 - Jun.2007 6 years English

    SECONDARY EDUCATION (e.g. middle school, junior high school, senior high school)
    Duration
    Location Dates of Attendance Language of
    Name of School(s) (Year) in
    (City, State/Province & Country) (from Year/Month to Year/Month) Instruction
    school

    Website address of the high school you graduated from (or are expected
    to graduate from) if available
    Have you taken a national examination or completed a college-bound program which qualifies you
    YES NO
    to enter a four-year university in the country your high school curriculum is based?

    If yes, what is the name of the examination or the program?

    What is your English score? (e.g. TOEFL, IELTS, TOEIC, Pearson PTE, Cambridge
    English test or EIKEN)

    HIGHER EDUCATION (university or college)


    Year Language of
    Name of School(s) Location Dates of Attendance (Grade) in
    (City, State/Province & Country) (from Year/Month to Year/Month)
    school Instruction

    Number of credits required for graduation from current Length of the program at □ 2-year □ 3-year
    university current/former university 4-year

    Degree obtained (Associate, Bachelor, Master etc.)

    (Expected) Date of Graduation from current/former


    university
    Month/Year

    1/2
    When do you want to enroll in TIU?
    Year / Month(April or September)

    Freshman
    Business Economics
    Second Year Transfer
    Preferred Year to apply Preferred Major to apply Digital Business & Innovation
    Third Year Transfer
    International Relations
    Master
    ** For those who want to apply for Digital Business and Innovation as a third year transfer Mathematics
    student: Have you completed and earned the following subjects at a university or junior Statistics
    college? IT related course(s) (preferred)
    None

    OTHER EDUCATION (specialized school, Japanese Language school, etc. if any)


    Year
    Name of School(s) Location Dates of Attendance (Grade) in Name of Program
    (City, State/Province & Country) (from Year/Month to Year/Month)
    school

    1) Email this form to the E-Track Admissions Office.(etrack-admissions@tiu.ac.jp)


    2) Attach copies of documents that prove your qualification if available. (e.g. transcript, certificate, etc.)

    2/2

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