日本語 ＞

　

Last Updated: January 24, 2025

　

Notes

　

● In principle, each form should be filled out in Excel and then printed.
However, if you are unable to print on a single sheet of A4 paper due to misalignment of the print area, etc., please print the PDF file and fill in the form.

　

● Please download and use only the required forms.
In addition to these forms, there are other documents that must be submitted.
Please be sure to check the "Application Guide" for the required documents.

　

Forms and Examples 

　

● 【Privately Financed International Students】Check Sheet for Submission Documents

　

　　

　

● [Form 1]　Record of Familiy

　

　　

　

● [Form 2]　Application Form for Enrollment Fee Exemption/ Deferment of Payment and/or Tuition Fee Exemption

　

　　

　

● [Form 3] 　Income Report

　

　　

　

● [Form 4]　Budget Report Sheet

　

　　

　

● [Form 5]　Certificate of (estimated) salary payment

　

　　

　

● [Form 6]　Certificate of (planned) change of employment status

　

　　

　

● [Form 7]　Supervisor's Statement

　

　　

　

● [Form 8]　Declaration of sudden change in household finances

　

　　

　

● [Form 9]　List of Income Amounts

　

　　

　

● [Form 10]　Declaration regarding dependents

　

　　

　

● [Form 11]　Confirmation Form for Application Status of the Higher Education Study Support New System

　

　　

　

● [Form 12]　Application Form for Continuing Applicants

　

　　*To be posted in mid-July 2025.
(available only for the second semester of academic year)

　

● [Form 13]　Certificate (petition) that the applicant is not a dependent under the Income Tax Law

　

　　

　

　

Inquiries

　

Student Services Group (Tuition fee exemption), Hiroshima University

739-8514   Student Plaza 3F, Kagamiyama 1-7-1, Higashi-Hiroshima City
E-mail: gkeizai-group＊office.hiroshima-u.ac.jp
(Please replace ＊ with @ in the e-mail address.)