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T (Course)000 000 000 000 0000 00 f[M|ju鱏 (Student ID number)0 000 000 000 0000 00 l0 T(陙r)0(Signature) 000 000 000 0000 00 ???W[h?? 00000000000000000000 (Full legal name in alphabet, printed) *The name you write down here will appear on the diploma ,gM|0W龕S悳^ w (Nationality) 000 000 000 0000 00 ut^g錯0(Date of birth)0000000000t^00000g0000錯u0 year month day ;Nc\Ye酺(陙r)000000 0 0 (Signature of your Supervisor) 貧鍂錧褃'Yf[f[MO弶 z,{agn0弶歔k0??0ZS隭0錧f[0?0f[S?0 n0f[MO?3u藠W0~0Y00 In accordance with Article 9 of the Degree Regulations of Kochi University of Technology, I hereby apply for the degree of Doctor of Philosophy in Engineering / Doctor of Philosophy. ? 謯噀L橆vL?Title of dissertation in Japanese (optional) 謯噀L橆v(駛噀L橆v) Title of dissertation in English xvzmi>~0f[MO謯噀PDF???? 蔛s0謯噀亯鑕麞P[????蔛s0}抁SO 4,000W[ z ?鹠豊 Please attach your research achievements, the complete doctoral dissertation in PDF format, and the abstract of doctoral dissertation (approximately 2,000 words, in both electronic and printed formats). 豬_ Form 5 %R}xvzmi>~ Attached sheet 閇鹓:SR0; x悶bW0f0O0`0U0D0 Segmentation in which you apply for the doctoral degree (Please select one)貧xvz€?貧€bS?€ Advanced researcher/ Advanced engineer *SSP students must apply for the doctoral degree as an advanced researcher0ZS隭宊g矈 z(Wf[g摃k0J0Q0?xvzmi>~ Academic achievements as a doctoral student of Kochi University of Technology  f[MO謯噀n0;N_0?钀Rk0d0D0f00f[S堉妵e茤k0昩?z02搉0秗羖 List of publications that were accepted by, ??x z | ~ € ????????    ????H J N P 暾昀绽炸惃惃惃惃x绽誨绽誒绽誒?)hXm)hb?B*CJOJPJQJaJph&h(xB*CJOJPJQJaJo(ph/hXm)hs5丅*CJOJPJQJ\乤Jph/hXm)h&/r5丅*CJOJPJQJ\乤Jph/hXm)h B 暧加缨{陒暧阥缄W昙雨雨hXm)hb?CJOJQJaJ)hXm)h-8bB*CJOJPJQJaJph)hXm)hsB*CJOJPJQJaJph,hXm)h*B*CJOJPJQJaJph)hXm)h*B*CJOJPJQJaJph,hXm)hb?>*B*CJOJPJQJaJph)hXm)hb?B*CJOJPJQJaJph??. 0 ??? @ ?df??????????????$匂 d4$WD1`匂 a$gd?? $剟 WD{`剟 a$gd-8b$剟 d8WD{`剟 a$gd-8b 剟 d8WD{`剟 gd-8b 剟 dWD{`剟 gd-8b ???剟 d,WD{`剟 gd-8b 剟 WD{`剟 gd-8b 勞WD?`勞gdb? 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"$ptvx??曦曦扩暕}fN??)h??h(xB*CJOJPJQJaJph/h(xh(xh(xB*CJOJPJQJaJph,h??h(x>*B*CJOJPJQJaJph/h??h(x>*B*CJOJPJQJaJo(ph&h(xB*CJOJPJQJaJo(ph,h??h(xB*CJOJPJQJaJo(ph/h(xh(x>*B*CJOJPJQJaJo(ph#h(xB*CJOJPJQJaJph)hXm)h(xB*CJOJPJQJaJph???t b????BDF???????????????????gd-Sl?$a$gd*B*CJOJPJQJaJph&h??>*B*CJOJPJQJaJph,hXm)h-8b>*B*CJOJPJQJaJph#h(xB*CJOJPJQJaJph)hXm)h-8bB*CJOJPJQJaJph&h(xB*CJOJPJQJaJo(ph)hXm)hB*OJPJQJo(ph!hXm)h攆?B*OJPJQJph$h寊Uh寊UB*OJPJQJo(ph%h觔ah??B*CJOJPJQJphh唌?B*OJPJQJph$hXm)h寊UB*OJPJQJo(ph!hXm)h寊UB*OJPJQJphh寊UB*OJPJQJph!hXm)h??B*OJPJQJph!hXm)h-SB*OJPJQJphh寊UB*OJPJQJo(ph???fh???(3ypaaXXXI勣$IfVD^勣gd寊U $Ifgd寊U刲$IfWD?`刲gd?? $Ifgd晘??kd$$If朿?????&€?    €?     t???6??????4?4? la?p?yt??dfhnp?2j2l2??X3`3b3?襦伊盃峹v峹峗峀7?(h??h寊UB*CJOJPJQJo(ph%h??h寊UB*CJOJPJQJph,h?Fh寊UB*CJOJPJQJ^Jo(phU(h?Fh寊UB*CJOJPJQJo(ph%h?Fh寊UB*CJOJPJQJphh寊UB*OJPJQJo(ph!hXm)h-SB*OJPJQJph!hXm)h寊UB*OJPJQJphh-SB*OJPJQJph!hXm)h攆?B*OJPJQJphh寊UB*OJPJQJph or submitted to, or are scheduled to be submitted to, academic journals, arising from the research for the dissertation. ; ?弸O Sample of the list f[MO謯噀,{?鄗n0 0???????? 0k0W0f00f[S堉妵e茤    1 k0000t^000gk02?n0g0B0?0 Chapter 2 of the dissertation on XXXX has already been accepted by the academic journal  XXXX (Q1 level) in month, year. f[MO謯噀,{?鄗n0 0???????? 0k0W0f00f[S堉妵e茤    1 k0000t^000gk0昩?zn0g0B0?0 Chapter 3 of the dissertation on YYYY has already been submitted to the academic journal  YYYY (Q2 level) in month, year. f[MO謯噀,{?鄗n0 0???????? 0k0W0f00f[S堉妵e茤    1 k0000t^000g~0g0k0昩?z圢歔g0B0?0 Chapter 4 of the dissertation on ZZZZ is scheduled to be submitted to the academic journal  ZZZZ (Q1 level) by month, year.  齎洊f[On0zvh圛{瀊噑L0B0?p0??0踒卂?o?h坧_I{???0Ypen04XT;N亯j0?n0 00 Presentations in international conferences. Please include the rate of acceptance, invited lectures, awards etc., if any. In the case that the list becomes long, show only principal ones.  齎匭f[On0zvh圛{瀊噑L0B0?p0??0踒卂?o?h坧_I{???0Ypen04XT;N亯j0?n0 0000000000 Presentations in domestic conferences Please include the rate of acceptance, invited lectures, awards etc., if any. 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