ࡱ> O Rbjbj$$AFΉeFΉeM 00|||8l4d\]pt&t&t&c\e\e\e\e\e\e\$_b^\|t&&%Nt&t&t&\00]///t&0|c\/t&c\//ET(^mXqg,F+mV:O\,]0\]Vb,>ctmXmXb|\c$|XTt&t&/t&t&t&t&t&\\N.ft&t&t&\]t&t&t&t&ct&t&t&t&t&t&t&t&t&  :  0000t^00g00e Date ^\'Yf['Yf[bHQziryf[xvzyw0k To: Dean of the Graduate School of Advanced Sciences of Matter, Hiroshima University NT00t^00g00eeQf[ Date enrolled ^\'Yf['Yf[bHQziryf[xvzy Graduate School of Advanced Sciences of Matter, Hiroshima University ZSX z_g \;e Doctoral program (Department l T000000000000000 pS Name (Seal) f[0MO0֊0e0[0g0X Request for Review of Doctoral Thesis 0^\'Yf['Yf[bHQziryf[xvzyZSX z_g;ZSX000 =ONn0[0SQ00_00 ^\'Yf[f[MOGR,{ag,{n0[k0We0M0 NOf^0cQD0_0W0~0Y0K00 [gO0`0U000F0J0XD0W0~0Y00 In order to be recognized for completion of the doctoral program at the Hiroshima University Graduate School of Advanced Sciences of Matter [Doctor of ( )], I hereby submit the documents listed below for review, based on Article 4, Item 1, of the Hiroshima University Degree Requirements.   Documents: ֊e 2 Thesis: 2 copies ֊ev2 2 Thesis Index: 2 copies ֊en0e 2 Thesis Summary: 2 copies e\tkf 2 Curriculum Vitae: 2 copies 00000t^00g00e Date ^0\0'Y0f[0w00k To: President of Hiroshima University 000000000000000000000l T00000000 00000 pS Name (Seal) f[0MO03u0ˊ0f Request for Degree Conferment 0f[f[MOGR,{ag,{n0[k0We0M0f[MO֊e ֊ee e\tkfSs0[gKbpee0mH0f0ZSX0000 n0f[MOn0cN03uˊD0_0W0~0Y00 Based on Article 4, Item 3, of the Hiroshima University Degree Requirements, I hereby enclose my doctoral thesis, thesis summary, curriculum vitae, and review fee, and request conferment of the Doctor of ( ) degree.  ֊ e v 2 Thesis Index f[MO3uˊ Degree applicant  l T0000000000 pS Name (Seal) l T(Name) ;N֊eMain Thesis 0000000000000000000000000000000000 0 01Q Title of Doctoral Thesis (1 copy) (Japanese translation of thesis title, or English translation if title is in Japanese) Ryoko Kagamiyama lQh֊eArticles (1) Title of the article 1. 1 } Name(s) of author(s) (1 copy) Journal of ........., 99(3), 100-107 (2020). (2) Title of the article 2. 1 } Name(s) of author(s)000000000000000000000000 (1 copy) ...... Letters, 77, 15-18 (2020). (3) .................. ................ (If thesis supplements are present) S֊eThesis Supplements (1) Title of the article 1. 1 } Name(s) of author(s) (1 copy) Journal of ........., 98, 1-7 (2019). (2) Title of the article 2. 1 } Name(s) of author(s) (1 copy) Review of ........., 11, 30-33 (2019). (3) .................. ................   ֊en0e Thesis Summary l T Name ֊eLv(Thesis Title) (Write Japanese translation for English title and English translation for Japanese title) X X X X X X X X X X X X X X X X X X X X X ............... .................................... .................................... .................................... .................................... ....................................  e\0tk0f Curriculum Vitae u00L0j0(Furigana),g0M|(Permanent address)sOO@b (Current address)TEL: 0(Postal code:)l T (Name)ut^ge(Date of birth)t^ (Year)g (Mo.)e (Day)f[0tk000w0tk000xvztk000ތ0p (Academic History, Employment History, Research, Awards)f[0tkAcademic History XXXXXGraduated from XX High School, XX Prefecture.XXXXXEntered Department of XX, Faculty of XX, XX University.XXXXXGraduated from Department of XX, Faculty of XX, XX University.XXXXXEntered Department of XX (master s program), Graduate School of XX, XX University. XXXXXGraduated from Department of XX (masters program), Graduate School of XX, XX University. XXXXXAdvanced to (or entered) Department of XX (doctoral program), Graduate School of XX, XX University.XXXXXWithdrew after completing credits from Department of XX (doctoral program), Graduate School of XX, XX University. 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XX XXX XCurrently conducting research related to clay minerals and soil mechanics at the Department of XX, XX University, as a domestic researcher for the Ministry of Education, Culture, Sports, Science and Technology.ތ0pAwards None Nn0h0J00vUB00~0[000 I certify that the above information is true and accurate. 00t^00g00e00000l T000000000000000000000 pS Date Name (Seal)   00t^00g00e (Date) b00f Letter of Consent 0 Nn0֊e0 000000ln0f[MOˊBl֊en0lQh֊eh0Y00S0h00 qQWN T0NhW0f0bD0_0W0~0Y00j0J0 S0n0֊e0 Nn0Wn0ZSXf[MOˊBln0lQh֊ek0Q^OF0S0h0o0W0~0[000  As the representative of all co-authors of the publication listed below, I hereby give my consent for the use of this publication as an article in the doctoral thesis of _______________. Moreover this article will not be used as an article in the doctoral thesis belonging to any of the other co-authors.  Documents: Title of the article 1 Name(s) of author(s) Journal of *********, 99(3), 100-107(2014). Title of the article 2 Name(s) of author(s) *****Letters, 77, 15-18(2014). qQWNh(Representative of co-authors:) (@b^\) (Affiliation) (l T) 00000000000pS (Name) (Seal)  (F{n04XTo0 bpSweuS) (The seal is unnecessary if the name is written by the representative himself/herself.)      Science ,  Engineering or  Philosophy  Science ,  Engineering or  Philosophy Note (1) For articles and thesis supplements, write thesis titles, method of publications, years and number of copy. (The thesis titles (capital and small letters) shall be same as described in the main thesis.) (2) If there are two or more articles and thesis supplements, list all of them. (3) If the articles or thesis supplements have not yet been published, write the expected method and date of publication. (4) Write formal names of publications or academic conferences. (5) If any publication, especially journal, doesn t have page number, write actual page number. (Example: 1-10, %%%-1 %%%-10, etc.) (Note) Prepare on A4-size paper, oriented vertically. Write horizontally, from left to right. Length must be 4,000 characters or less in Japanese or 1,000 words or less in English. Enter the date of submission. (Notes) ( Enter your permanent address, name, and date of birth as they appear on your census registration. Enter the current address and postal code correctly to ensure that materials sent to you will arrive. ( List the items in your curriculum vitae in chronological order by year, including items after graduation from high school. ( Enter the day, month, and year for your academic history and employment history. For research, only the month and year are needed. ( Persons who completed and withdrew from the Hiroshima University Graduate School doctoral program must attach a transcript verifying the credits completed. Enter the date of submission. ion. 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