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Certificate Request
Your certificates will be issued and sent within 14 business days of your payment.
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* Indicates required question
Email
*
Your email
Name
*
Ex）Taro Suzuki
Your answer
Email
*
Your answer
Maiden Name
(In case your name has changed after graduation.)
Ex）Sato
Your answer
Date of Birth
*
(Year/Month/Day）
MM
/
DD
/
YYYY
Year Graduated
*
Your answer
Address to send certificates
*
Address City State/Province Country Postal Code
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Phone
*
（Please include your country code.)
Your answer
Certificate１
*
Choose
【In English】Graduate Certificate ( 300 yen / copy )
【In English】Transcript ( 500 yen / copy )
【In English】Enrollment Certificate ( 300 yen / copy )
【In English】Expected Graduation Certificate ( 300 yen / copy )
【In English】ACTS-ES Language of Instruction Certificate ( 500 yen / copy )
【In English】Living in Dormitory Certificate ( 300 yen / copy )
【In Japanese】Graduate Certificate ( 300 yen / copy )
【In Japanese】Transcript ( 500 yen / copy )
【In Japanese】Enrollment Certificate ( 300 yen / copy )
【In Japanese】Expected Graduation Certificate ( 300 yen / copy )
【In Japanese】ACTS-ES Language of Instruction Certificate ( 500 yen / copy )
【In Japanese】Living in Dormitory Certificate ( 300 yen / copy )
Other types of certificate ( please indicate the kind of certificate and language in the "note" below. )
Number of Copies1
*
Choose
1
2
3
4
5
6
選択肢 7
Certificate 2
Choose
【In English】Graduate Certificate ( 300 yen / copy )
【In English】Transcript ( 500 yen / copy )
【In English】Enrollment Certificate ( 300 yen / copy )
【In English】Expected Graduation Certificate ( 300 yen / copy )
【In English】ACTS-ES Language of Instruction Certificate ( 500 yen / copy )
【In English】Living in Dormitory Certificate ( 300 yen / copy )
【In Japanese】Graduate Certificate ( 300 yen / copy )
【In Japanese】Transcript ( 500 yen / copy )
【In Japanese】Enrollment Certificate ( 300 yen / copy )
【In Japanese】Expected Graduation Certificate ( 300 yen / copy )
【In Japanese】ACTS-ES Language of Instruction Certificate ( 500 yen / copy )
【In Japanese】Living in Dormitory Certificate ( 300 yen / copy )
Other types of certificate ( please indicate the kind of certificate and language in the "note" below. )
Number of Copies 2
Choose
1
2
3
4
5
6
選択肢 7
Certificate 3
Choose
【In English】Graduate Certificate ( 300 yen / copy )
【In English】Transcript ( 500 yen / copy )
【In English】Enrollment Certificate ( 300 yen / copy )
【In English】Expected Graduation Certificate ( 300 yen / copy )
【In English】ACTS-ES Language of Instruction Certificate ( 500 yen / copy )
【In English】Living in Dormitory Certificate ( 300 yen / copy )
（In Japanese）Graduate Certificate （ 300 yen / copy)
【In Japanese】Transcript ( 500 yen / copy )
【In Japanese】Enrollment Certificate ( 300 yen / copy )
【In Japanese】Expected Graduation Certificate ( 300 yen / copy )
【In Japanese】ACTS-ES Language of Instruction Certificate ( 500 yen / copy )
【In Japanese】Living in Dormitory Certificate ( 300 yen / copy )
Other types of certificate ( please indicate the kind of certificate and language in the "note" below. )
Number of Copies 3
Choose
1
2
3
4
5
6
選択肢 7
Certificate 4
Choose
【In English】Graduate Certificate ( 300 yen / copy )
【In English】Transcript ( 500 yen / copy )
【In English】Enrollment Certificate ( 300 yen / copy )
【In English】Expected Graduation Certificate ( 300 yen / copy )
【In English】ACTS-ES Language of Instruction Certificate ( 500 yen / copy )
【In English】Living in Dormitory Certificate ( 300 yen / copy )
【In Japanese】Graduate Certificate ( 300 yen / copy )
【In Japanese】Transcript ( 500 yen / copy )
【In Japanese】Enrollment Certificate ( 300 yen / copy )
【In Japanese】Expected Graduation Certificate ( 300 yen / copy )
【In Japanese】ACTS-ES Language of Instruction Certificate ( 500 yen / copy )
【In Japanese】Living in Dormitory Certificate ( 300 yen / copy )
Other types of certificate ( please indicate the kind of certificate and language in the "note" below. )
Number of Copies 4
Choose
1
2
3
4
5
6
選択肢 7
Must be in sealed envelope?
*
Yes. All certificates in one envelope.
Yes. Each certificate in individual envelope.
No.
Note
Your answer
A copy of your responses will be emailed to the address you provided.
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