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 活動内容証明書 ╝ ╢ 入試要項 – 早稲田大学 政治経済学部

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早稲田大学政治経済学部グローバル入試(2019)

証明資料No. ※受験番号(大学記入) フリガナ

氏 名

Certification

of

Activities

・活動記録報告書と同一の活動期間・活動内容を志願者本人が記入し、証明者記入欄に学校長・

各種団体長等の証明を受けること。

The applicantshould write by himself/herselfthesame activity periodsand activitiesasthose in theofficialactivityrecordreport.Thismustbecertified usingthesignatureoftheprincipalofyour institution intheentryspaceforthecertifier.

活動期間 Activityperiod

活動内容・役割・役職(具体的に記入すること)

Activities・Role・Position(Pleasegiveconcretedetails.)

以下証明者記入欄/The

following

entry

space

is

for

the

certifier.

上記活動の記載事項に誤りがないことを証明する。

Icertifythattheabovedescriptionoftheactivitiesistrue.

Year Month Date

学校名・団体名

Name ofinstitution

証明者役職・氏名

Positionandnameofcertifier Seal

所在地

Address

電話

参照

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