How to submit the “就学に関する情報提供書” (For students admitted in April in the first semester of the College of Arts and Sciences: Junior Division)

At the University of Tokyo, 105 minutes of physical exercise / health science training (practical physical education) is compulsory once a week. In order to ensure the safety of students life in their daily lives, including this training, and to start their university life without delay, please make sure to fill in and submit the 【就学に関する情報提供書】 to the Komaba Health Service Center if you need special consideration or restrictions regarding your attending university.

1. Form
・Click here for the designated form.
・When using a prescribed form of a medical institution, please ask them to give specific descriptions *.
 *Restrictions in Exercise, activities (exercise, competitive events, etc.) in which you can participate, etc.

2. How to submit
Please send or bring your application to the Komaba Health Service Center.
*When sending by post
・We recommend that you use Letter Pack, registered mail, or any other method that keeps a record of the delivery. We do not accept payment on delivery.
・We may contact you after reviewing your form. Please submit the form with your contact information (Email address or mobile phone number).

3. Submission Deadline
Submission at the office: April 12, 2024 by 5:00p.m.  Mailing: Forms must arrive no later than April 11, 2024
If it is difficult to request your doctor to fill in the form by the submission deadline, the applicant or guardians should fill in the “本人等記入欄” section and submit it to the Komaba Health Service Center. If the student is no longer a minor, they can have the responsibility of filling in the information. Please check with your parents or guardians regarding the contents. Please note that if any discrepancies are found between the stated information and the facts, we will ask the reason for such discrepancies with all parties concerned.

 

Contact:
Komaba Health Service Center
Phone: 03-5454-6180 (Weekdays only 9:00am-4:30pm)
 
E-mail: hoken-kanri-komaba.adm
gs.mail.u-tokyo.ac.jp
*Replace with @