Template:Certificate of Graduation / Expected Graduation

Admissions for Overseas Students(GIGA Program)

Template:Certificate of Graduation/Expected Graduation Do not write in the box marked with * Keio University Faculty Applying to (tick one):□Policy Management □Environment and Information Studies Fill in all boxes below:

School Name:

School Address:

Phone:

URL:

Principal’s Name:

Principal’s Signature:

Medium of Instruction □ English □ Other Language ____________________________________

CERTIFICATE OF GRADUATION/EXPECTED GRADUATION

Student’s Name in Full:

Sex:

Date of Birth:

This is to certify that the student indicated above enrolled in (School Name)

and, has completed/will complete all the required courses of study and graduated/is due to graduate from this school on

(Graduation Date) (MM/DD/YYYY )

(School Official Seal)

(Issue Date) (MM/DD/YYYY )

*