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Agreement for Defraying Expenses

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  • 8/19/2019 Agreement for Defraying Expenses

    1/2

    Agreement for Defraying Expenses（経費支弁書）

    To Waseda University

     Nationality:  

    Full Name(Applicant):  

    Date of Birth: / / ( male / female )

    (month / day / year)

    I agree to defray all costs for the above person during his/her stay in apan! and therefore I "ill e#plain

    the circumstances of this agreement belo"$

    %$ &eason for defraying his/her e#penses

    'lease e#plain in detail the circumstances "here you agree to defray the applicants costs and your 

    relationship to him/her:

    *$ 'articulars of Agreement

    I (the defrayer )! ! hereby! agree to defray the costs of the above person

    during his/her stay in apan$ In order to prove that I have defrayed his/her living e#penses! I also agree

    to provide documents! such as copies of proof of telegraphic transfer or of his/her ban+ account boo+!

    "hen he/she applies for an e#tension of period of stay$

    %) ,uition: monthly / semiannually / annually   yen

    *) -iving .#penses: monthly amount   yen) 0ethod of payment ('lease e#plain in detail! e$g$ ban+ transfer! money order! etc$)

      / /

    month / day / year  

     Name of person defraying e#penses:

    (Family) (1iven) (0iddle)

    Address: ,.-

    Full Name (2ignature): seal

    &elationship to applicant:  

  • 8/19/2019 Agreement for Defraying Expenses

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     費 支 弁 書経（Agreement for Defraying Expenses）

    早 田大学稲   殿

    国 籍 

    氏 名(出願者)

    生 年 月 %3 年   月   生 （!"#）

      $%&'&*+者,-./ 0123者456789:&;+4?0@BC44F/&0123/GHIJK87L

    +MN0123=>0@（OP者0123=Q>?90@&RSOP者4TU/GHIVWX

    /+Y8I;ZHL）[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[\N0123]^

    $& （0123者）%&*+者-._`/GHI&;+4


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