Fill out Form (A)(B)(C), submit to Graduate School of Urban Innovation Section with the thesis/portfolio. (A)Submission Card of Master’s Thesis/Portfolio Department (Check the box) Full Name Graduate School of Urban Innovation Master’s Program □Architecture and Urban Culture □Architecture(Y-GSA) □Architecture and Urban Culture Specialization □Culture(Y-GSC) (Check the box) □Infrastructure and Urban Society □Infrastructure and Urban Society □International Infrastructure(IGSI) Student ID Date of Birth Y M D Male/Female Japanese Title English Main Academic Advisor Seal Date of submission Y M D Dean, Graduate School of Urban Innovation As described above, I submit my Master’s Thesis/Portfolio. (Do not cut off) For advisor’s record (B)Submission Card of Master’s Thesis/Portfolio Department (Check the box) Full Name Graduate School of Urban Innovation Master’s Program □Architecture and Urban Culture □Architecture(Y-GSA) □Architecture and Urban Culture Specialization □Culture(Y-GSC) (Check the box) □Infrastructure and Urban Society □Infrastructure and Urban Society □International Infrastructure(IGSI) Student ID Date of Birth Y M D Male/Female Japanese Title English Main Academic Advisor Date of Receipt Seal Date of submission Y M D Graduation School of Urban Innovation Section, Receipt Stamp (Do not cut off) For student’s record (C)Submission Card of Master’s Thesis/Portfolio Department (Check the box) Full Name Graduate School of Urban Innovation Master’s Program □Architecture and Urban Culture □Architecture(Y-GSA) □Architecture and Urban Culture Specialization □Culture(Y-GSC) (Check the box) □Infrastructure and Urban Society □Infrastructure and Urban Society □International Infrastructure(IGSI) Student ID Date of Birth Y M D Male/Female Japanese Title English Main Academic Advisor Date of Receipt Seal Date of submission Y M D Graduation School of Urban Innovation Section, Receipt Stamp