Online Application of Identity Verification for Alumni

Please fill in the all form, and push the "next" bottun.
We update alumnus data with personal information such as address you entered.
Please refer to the Waseda University Alumni Association website (http://www.wasedaalumni.jp/info/security.html) about the handling of personal information of Waseda University alumni.

Please fill in the Present Information.

* Required field

Name in Kanji*

Family Name:Ex.山田

First Name:Ex.太郎

If you have no Kanji Name, please fill in the Alphabetical Name.

Name in pronunciation *

Family Name:Ex.ヤマダ

First Name:Ex.タロウ

If you have Middle Name, please fill in like this.
ex) your name ワトソン・エム・ホワイト→Family Name "ホワイト",First Name "エム　ワトソン".

Name in Alphabet*

Family Name:Ex.YAMADA

First Name:Ex.Taro

If you have Middle Name, please fill in like this.
ex) your name Watson M White→Family Name "White",First Name "M Watson".

Date of Birth*

YYYY MM DD YYYY/MM/DD

Present Address*

in Japanoutside Japan Japan/ or Other

Postal code *

- ex. 123-4567

Prefectures *

Please select your Prefecture

City*

ex. 新宿区

Town*

ex. 西早稲田１－６－１

Room

ex. Ｂマンション１０１号

Phone*

- - ex. 03-1234-5678
If you don't have a home phone number, please enter the mobile phone one. And if you don't have both, please enter "00-0000-0000".

Mobile Phone*

- - ex. 090-1234-5678
If you don't have a mobile phone number, please enter the home phone one. And if you don't have both, please enter "000-0000-0000".

Country *

Country

Address 1 *

ex. 30 Orange Grove Rd.

Address 2

ex. Room 801,RELC Bldg

Phone *

- - - ex. +1-3-1234-5678
If you don't have a home phone number, please enter the mobile phone one. And if you don't have both, please enter "0-0-0000-0000".

Mobile Phone *

- - - ex. +1-90-1234-5678
If you don't have a mobile phone number, please enter the home phone one. And if you don't have both, please enter "0-00-0000-0000".

E-mail*

ex. sample@example.com

Choose the "Send an email"button.If you set up the filter of unsolicited email, please give permission "alumni@app-alumni.waseda.jp".
After acceptting your request, we will send you an email.

Fill in the confirmation code*

ex. 123

Fill in the confirmation code you got.

Notes

In addition, please fill in the information that leads to identity verification (name at the time of enrollment, address at the time of your enrollment etc) and if you have any requests etc.

Please do not use machine dependent characters described below. They might cause garble.
　　! " # $ % & ' ( ) = ~ | ¥ ^ ` [ { ] } : * ; + ? , < > / \

Fill in the first Academic background at WASEDA University.

* Required field

Enrollment*

YYYY

Graduation*

Graduation in MarchOther YYYY

School *

Department *

Major *

Delivered

Please fill in the Present Information.

Fill in the first Academic background at WASEDA University.