Report of Return Flight / 帰国報告 (JYPE/IPLA/COLABS/DEEP)
This form is for Tohoku University to know that the exchange students are scheduled to return to their home university safely. All reports will be kept confidential. 

Please contact the Student Exchange Division if you have difficulties returning home. (i.e. tickets unavailable, changed or cancelled etc.) We will help you extend your stay at the dorm for your safety.
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Email *
Name /  氏名 *
Student ID / 学籍番号
Email address / メールアドレス
Program / プログラム
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Date of moving out of the dorm / 退寮日

MM
/
DD
/
YYYY

Date of leaving Japan / 離日日

MM
/
DD
/
YYYY

Departure time of your flight / フライト出発時刻

Time
:

Flight Number & Airline / 航空会社・便

Academic advisor's confirmation /  指導教員承認
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Any comment
A copy of your responses will be emailed to the address you provided.
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