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Application Form for Document Approval for Radiation Facility outside Tokyo Tech

  • If you want to register as a Radiation Worker at the radiation facility outside Tokyo Tech, please use this form to apply and upload the documents to be submitted to the facility.
  • If you will use several radiation facilities, you need to apply and upload the documents from this form for each facility.
  • Re-application is not required when the Radiation Research and Management Center requests modification of the application.
  • Please note that we cannot give approval or stamp in a hurry. Please make sure to submit your application well in advance of the deadline.
  • Please note that you do not need to submit Application Form for External Radiation Facilities and the request for a certificate to the off-campus radiation facility, which were submitted until FY2021.
There are 13 questions in this survey.

  • The information entered in this form will be used only for the management of radiation users.
  • Personal information obtained will be properly managed by Tokyo Tech's Personal Information Protection Regulations and Tokyo Tech's Personal Information Management Regulations.