Form -5

Name of host organization/institution

Address

Internship Pledge

As a participant in the internship program, I hereby pledge my agreement to comply with

the rules of your organization/institution; to follow my supervisor’s instructions; and not to
cause any inconvenience to your organization/institution in accordance with the
Memorandum of Understanding governing the terms of the internship program.

Signature of Participant Date

Name (in block letters)

Address

Master’s / Doctoral Program in Environmental Management Year

The Graduate School of Global Environmental Studies
Kyoto University

GSGES, Kyoto University