ࡱ> AD@O Rbjbjyy6$ee JJ8,".....&&&!!!!!!!$.%'\ "9"& "JJ..D"yyyRJ8..!y!yy 9!. !9X!!Z"0" !,@(d(9!@(\($9!&Z@y4&&& " "&&&"(&&&&&&&&& : Form 4 Pledge Chairperson, G.ecbo Program Committee Hiroshima University In participating in G.ecbo Overseas Internship Program, I (name) ???????? pledge to fully understand and observe the following. I will understand the objectives of the internship and make efforts to fulfill the internship plan in order to make the internship experience most fruitful. I will observe laws of the country where the internship is carried out and also follow the rules and regulations set by the host organization/company. I will behave responsibly as a student at 鶹AV. I will inform G.ecbo Program office immediately when any of the following events may occur. The period or plan of the internship needs to be changed, due to unavoidable reasons. The residence or contact information in the place of internship is changed. I leave the residence for a certain period of time due to a short trip, etc. Should any drastic change of social conditions of the host country occur or the interns harmful behavior cause any trouble to the host organization/company, the Committee(s) will decide to stop or suspend the internship after consulting with the host organization/company. The intern must follow the instruction from the Committee(s). The responsibility for a contingency shall be covered by Personal Accident Insurance for Students Pursuing Education and Research and overseas travel accident insurance, both of which I will acquire in advance. I will not require 鶹AV or the host organization/company to take responsibility beyond the damages covered by insurance indicated above. Date: Name of student (Sign) I agree that (name)000000000000participates in G.ecbo Overseas Internship Program of Hiroshima University. 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I will pledge not to require 鶹AV or the host organization/company to take responsibility beyond the damages covered by insurance indicated above. Date: Name of guardian (Sign) (Relationship to the student: )      Personal information provided on this form will be used for the purpose of procedures of selection of program candidates and/or recommendation to the host institution only.  $)+,-.013467:ȿȴꞖvphdhdhdhd[h vnCJaJo(h).jh).U h vnaJjh vnUaJmHnHuhN"PJaJh PJaJh_99PJaJh_99PJaJo(h_99PJaJnHo(tHhN"h PJaJhN">*PJaJh >*PJaJh >*PJaJo(h h >*PJaJo(h_99PJaJnHtHh PJaJo(!235689: dhG$gd vn $d$a$gd   h vnaJh).h vn h`_ih vn4&P 1h2P. 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