Emergency Contact List 1 Student ID CONTACT INFORMATION

Emergency Contact List 1 Student ID CONTACT INFORMATION ABROAD Your personal mobile phone Mobile phone number Name ★After completing this form, make copies and deliver to your advisor, IRC & your family/guardian. Carry this with you at all times while abroad. In case of any change, please inform it. 　You can leave the message at “Global risk control total support desk”. CONTACT INFORMATION OF YOUR FAMILY/GUARDIAN Mail address 1 Mail address 2 Contact information 1 Name of organization, person in charge Telephone house ・ mobile ・ at work Category Name of telephone owner, relation Telephone 1 Telephone 2 Contact information 2 Mail address 1 Telephone Mail address 2 Category Contact information 2 house ・ mobile ・ at work Name of telephone owner, relation Name of organization, person in charge Contact information 3 Telephone 1 Telephone 2 Category Mail address 1 Name of telephone owner, relation Mail address 2 Note: ※This information will not be used other than in case of emergency. house ・ mobile ・ at work

Emergency Contact List 2 ★After completing this form, make copies and deliver to your advisor, IRC & your family/guardian. Carry this with you at all times while abroad. In case of emergency, call “Global risk control total support desk” (24 hours service in English) * Telephone number is written on the card that will be handed to you soon. How to make an international phone call from the country to visit. Name Your advisor at KUT On-site staff in charge of picking you up at the airport How to call local police How to call ambulance On-site embassy/consulate of your country Phone No. Contact information in case of loss of credit card Phone No. Embassy/consulate address Student ID Travel agency having arranged your flights and accommodation Name Blood Type KUT, IRC (Business hours) 0887 -53 -1130 international@ml. kochitech. ac. jp KUT, Security Office (Night time) 0887 -53 -1119 Passport No. ※This information will not be used other than in case of emergency. Date of issue (dd/mm/yyyy) Date of expiry (dd/mm/yyyy)