<Offer of Donation>
Date:_______________________(mmm/dd/yyyy)

To: The President
The University of Tokyo

Name of Donor:______________________________
Address:______________________________
 ______________________________
 ______________________________

I wish to make the following contribution for the encouragement of study at the University of Tokyo as follows:

1. Value of Donation: ____________________________________
(I consent for part of the donation to be used in the administration of the University as research support expenses.)

2. Title (name to be given to the Sponsored Research Program)
________________________________________

3. Purpose and conditions of the donation 
Purpose:	_______________________
Condition:	_______________________

4. Other issues concerning the donation