STATEMENT LETTER

The undersigned below :

Name : (isi dengan nama lengkap sesuai ID)
Place and date of birth : (kota, bulan – tanggal, tahun kelahiran)
Passport number : (nomor passport)
ID Card number : (Nomor ID yang dilampirkan)
Address : (Alamat lengkap sesuai ID)

Hereby declare for certain that I do not have SPT21 (tax letter) as per your requested.
My visit to your great country is for holiday with my fiance. (sesuaikan dengan tujuan ke
Korea)

Thank you very much for your kindly understanding and awaiting good news.

Jakarta, (bulan, tanggal, tahun – format Inggris)

Who makes a statement

(Nama lengkap)