Surabaya, October 28th 2018

To : Visa Section
Consulate General of Japan
Surabaya

Dear Sir/ Madam,

I the undersigned :

Name :
Passport no. :
Job :

Clarify That :

Name :
Passport No. :
Relation :

We will be traveling to Japan for holiday on October 2018. All expenses during our stay such as
meals, air ticket and accommodation will be on my personal account. I guarantee that we will not seek
any employment or permanent stay in your country and we will be back to Indonesia as soon as after
our holiday is finished.

I will really appreciate if you could issue our visa at your earliest convenience.

For your kind attention and co-operation I would like to say thank you very much.

Sincerely yours,

(nama)