Jakarta, May 14th , 2019

To:
The Head of Visa Section
Embassy of Japan
Jakarta

Dear Sir/Madam,
With this letter, I would like to inform you that I am the undersigned,
Name : [Nama Lengkap]
Relation : [Relationship: Father/Mother/ Husband]

Herewith give my permission to:

Name : [Nama Lengkap]
Relation : [Relationship: Daughter/Son/Wife]
Passport No.: [No Paspor]

Which is planning to have vacation to Japan on November, 2019. I acknowledge and guarantee
that he/she/they will not seek any employment or permanent stay in your country and will surely
back to Indonesia after the trip ended.
Also, all the expenses during the trip will be my/her/his obligation. With all my respect, please
grant them the tourism visa to enter your country.

Thank you for your attention.

Sincerely,

Materai Rp. 6,000

& Tanda Tangan

(Nama Lengkap)