DECLARATION FOR MISSING DOCUMENT

This is to declare that :

Name : Golda Defannisa Astrid

Place and Date of Birth : Kudus/14-12-1996
Gender : Female
Address : Jl.Ganesha IV No. 126 RT 003/007 Purwosari Kudus

Hereby I declare that I have enrolled in Stipendium Hungaricum scholarship. Certificate of

language proficiency is the following document which is still needed to complete the enrollment
process. The reason why the uploading document is postponed because I do not have certificate
yet.
Therefore, this statement I have made in truth. If later my statement could be untrue, I am willing
to accept the consequences.

Kudus, January 13th 2021

Golda Defannisa Astrid