(KOP SURAT PERUSAHAAN / TOKO )

Jakarta, _______20___

Embassy of Japan
At Surabaya

RE: Application Visa Section

Dear Sir / Madam,

I, the undersigned:

Name : MR KASIM
Position : General Manager of PT ABC

Do hereby certify that the following individuals:

NO NAME PASSPOR NO Relation

1 Nama Ibu Wife of MR KASIM

2 Nama Anak Son or Daugter of Mr Kasim

We will travel to Japan for holiday, which depart from Jakarta on June 2016
All the expenses during the trip will be borne by My Self .
And I do guarantee that We will return to Indonesia after the end completion of the journey
and will not seek for any employment.

It would be very much appreciated if the necessary tourist visas could be issued for us for the
duration trip.
Thank you very much for your kind assistance and cooperation.

Sincerely Yours,

TTD +Cap

(Nama yang mensponsori)

(Posisi yang mensponsori)