Letter of Guarantee

※ Tick [√] where applicable. (뒤쪽)

Family name Given names Name in Chinese character

KURBONOV PULAT
Date of birth Sex [ ]male
05.10.1987 [ ]female
Applicant
(a foreign Nationality Passport No.
national UZBEKISTAN FA1148052
entering
Korea) Address in Korea Telephone No.
31019 충청남도 천안시 서북구 성환읍 천안대로 1843, 108동 105호(부영아파트) +998-99-1522604
Purpose of sojourn
Guest

a. Personal information

Full name Name in Chinese character

KURBONOV OTABEK SAMANDAROVICH
Nationality Sex [ ]male
UZBEKISTAN [ ]female
Passport Number or Date of Birth Phone No.
FA5180900 20.09.1989 +82-10-7608-0189
Address
31019 충청남도 천안시 서북구 성환읍 천안대로 1843, 108동 105호 (부영아파트)

Relationship to applicant
Brother
Guarantor
Company or organization you work for Job position
Namseoul University (남서울대학교) Assistant Professor (조교수)
Work address Note
31020 충청남도 천안시 서북구 성환읍 대학로 91번지 (041-580-2000)
b. Period of guarantee(The period of guarantee shall not exceed 4 years)
3 (three) months

c. I shall guarantee the following items:

(1) I shall ensure that the applicant abides by competent laws and regulations of Korea.
(2) I shall shoulder the travel expenses for the applicant’s return if he/she is unable to pay them.
(3) I shall shoulder the expenses arising from the applicant’s stay or detention in Korea if he/she is
unable to pay them.

I hereby declare that the above statements are true and correct.

2024 Year 02 Month 05 Day

Guarantor: Kurbonov Otabek Samandarovich (signature or seal)

210mm×297mm[백상지 80g/㎡(재활용품)]