L E T T E R OF G U A R A N T E E

Date:

To:Minister of Justice

In connection with Mr .( Mrs . Miss ) 's application for

I hereby guarantee the following matters .

1 Logistic support while in _ _ _ _ _ _

2 Transportation fee for repatriation

3 To abide by the Japanese Law

Guarantor:

Name: Nationality

Address in Japan: Tel:

Status of residence:

Occupation:

Relationship

( guarantor's signature )