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(9) WRITTEN OATH 誓約書 見本

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WRITTEN OATH

Name of Applicant :

SEISHIN YAMATO

Passport No. :

MK 0123456

Gender :

M a l e

Present Address :

4-4-21-6F, Minami Semba Chuo-ku

Osaka City 542-0081 Japan

I swear that during my stay in Indonesia, I declare the following

a. the willingness to be subject to Indonesian laws and regulations during my stay in Indonesia;

b. the willingness to follow all the rules and regulations set up by the Host University or Organizing Committee and Learning center;

c. not perform or participate any political activities or doing criminals in Indonesia’s Territory;

d. not perform activities of a certain ideologies or indoctrination;

e. not involve with any drug traffic: active user or drug seller;

f. not do and perform immoral acts;

g. not to work or be employed for financial benefits during the program;

h. the willingness to leave Indonesia immediately after the closing of program, at a date determined by the Indonesian Immigration Regulations;

i. accept to be sent back to my country if I violate the said regulations and the stay permit regulation in Indonesia

Signature:

Full Name :

Seishin Yamato

D a t e :

31 December 2099

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