No.

3 Visit_Temporary_Tourism (own funds)

□Single □Double

Name

Email

Contact

Sr Required Documents/evidence Detail Holiday

Original Copy
1 Passport
With applicant's signature (if applicant is
underage or with disability, their
2 Visa Application Form parents/guardian can sign on behalf of
applicant)

A colour photo taken within 6

3 1x Photograph months(4.5mm x 4.5mm, clear image
without background)

KTP Front side copy

4 KITAS/Online ITAS_If you are non-
Both side copy
Indonesian applicant
5 Flight booking confirmation Return ticket
6 Itinerary Full schedule of stay
*Evidence of visit to Fukushima/Miyagi/ Hotel or Flight booking confirmation, etc.
7
Iwate/Okinawa prefecture (only if you visit mentioned locations)
**Student ID (Copy) or Certificate of
8 Only If you are student
enrolment (Original)
Evidence for relationship (For family)-Only
9 Family certificate, Birth certificate
for group application
Evidence for Japanese family residing
10 KITAS
Indonesia
Evidence of family relationship to Japanese Kosekitohon(Issued within last 6 months/
11
national Marriage certificate
Evidence of relationship (For relatives Family certificate, Birth certificate
12
residing in Japan)
Evidence of relationship (For friend residing
13 Photos, Letters etc.
in Japan)
14 Employment certificate
15 Invitation From Japan

Bank statement /Bank book

(latest 3 months statement mentioned
16 Evidence for Funds-Own fund
account name, number and bank name)

Company letter
17 Evidence for funds-Japanese Host Letter of Guarantee
 No. 3 Visit_Temporary_Tourism (own funds)

□Single □Double

Income tax certificate (AKA

Nyuzei shomeisho) of guarantor

Tax return (AKA Kakutei

shinkoku) of guarantor

Income certificate (AKA Shotoku

Any of
Shomeisho) of guarantor
one or
more
Bank balance certificate

Bank statement /Bank book of

guarantor (last 3 months)
Employment letter of guarantor
(mentioned of duration, annual
income)
Evidence for funds-non-Japanese national Host's Residence certificate/Residence
18
Host card
Company registration(AKA Tokibotohon)
19 Evidence of funds-Company host
or Company profile

Consent letter with Visa applicant signature Only if application is submitted on behalf
20
submitted with representative ID copy of applicant

21 Other (only optional)

*Visa Fee Waiver

**Visa Fee Waiver if he/she is in University as S1 student

I hereby acknowledge that I have submitted all the documents ticked and/or described hereinbefore, any false
document or inaccurate statement thereof, intentionally or negligently, may result in refusal of visa, and issuance of
visa, including conditions thereof, if given, is subject to solo discretion of the Embassy of Japan in Indonesia.

I understood that all support document submitted above except from Passport cannot be returned after visa
assessment.

Applicant Signature ____________________________ Date__________/_________ /__________

VFS staff Signature______________________________