[별지 제40호서식]

체 류 자 격 부 여 인

체 류 자 격 부 여

GRANT FOR STATUS OF SOJOURN

NO. :

The bearer of this passport has been granted the status of sojourn as _________________________________________

Date of Issue :

Chief, ○○Immigration Office

Period of Sojourn :

50㎜×50㎜