Confirmation Form Name Foreigner’s Information Nationality Date of Gender □ Male □ Female Birth Expiry Date of Departure or Expiry Date of Postponement of Departure 2021. . . I hereby confirm that I am mandatorily required to leave the Republic of Korea within the authorized period in case where international flights between the ROK and home country are in operation, which allows for flight reservations and departure from the ROK. ※ Applicable ONLY to entrants prior to Jan. 7 2021. Entrants after Jan. 8, 2021 should first prove the reasons for not allowing for departure such as flight unavailability to apply. Yet, for cases where departure is not available, I confirm that I shall leave the country immediately after expiration of such grounds, including suspension of international flights, cooperation requests for permission to stay by relevant embassy, border closures, being spouse of nationals, my or child’s enrollment at elementary/middle/high school and others. mm/dd/yyyy (Confirmed by) To. Chief of Name: (Signature) ○○ Immigration (Branch) Office