[COMPANY NAME AND LOGO[

[Address, Phone, Fax, E-mail, Website]

EMPLOYMENT CERTIFICATE
Number [..................]

The undersigned certifies that :

Name : [..................]
Unit : [..................]

was employed as a permanent employee by Mitra Internasional Hospital since

[MONTH, DATE, YEAR] until [MONTH, DATE, YEAR] with last position as an
[POSITION].

With regard to her resignation, [she/he] is no longer employed by our company, effective
from [MONTH, DATE, YEAR].

During [her/his] employment, [she/he] has shown a high dedication and loyalty and
worked accountably. We wish [her/him] a better success for [her/him] future career.

This certificate of employment is made for use accordingly.

[MONTH, DATE, YEAR]

Yours sincerely

(Sealed and Sealed)

[name]
[position]
 [PHYSICIAN’S LETTER HEAD]

DAY-OFF LETTER
Number : [.................................]

The undersigned,

[Physician’s Name]

a government physician working at [Hospital’s Name], certifies that :

Name : [Client’s name]

Age : [.....] years old
Gender : Male / Female [delete if inapplicable]
Occupation : [..............]
Address : [..............]

needs to take a rest for [three (3) days] from [Month, Date, Year] to [Month, Date, Year]
due to the illness he suffered.

P.S. [Typhoid fever]

[Month, Date, Year]
Physician,

(Sealed and signed)

[Physician’s Name]