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PEMERINTAH KABUPATEN SUMENEP

RSUD dr. H. MOH. ANWAR


SUMEKAR

JL. Dr. Cipto No. 42 (0328) 662494 662129 No. Fax. (0328) 662257
SUMENEP
Kode Pos 69417

Our Ref, ................. / ..... / 2015


June 10, 2015
The Embassy of Schengen Country
Jakarta
Attention to

: Chief Consular Officer

Subject

: Request for Visa

Dear sir / madam,


Hereby we inform that Mrs. Dian Marcia is our employee who has been working with our hospital since
April 2005 as a Pediatrician.
She intend to visit Europe on her vacation for two weeks, as soon as she back from her visit she still working
as our employee. All expenses during her trip will be borne by herself.
We request your help to grant her necessary travel visa to enable her visit Europe and enjoy the vacation.
Thank you for your attention and cooperation, please feel free to contract our personel department if you
need any information regarding this letter. We can be reached at ( 0328 ) 662129.

Yours Sincerely,
The Head of The Hospital

Fitril Akbar, dr, M. Kes


NIP. 19610318 198901 1 005

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