PEMERINTAH KABUPATEN DAIRI

DINAS KESEHATAN
UPT.xxxxxx
Jalan xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
Email: xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx

xxxxxxxxxxx, September 29th 2017

To:
Australia Embassy
Jakarta
Indonesia

Subject : Recommendation to obtain Australia visa

Dear Sir/Madam,
The undersigned :
Name :
Position :
ID Number for Government officer :

Herewith certify that my employee :

Name :
Position :
ID Number for Government officer :
Passport No :
Date of expiry :

She will sponsor her son and her mother. Details are as below :
1. Name :
Passport No :
Date of expiry :
Relationship :

2. Name :
Passport No :
Date of expiry :

They will be going to Sydney, Australia to visit their family on December 3rd 2017 until December
26th 2017. I will guarantee that he will not seek any employment or permanent stay at your country
and will be return to Indonesia after the end of the trip and also obey every regulation in your country.

Sincerely Yours,

ID.