PEMERINTAH PROVINSI MALUKU

RUMAH SAKIT KHUSUS DAERAH

Jl. Laksdya Leo Wattimena Telp. (0911) 361392 Faximile : (0911) 361392
Ambon 97232 E-Mail : rskdmal@yahoo.co.id

Ambon, 14 th November 2017

Canada Embassy
Visa Section
Jakarta - Indonesia

Dear Sirs,
With this letter, I would like to inform you that I am the undersigned,
Name : David Santoso Tjoei.
Passport No : A8468327

And my wife,

Name : Noviana Mirwan.

Passport No : A8927799

Are planning to have vacation to los vancouver on 22 nd January 2018 – 5 th Pebruary

2018

I acknowledge and guarantee that we will not seek any employment or permanent stay
into your country and will return to indonesia soon after our holiday trip is completed. All
kinds of expenses during the trip of above purpose are fully covered by my account
(David Santoso Tjoei).

This certification is issued upon the request for visa issuance

Your kind attention and good cooperation to grant such visa is highly

Your faithfully,

David Santoso Tjoei,MD

DIRECTOR