KLINIK PRATAMA HEALTHY LIFE

PRAKTEK DOKTER UMUM & DOKTER GIGI

Jl. Caringin No 122B, RT 01 / RW 04 Kelurahan Babakan Ciparay
Kecamatan Babakan Ciparay, Kota Bandung 40223

2 January 2020

To :
Visa Section
Embassy of Netherlands
Jl. H. R. Rasuna Said No.Kav S-3, RT.8/RW.3, Kuningan
South Jakarta

Subject: Applying Schengen Tourist Visa

Dear Sir/Madam,

With this letter, I would like to inform you that I am the undersigned:

Name : dr. Endry Septiadi, M. Gizi

Position : CEO of Healthy Life Clinic

Certify that,

Name : Monica Irvania Gustabella

Position : Dentist (employee)
Passport Number : B5700633
Working Since : 2019 (1 year)

Is permanent employee at Healthy Life Clinic, since January 2019, she is taking her personal leave for
travel to European countries including your country for a holiday purpose, start from February 11, 2020 to
February 20, 2020.
I acknowledge and guarantee that she will not seek any employment or permanent stay in your country
and will return to Indonesia after the end of the trip. All kind of expenses during the trip will be fully
covered by herself.

It will be appreciated if you could grant her the necessary visa to enter your country at your early
convenience.

Thank you for your kind attention and corporation.

Your Sincerely,

dr. Endry Septiadi, M. Gizi

CEO of Healthy Life Clinic