(Kop Surat)

Number : ITN.07…./IX.REK/2022
Attachment :-
Regarding : Visa Application

To : Embassy of France Malang, 26 July 2022

Jl. M.H. Thamrin No. 20
Gondangdia, Menteng, Central Jakarta 10350

Dear Sir/ Madam

I undersign,
Name : Ir. Gaguk Sukowiyono, MT
Position : Vice Chancellor for General Administration and Finance
Address : Jl. Bendungan Sigura-gura No. 2 Malang – East Java

Certify that,
Name : Togi Halomoan Nainggolan
Position : Lecturer
Passport No : C0617654
&
Name : Salmia Londong Allo
Position : Lecturer
Passport No : C3008019
Relation : Togi’s Wife
&
Name : Avelia Devina Calista Nainggolan
Position : Student
Passport No : X709182
Relation : Togi’s Daughter

They will be travelling to France on August 2022.

All kinds of expanses during the trip are borne by them. I guarantee that they will not
permanent stay into your country, and will return to Indonesia after this trip is completed.

It would be highly appreciated if you grant them the necessary visa to enter your country.

Your Sincerely,

Ir. Gaguk Sukowiyono, MT

Vice Chancellor for General Administration and Finance