PEMERINTAH KABUPATEN INDRAMAYU

DINAS KESEHATAN

PUSKESMAS SUKRA

Jl. Raya Sukra Wetan Telp./Fax : (0234) 610159 Kode Pos 45257

To
Visa Section
EMBASSY OF FRANCE
Jakarta

Dear Sir/Madam,
I, The Undersigned,
Name
Position
Certify that
Name
Position

: dr. Hj. Tuti Warnengsih

: Head of Sukra Primary Health Care
:
: Saskia Medinawati Soraya
: Internship Doctor

Will go to France & Schengen Countries for holiday for about 12 days.
All expenses during the trip will be borne to themselves.
I guarantee that they would return to Indonesia as soon as the trip is finished.
I therefore would appreciate if you could grant her for the necessary visa at your
earliest convinience. Thank you in advance for your kind assistance and cooperation.

Indramayu, 4 August 2014

Head of Sukra Primary Health Care

dr. Hj. TUTI WARNENGSIH

NIP: 19760202 200604 2 021