Surabaya, July 27 th 2016

To:
Visa Section of
EMBASSY OF DENMARK
JAKARTA

To Whom It May Concern:

Dear Sir/Madam,
On behalf of Undaans Eye Hospital, I, the undersigned,
Name

: Bambang Samudra, MD

Position

: Director

Certify that,
Name

: Rita Tjandra, MD

Passport No. : A 9133959

now.

Is our Ophthalmologist. She has been working with us since July 2005 until

She will be traveling to Copenhagen and Stockholm on September 5 th 15th,2016, to

attend the Euretina Congress 2016 (held on September 8 th 11th in Copenhagen),
along with her husband (Benny Jovie, MD; Passport No. A 8400619). All expenses
during their travel will be on their own account or responsibility.
We would be grateful for your assistance in issuing Schengen Visa to Rita Tjandra,
MD and her husband to enter the countries.
We thank you in advance for your cooperation and assistance.
Very sincerely,

Bambang Samudra, MD
Director

Surabaya, July 27 th 2016

To:
Visa Section of
EMBASSY OF DENMARK
JAKARTA

To Whom It May Concern:

Dear Sir/Madam,
On behalf of Undaans Eye Hospital, I, the undersigned,
Name

: Bambang Samudra, MD

Position

: Director

Certify that,
Name

: Sudjarno Djemirin, MD

Passport No. : B 0269325

now.

Is our Ophthalmologist. He has been working with us since July 2005 until

He will be traveling to Copenhagen and Stockholm on September 5 th 15th,2016, to

attend the Euretina Congress 2016 (held on September 8 th 11th in Copenhagen),
along with his wife (Venny Alwita, Passport No. A 6170504). All expenses during
their travel will be on their own account or responsibility.
We would be grateful for your assistance in issuing Schengen Visa to Rita Tjandra,
MD and her husband to enter the countries.
We thank you in advance for your cooperation and assistance.
Very sincerely,

dr. Bambang Samudra, M.Kes

Director