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Brisbane, 23rd January 2011

The Australian Embassy


Jl HR Rasuna Said Kav C 15-16
Jakarta.Selatan
Ph: +62-21-25505555
Dear Sir/Madam,
I,
Name
Passport Number
Issuing Country
Expiry date
Australian ID#
Address

:
:
:
:
:
:

am requesting that you issue a tourist visa to:

1. Name
Passport Number
Issuing Country
Expiry date
Occupation

:
:
:
:
:

2. Name
Passport Number
Issuing Country
Expiry date
Occupation
Status

:
:
:
:
:
:

in order to allow them to visit Australia on 12-18 March 2011.

During their stay in Australia, they will stay with me at the above-mentioned address.
They will visit Brisbane and surrounds.
I will guarantee that as soon as their trip is over, they will return to Indonesia without
seeking for any kind of employment or permanent resident and promise to obey every
regulation in Australia.
I would appreciate if you could grant the tourist visa for them.
Thank you for your attention and cooperation
Yours faithfully,

Tanda tangan pengundang


------------------------------------Nama lengkap pengundang

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