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To The Embassy of Netherland

Visa Section
Jakarta

Subject : Tourist Visa Application

The Head of Study Program of Medical, Faculty od Medicine Universitas Pembangunan


Nasional Jakarta hereby confirms that:

Name : Dias Amardeka Putri Gavinta


Student ID :
Passport No. : A3192054

Is currently a student in the Study Program of Medicine, Faculty of Medicine Universitas


Pembangunan Nasional Jakarta.

This letter is issued upon request of the person concerned for holiday in Netherland for
about 7 days.

Jakarta, December 27, 2016


Sincerely,

CAP TTD

Nama dekan
NIP
Head OF Study Program of Medical
Universitas Pembangunan Nasional Jakarta
Indonesia

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