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REPUBLIC OF INDONESIA
MINISTRY OF HEALTH
TO WHOM IT MAY
CONCERN
Name :
Address : Indonesia
NOTIFIES THAT
Passport : 0
Number
Flight :
1 MULTIVITAMIN 30
2 GLIBENKLAMID 50
3 METFORMIN 50
Based on medical reasons, the above medicines are stricly prepared for daily
personal use by the bearer, and this notification is provided to be shown/produced
to the Saudi Arabian Authority when necessary uppon arrival for clearance
NIP/NRP