Jakarta, 28 Desember 2017

No:

To:

Visa Section of the Embassy of the United Kingdom,

Jakarta, Indonesia

Dear Sir/Madam,

This is to acknowledge that:

name : Dr. Prima Ciko Ade Putra

position : Resident in Urology Department, Cipto Mangunkusumo National Hospital

passport no. : XXXX,

working since : July 2014

will be visiting Brighton, The United Kingdom, from 12 March 2018 to 18 March 2018 to participate in the
British Transplantation Society Annual Meeting, held in Brighton, 14 – 16 March 2018.

I acknowledge and guarantee that Dr. Prima Ciko Ade Putra will not seek any employment or permanent
stay in your country during this trip and that he will return to Indonesia as per schedule. All the expenses
during the trip of above purpose will be covered by XXXX.

It will be highly appreciated if you could grant him the necessary visa to enter your country. Please do not
hesitate to contact me through my office if you require further information related to this application.
Thank you very much for your kind assistance.

Sincerely yours,

(Name)

(Position in the company)