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PEMERINTAH KOTA PASURUAN

RUMAH SAKIT UMUM DAERAH dr R SOEDARSONO


Jl. Dr. WahidinSudiroHusodo No. 1 – 4 Pasuruan
Telp. (0343) 421073 – 421079E-mail rsdsoedarsono@pasuruankota.go.id

Pasuruan, September 14th, 2017

Our Ref : Visa Section


RE : Tourist Visa Application
To : Visa Section
The Embassy of Australia
Jakarta

Dear Sir/Madam,

I, the undersigned
Name : HENDRA ROMADHON, M.D.
Position : Director of R. Soedarsono, M.D. General Hospital

Here would like to certify


Name : CATUR ELVI PURNAMAWATI, M.D.
Position : Pulmonologist staff of R. Soedarsono, M.D. General Hospital

She will be traveling to Sydney, Australia for attending the Congress of Asian Pasific Society of
Respirology in International Convention Centre, Sydney, Australia on 22-26th November
2017. I guarantee that she will return to Indonesia after her travel. All expenses would be covered
by herself.

Therefore, we would highly appreciate if you would grant her the necessary visa.

Thank you very much for your kind assistance and attention.

Sincerely yours,

HENDRA ROMADHON, M.D.


Director of R. Soedarsono, M.D General Hospital
Pasuruan, Indonesia

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