Palembang, 16 January 2015

To :
The Embassy of Japan
Visa Section
At Jakarta

Dear sir,
With this letter, I am undersigned

Name : dr. Laksmi Damayanti

Occupation : Pegawai Negeri Sipil (Civil Servant)
ID Number : 1671116701610003
Address : Jln. Cempaka Dalam NO. 503 RT. 014 RW.004 26 ilir
Palembang , Sumatera Selatan, Indonesian

Hereby certify that my family :

Name : Ferina Auliasari Pohan
Status : Daughter
Passport No : A 8683106

Will be going to your country for holiday for approximately 1 (one) week from Feb 05, 2015
until Feb 11, 2015
All the expenses during the trip will be furnishing by me. I will guarantee that they will not
seek any employment or permanent stay in your country and will be return to Indonesia after
the end of the trip.

Kindly grants their necessary visa to visit your country. Thank you very much for your kind
attention and good cooperation

Your sincerely

dr. Laksmi Damayanti

Mother