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To :

U.S. Consulate General Surabaya


Jl. Citra Raya Niaga No. 2
Surabaya 60217
Tel: (62-31) 297-5300 Fax: (62-31) 297-5301
consurabaya@state.gov

Letter of Sponsorship

Dear Sir/Madam,

We, who undersigned this letter, agree to support and approve our daughter:

Name : Emily Kurniawati Wangsa Putra


Passport No. : B9082283

To have a holiday in USA. During her visit in USA, we agree to take care all the living
expenses.

We thank you for your kind attention and assistance.

Sincerely Yours,

( ............................ ) ( ........................... )

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