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Walailak University Health Certificate Kudus, indonesia 27 March 2019 ‘am a medical doctor, holding a medical practice license number 33. Jer /449-1/- place of practice... Wusvwi4ifa.. Mespebat, _ Kindiu-s 465/vi fae 1cQ Hospital's address undertook a medical examination of Mr Handoyo Nationality indonesia Passport No. B9744538, On date 27 month march year 2019 I hereby certify that Mr Handoyo Dts Tis not a disabled person who is not capable of working. 11 suffers €¥does not suffer from mental disorder/sickness/retardation, 1 shows +27 does nat show symptoms of drug addiction, Ds ef isnot a chronic alcoholic. presents 42” does not Present symptoms of contagious leprosy. 1 suffers \2¥does not suffer from contagious tuberculosis. 1 shows 2 does not show symptoms of elephantiass. Comment and recommendation to participate in the event of The 3° Walailak Univeristy Cultural Camp in Tahiland. | hereby certify that Mr Handoyo is in good physical and mental health. Anwar

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