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Kop Surat

Nganjuk, September 12th, 2019

To:
The Netherlands Embassy
H.R. Rasuna Said Street Kav.S-3,
Kuningan,
Jakarta, Indonesia 12950

Certificate of Employment

Nomor :

This is to certify that,


Name : dr. Dicky Teguh Prakoso
License Number : 503/75/D.INTR/411.303.d/2018
is an Intern Doctor, at Kertosono General Hospital, Nganjuk, East Java.
He has worked since December 2018 until now.
This certification is issued upon the request of Mr. Dicky Teguh Prakoso for visa application.

Yours sincerely,

Dr.
NIP .

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