Semarang, September 21 , 2015.

Head of Consulate Visa Section

THE EMBASSY OF CANADA
Jakarta

Dear Sir/Madam,

With this letter, I would like to inform you that I am the undersigned,

Name : Dr.Makmur Santosa , MARS

Position : Director of RSIA Kusuma Pradja Semarang.

Certify that,

Name : Poerwito Noegroho Atmodiprodjo.

Position : Doctor Anaesthesiologist RSIA Kusuma Pradja Semarang.
Passport No. : A0604048

Name : Christiana Moenarti Soenarwo.

Position : Wife.
Passport No. : A0604049

They are planning to have a vacation to your country, on October 2015.

This letter guarantees that they will not seek any employment or permanent stay in
your country and will return to Indonesia soon after their holiday trip is completed.
Any and all expenses during the aforementioned trip are fully covered by their
personal account.

We kindly request that you grant them the necessary entry visa in order to partake in
the tour program. Your assistance is highly appreciated.

Sincerely yours,

Dr.Makmur Santosa , MARS

Director
No. : /RSIA K.P/07/2017

July, 27, 2017

British Embassy
In Jakarta

Attn. : Chief Consular Officer

Subject : Request for visa

Dear Sir/Madam,

We, the undersigned below :

Name : Dr. Makmur Santosa, MARS

Occupation : Director of RSIA Kusuma Pradja Semarang.

Hereby declare that :

Name : Dr. Vannya Dewi Puspitasari, Sp.OG. K

Place, Date of Birth : Salatiga, 8 Juni 1981
Address : Jl.Dr. Soetomo No 49 A, Semarang
Pasport. No. : B 6246638
Job Title : Partner Doctor

Has been working for RSIA Kusuma Pradja since 2012. She will visit Europe for holiday.

She visit Europe for 2 weeks and will come back to Indonesia to work with us again.
All expenses during his trip will be borne by hersell.

We request your help to grant necessary travel visa to enable her visit Europe and
enjoy the vacation.

Thank you for your attention and cooperation, please feel free to contact our
personnel departement if you need any information regarding this lette. We can be
reached at 024-3546355 ext. 216

Your faithfully,

Dr. Makmur Santosa, MARS

Director
 SALARY STATEMENT

The undersigment :

Name : Dr. Retno Kusumaningrum, Sp.OG.

Occupation : Finance Manager

Explained that :

Name : Dr. Vannya Dewi Puspitasari, Sp.OG K

Job Title : Partner Doctor

Has been working for RSIA Kusuma Pradja since 2012 with monthly salary details as follow :

Mei Juni Juli

Salary : Rp. 39.709.000 Rp. 16.340.375 Rp. 19.839.875
Profesional Allowance : - - -

Total Salary : Rp. 39.709.000 Rp. 16.340.375 Rp. 19.839.875

Such as statement was made with actual salary and to use properly.

Semarang, July 31, 2017

Dr. Retno Kusumaningrum, Sp.OG

Finance Manager
 SALARY STATEMENT

The undersigment :

Name : Dr. Retno Kusumaningrum, Sp.OG.

Occupation : Finance Manager

Explained that :

Name : Dr. Vannya Dewi Puspitasari, Sp.OG K

Job Title : Partner Doctor

Has been working for RSIA Kusuma Pradja since 2012 with monthly salary details as follow :

Salary : Rp. 64.622.250

Profesional Allowance : -

Total Salary : Rp. 64.622.250

Such as statement was made with actual salary and to use properly.

Semarang, July 25, 2017

Dr. Retno Kusumaningrum, Sp.OG

Finance Manager