Bandung, April 8th 2015

No :

The Visa Section

The Embassy of Netherland
Jakarta

Dear Sir/Madam
With this letter, I would like to inform you that I am the undersigned :
Name : Dr.H. Iping Suripto W, SpA, MH.Kes
Address : Jalan Alun-alun Utara No. 1 Soreang
Position : Director of Soreang District Hospital

Certified that,

Name : Dr. Yulia Halim,Sp.R, M.Kes

Passport No : A 7023369
Position : Staff of Radiology Medicine at Soreang District Hospital

Are planning for holiday to your country, from June 12th until June 19th 2015.

I acknowledge and guarantee that she will not seek any employment or permanent stay in
your country and will return to Indonesia soon after.
Kindly grant her the necessary entry visa. Thank you for your kind attention and cooperation.

Sincerely your

Dr.H. Iping Suripto W, SpA, MH.Kes

Director of Soreang District Hospital
Bandung, Maret 21th 2015
No :

The Visa Section

The Embassy of Netherland
Jakarta

Dear Sir/Madam
With this letter, I would like to inform you that I am the undersigned :
Name : Dedi Ruswandi, SH,MM
Address : Jalan Alun-alun Utara No. 1 Soreang
Position : Head of Administrative at Soreang District Hospital
Certified that,

Name : Dr. Yulia Halim,Sp.R, M.Kes

Passport No : A 7023369
Position : Staff of Radiology Medicine at Soreang District Hospital

Are planning for holiday to your country, from June 12th until June 19th 2015.

I acknowledge and guarantee that she will not seek any employment or permanent stay in
your country and will return to Indonesia soon after.
Kindly grant her the necessary entry visa. Thank you for your kind attention and cooperation.

Sincerely your

Dedi Ruswandi, SH,MM

Head of Administrative at Soreang District Hospital
 PEMERINTAH KABUPATEN BANDUNG
RUMAH SAKIT UMUM DAERAH SOREANG
Jl. Alun Alun Utara No. 1 Soreang Kabupaten Bandung
Telp. (022) 5891355, 5896590, 5896591 IGD. Fax. 5896592

Bandung, March ______th 2016

No :

The Visa Section

The Embassy of Greece
Jakarta

Dear Sir/Madam
With this letter, I would like to inform you that I am the undersigned :
Name : Dedi Ruswandi, SH,MM
Address : Jalan Alun-alun Utara No. 1 Soreang
Position : Head of Administrative at Soreang District Hospital
Certified that,

Name : Dr. Nurvita Susanto SpA

Position : Staff of Paediatriacian Medicine at Soreang District Hospital
Passport No : A 7335032
Working Period : 2002 - present

Are planning to attend the 49th congress of Espghanen at your country together with
PT.Sarihusada Generasi Mahardika from May 23th until May 30th 2016 and the trip will be
organized by Panorama Tours Indonesia.

All kinds of expense during the trip are borne by PT.Sarihusada Generasi Mahardika. I
guarantee that she will not seek any permanent job in your country and she will return to
Indonesia after the trip is completed. If you need any informations, do not hesitate to contact
me.
It would be highly appreciated if you grant her the necessary visa to enter your country.
Thank you for your kindly attention.

Yours Faithfully
Dedi Ruswandi, SH, MM
Head of Administrative at Soreang District Hospital

PEMERINTAH KABUPATEN BANDUNG

RUMAH SAKIT UMUM DAERAH SOREANG
Jl. Alun Alun Utara No. 1 Soreang Kabupaten Bandung
Telp. (022) 5891355, 5896590, 5896591 IGD. Fax. 5896592

Bandung, Maret 21th 2015

No :

The Visa Section

The Embassy of Netherland
Jakarta

Dear Sir/Madam
With this letter, I would like to inform you that I am the undersigned :
Name : Dedi Ruswandi, SH,MM
Address : Jalan Alun-alun Utara No. 1 Soreang
Position : Head of Administrative at Soreang District Hospital
Certified that,

Name : Dr. Yulia Halim,Sp.R, M.Kes

Passport No : A 7023369
Position : Staff of Radiology Medicine at Soreang District Hospital

Are planning for holiday to your country, from June 12th until June 19th 2015.

I acknowledge and guarantee that she will not seek any employment or permanent stay in
your country and will return to Indonesia soon after.
Kindly grant her the necessary entry visa. Thank you for your kind attention and cooperation.

Sincerely your

Dedi Ruswandi, SH,MM

Head of Administrative at Soreang District Hospital
 PEMERINTAH KABUPATEN BANDUNG
RUMAH SAKIT UMUM DAERAH SOREANG
Jl. Alun Alun Utara No. 1 Soreang Kabupaten Bandung
Telp. (022) 5891355, 5896590, 5896591 IGD. Fax. 5896592

Bandung, April ______th 2016

No :

The Visa Section

The Embassy of France
Jakarta

Dear Sir/Madam
With this letter, I would like to inform you that I am the undersigned :
Name : Dedi Ruswandi, SH,MM
Address : Jalan Alun-alun Utara No. 1 Soreang
Position : Head of Administrative at Soreang District Hospital
Certified that,

Name : Dr. Hedi Hendrawan, Sp. KK

Position : Staff of Dermatology and Vereology at Soreang District Hospital
Passport No : B 3522128
Working Period : 2009 - present

Are planning for holiday to your country, from May 13th until May 22th 2016.

I guarantee that he will not seek any permanent job in your country and he will return to
Indonesia after the trip is completed. If you need any informations, do not hesitate to contact
me.
It would be highly appreciated if you grant her the necessary visa to enter your country.
Thank you for your kindly attention.
Yours Faithfully

Dedi Ruswandi, SH, MM

Head of Administrative at Soreang District Hospital

PEMERINTAH KABUPATEN BANDUNG

RUMAH SAKIT UMUM DAERAH SOREANG
Jl. Alun Alun Utara No. 1 Soreang Kabupaten Bandung
Telp. (022) 5891355, 5896590, 5896591 IGD. Fax. 5896592

Bandung, August ______th 2016

No : 445/827/TU

The Visa Section

The Embassy of South Korea
Jakarta

Dear Sir/Madam
With this letter, I would like to inform you that I am the undersigned :
Name : Syafril ST. Mantari
Address : Taman Kopo Indah I Blok E No. 153
Position : Father

Certified that,

Name : Dr. Yesi Syafril

Passport No : B0214327
Position : Daughter

Are planning to attend, The 26th Scientific Meeting of The International Society of
Hypertension, in your country, from September 24th until September 29th 2016.
I acknowledge and guarantee that she will not seek any employment or permanent stay in
your country and will return to Indonesia soon after. All expenses incurred on this trip will be
born my account.
Kindly grant her the necessary entry visa. Thank you for your kind attention and cooperation.

Sincerely your,

Syafril ST. Mantari

PEMERINTAH KABUPATEN BANDUNG

RUMAH SAKIT UMUM DAERAH SOREANG
Jl. Alun Alun Utara No. 1 Soreang Kabupaten Bandung
Telp. (022) 5891355, 5896590, 5896591 IGD. Fax. 5896592

Bandung, February ______th 2016

No :

To
Visa Section
EMBASSSY OF THE UNITED KINGDOM
Jakarta

Dear Sir/Madam
With this letter, I would like to inform you that I am the undersigned :
Name : Iping Suripto, MD, Pediatrician
Address : Jalan Alun-alun Utara No. 1 Soreang
Position : Head of District Hospital Soreang Bandung, West Java Indonesia

Here with acknowledge that,

Name : Iman Salman Farizi Wirayat, MD, Obstetrician & Gynecologist

Position : Staff of Obstetrics & Gynecology Departement at Soreang District Hospital

Will visit The United Kingdom on April 22 May 3, 2017 attend 1 st World Congress on
Maternal Fetal Neonatal Medicine which be held at Queen Elizabeth II Cingress Centre,
London, United Kingdom.

He will accompanied by :
Name : Desie Rianti Warsodoedi, MD, Ophtamologist
Relationship : Wife

He will responsible for all expense for him and his wife mentioned above during the trip. We
guarantee that they will not seek any authority to settle undertake employement during their
stay in your country and they will return to Indonesia after their trip.
It would be highly appreciated if you grant him the necessary visa to enter your country.
Thank you for your kind assistance and cooperation.

Yours Sincerely

Iping Suripto, MD, Pediatrician

 PEMERINTAH KABUPATEN BANDUNG
RUMAH SAKIT UMUM DAERAH SOREANG
Jl. Alun Alun Utara No. 1 Soreang Kabupaten Bandung
Telp. (022) 5891355, 5896590, 5896591 IGD. Fax. 5896592

Bandung, February ______th 2016

No :

To
Visa Section
EMBASSSY OF THE REPUBLIC AUSTRIA
Jakarta

Dear Sir/Madam
With this letter, I would like to inform you that I am the undersigned :
Name : Iping Suripto, MD, Pediatrician
Address : Jalan Alun-alun Utara No. 1 Soreang
Position : Head of District Hospital Soreang Bandung, West Java Indonesia

Here with acknowledge that,

Name : Iman Salman Farizi Wirayat, MD, Obstetrician & Gynecologist

Position : Staff of Obstetrics & Gynecology Departement at Soreang District Hospital

Will visit The Republic Austria on April 22 May 3, 2017 attend 1 st World Congress on
Maternal Fetal Neonatal Medicine which be held at Queen Elizabeth II Cingress Centre,
London, United Kingdom.

He will accompanied by :
Name : Desie Rianti Warsodoedi, MD, Ophtamologist
Relationship : Wife

He will responsible for all expense for him and his wife mentioned above during the trip. We
guarantee that they will not seek any authority to settle undertake employement during their
stay in your country and they will return to Indonesia after their trip.
It would be highly appreciated if you grant him the necessary visa to enter your country.
Thank you for your kind assistance and cooperation.

Yours Sincerely
Iping Suripto, MD, Pediatrician
 PEMERINTAH KABUPATEN BANDUNG
RUMAH SAKIT UMUM DAERAH SOREANG
Jl. Alun Alun Utara No. 1 Soreang Kabupaten Bandung
Telp. (022) 5891355, 5896590, 5896591 IGD. Fax. 5896592

Bandung, February ______th 2016

No :

To
Visa Section
EMBASSSY OF THE REPUBLIC AUSTRIA
Jakarta

Dear Sir/Madam
With this letter, I would like to inform you that I am the undersigned :
Name : Iping Suripto, MD, Pediatrician
Address : Jalan Alun-alun Utara No. 1 Soreang
Position : Head of District Hospital Soreang Bandung, West Java Indonesia

Here with acknowledge that,

Name : Iman Salman Farizi Wirayat, MD, Obstetrician & Gynecologist

Position : Staff of Obstetrics & Gynecology Departement at Soreang District Hospital

Will visit The Republic Austria on April 22 May 3, 2017 attend 1 st World Congress on
Maternal Fetal Neonatal Medicine which be held at Queen Elizabeth II Cingress Centre,
London, United Kingdom.

He will accompanied by :
Name : Desie Rianti Warsodoedi, MD, Ophtamologist
Relationship : Wife

He will responsible for all expense for him and his wife mentioned above during the trip. We
guarantee that they will not seek any authority to settle undertake employement during their
stay in your country and they will return to Indonesia after their trip.
It would be highly appreciated if you grant him the necessary visa to enter your country.
Thank you for your kind assistance and cooperation.

Yours Sincerely
Iping Suripto, MD, Pediatrician