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NumberDate

: R02.BR.PSN/273I2018: July 02nd, 2018

To.The Embassy of United KingdomVisa Sectionlndonesia

BANK REFERENCE

Dear Sir or Madam,

At the request of Mrs.Syarifah, we are pleased to inform you that she has been amost valued customer of our bank since October 14tt',2016.

Mrs. Syarifah, presently maintains a deposit account with us. As of July 02"d,2018, her account number is 112-00{1841561 her account balance was lDR,67.077.043,- (Say: Sixty seven million seventy seven thousand and fortythree IDR). She has conducted her affairs with us in a very satisfactory manner.This reference is issued for the purpose of her Acquiring Msa Permit to TheEmbassy of United Kingdom for Ariyansa Safutra (her son).

It is to be understood that this information is given to you on a strictly confidentialbasis, and misuse of it is not the responsibility of our bank or its officers.

Your Sincerely,

PT. BANK MANDTRT (PERSERO) TbkBranch Palembang Sudirman ,PT..Bank Mandiri (persero) Tbk

I

CabanqPalembang Sudirrnan

C-Tt,lrine AlmaidahBranch Operation Manager

mandln

PT, Bank Mandiri (Persero) Tbk.Cabang Palembang SudirmanJl. Jend. Sudhman No.419 Palembang 30134Telp. ( +52-71 1 ) 311 177, 312696, 312697Fax. ( +62-71 1 t374246,313014, 366432E-mail : plg sudirman@bankmandiri.co.id

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