THE ASSOCIATION OF IDB-SPONSORED STUDENTS IN INDONESIA (AISI)
Date: June 3, 2007 Head, Scholarship Programme Office Islamic Development Bank P O Box 5925 Jeddah 21432 Saudi Arabia Tel: 00966 2 646 6835 Fax: 00966 2 646 6887 E-mail:
[email protected] Subject: Claim for reimbursement some expenses Assalamu Alaikum Wa Rahmatullahi Wa Barakatuh Dear Sir., First of all, on behalf of The Association of IDB-sponsored Students in Indonesia (AISI), I would like to convey my salam and gratitude to you and the whole staff of the IDB’ Scholarship Office for helping and taking care of us. May The Almighty Allah bless you all. Secondly, with reference to the above mentioned-subject, I would like to claim for reimbursement some expenses. Details of reimbursement are as follow:
No.44, Jln Gandak Baru, Deresan, Yogyakarta, Indonesia.HpNo: +62 8175457655. E-mail:
[email protected]
THE ASSOCIATION OF IDB-SPONSORED STUDENTS IN INDONESIA (AISI)
Name
ID. Number
Medical Expenses
Mr.Tay Zar Kyaw Mr.Kyaw Myint Maung Ms. Aye Aye Min Mr. Kyaw Myin Tun Ms.Sales Asy Ms.Fatimah Sulaiman Mr.Sen Patry Ms.El Borany Ms. Check Salma Mr. Sary Alvy Mr. Keo Veasna Mr. Mankork Ms. Sles Sabry Mr Mohammed Zaccrya Falahy
BA/2003/005 BA/2003/003 BA/2003/008 BA/2003/004 CAM/2000/001 CAM/2000/004 CAM/2000/005 CAM/2003/001 CAM/2006/001 CAM/2006/003 CAM/2006/005 CAM/2007/006 CAM/2007/007 VN/2000/002
Ms.Chau Safidah Ms.Marijah Mr.Mousa Mr. Jack Abdola Arifeen
VN/2001/001 VN/2001/002 VN/2001/003 VN/2007/001
Total
Examinatio n Fee
0 0 1,339,100 57,400 543,900 220,500 0 78,800 161,900 549,770 272,500 156,800 575,000 414,100
Special University Fee 455,000 1,185,000 0 1,793,100 0 195,000 340,000 0 0 0 0 0 0 0
150,000 483,700 0 82,100 5085570
0 745,000 387,500 0 5,100,600
187,000 0 0 0 2,262,000
300,000 0 0 300,000 795,000 380,000 300,000 0 0 0 0 0 0 0
No.44, Jln Gandak Baru, Deresan, Yogyakarta, Indonesia.HpNo: +62 8175457655. E-mail:
[email protected]
Cost of a pair Transpor reading tation Fee glasses 0 0 0 0 0 0 0 0 0 0 0 0 0 0 450,000 0 440,000 0 0 0 0 0 0 0 0 0 0 0 916,000 0 0 446,000 2252000
180,000 0 0 180,000 360000
Amount (RP)/Person 755,000 1,185,000 1,339,100 2,150,500 1,338,900 795,500 640,000 528,800 601,900 549,770 272,500 156,800 575,000 414,100 1,383,000 1,228,700 387,500 708,100 15,010,170
THE ASSOCIATION OF IDB-SPONSORED STUDENTS IN INDONESIA (AISI)
(Fourteen millions ,One thousand and Two hundred Rupiah only) Finally, I would like to express my deep thanks for your help and attention. I am looking forward to hearing from you as soon as possible. All original receipts are enclosed.
Wassalamu Alaikum Wa Rahmatulahi Wa Barakatuh
Acknowledgement:
Ms. Daniar R Natakusumah SH, LL.M. Head, Office of International Affairs, Gadjah Mada University.
Mr. Muhammad Fadhol Arovah-Maryadie Honorary Students’ Counsellor, IDB-sponsored Scholarship Programme,Indonesia.
No.44, Jln Gandak Baru, Deresan, Yogyakarta, Indonesia.HpNo: +62 8175457655. E-mail:
[email protected]
THE ASSOCIATION OF IDB-SPONSORED STUDENTS IN INDONESIA (AISI)
Sincerely Yours,
Mou Sa ( VN/2001/003) Wife President ,The Association of IDB-sponsored Students in Indonesia (AISI) Contact address: Mr. Mou Sa No44, Jln Gandak Baru, Deresan, Yogyakarta, Indonesia HpNo: +62 8175457655 Mr. Tay Zar Kyaw @ M. Ebrahim No.42/B ,Jalan Tampar,CT/08,Karanggayam,Depok Sleman,Jalan Kaliurang Km.5, Yogyakarta 55281, Indonesia. Telp : 62 81 93178 2523 Fax : 62 274 563974 E-mail:
[email protected] C.c. 1. Mr. Muhammad Fadhol Arovah-Maryadie Honorary Students’ Counsellor IDB Scholarship Programme in Indonesia. Jln. Cinere Raya OA/13-B Bukit Cinere Indah, Cinere Limo, Depok 16514, Indonesia. Telp. : (62-21-7546044),Fax : (62-21-7531287). 2. Ms. Daniar R Natakusumah SH, LL.M. Head, Office of International Affairs Gadjah Mada University. Gedung KPTU UGM, Bulaksumur, Yogyakarta 55281, Indonesia. Telp. : (62-274-563974),Fax :(62-274-563974)
No.44, Jln Gandak Baru, Deresan, Yogyakarta, Indonesia.HpNo: +62 8175457655. E-mail:
[email protected]