WHEREOF below:
Name :.................................................
Place and date of birth : ................................................
Gender : .................................................
Education : .................................................
Address : .................................................
Hereby declare the fact that;
- Until now I did not contract / employment ties with the Government and Private agencies.
- Willing to serve within a specified time.
- Not allowed to take leave during the assignment as a Doctor / Dentist PTT.
Thus this statement I make with sesuangguhnya and if future
My statement was not true, then I am willing to court as required upfront with applicable law.
..................................... ... 2011
That makes the statement,
Full Name
