LETTER REQUEST FOR WAIVERS

UNIVERSITY/FACULTY LETTERHEAD
To
Head of Research Center for Nanosciences and Nanotechnology
Jl. Ganesa No. 10, Bandung.
Dear Sir or Madam,
I am the undersigned :
Name
Position
University
Department
Address

:
:
:
:
:

Regarding
the upcoming event “Summer School Nanosciences :
Fundamental and Application Emphasizing in Nanomedicine” held by

Research Center for Nanosains and Nanotechnology at Institut Teknologi
Bandung, Indonesia on 24th July – 05th August 2017, hereby submit a letter
to request for waivers for the following student :
Name
Student Number
University
:
Department
Place and Date of Birth

:
:
:
:

Thank you very much for your consideration upon this request.
Best regards,

Dean of Faculty