E30B Dear Mrs. LOUDIANI AMELIA NAIOMA SAMSON DA SILVA MONINGKA
EVISA
Name : LOUDIANI Nama AMELIA NAIOMA SAMSON DA SILVA Reference No. : 2031124E30B637058 MONINGKA Nomor Referensi
Sex : FEMALE Visa No. : 24E30B475287
Jenis Kelamin Nomor Visa
Place of Birth : FATUCO Payment Receipt No. : XC0894914
Tempat Lahir Nomor Resi Pembayaran
Date of Birth : 08/05/2007 Visa Type : LIMITED STAY
Tanggal Lahir Tipe Visa
Nationality : TIMOR LESTE Date of issue : 05/11/2024
Kebangsaan Tanggal Penerbitan
Passport No. : 0146116C Must be used before : 02/02/2025
No. Paspor Harus digunakan paling lambat sebelum
Passport Expiry : 25/11/2028
Date Duration of Stay : 2 YEARS Tgl. Habis Berlaku Paspor Lama Tinggal
Address in : Indonesia Alamat di Indonesia
ASRAMA MEGAREZKY JALAN
ANTANG RAYA NO 43 Sponsor : YAYASAN PENDIDIKAN MANGGALA KOTA MAKASSAR Penjamin ISLAM MEGA REZKY PROVINSI SULAWESI SELATAN MAKASSAR
DISCLAIMER: 1. Please note that, information on any processed e-visa cannot be changed and the fee paid for an e-VISA is not refundable. 2. The information on your e-VISA must match the information on your valid passport completely, otherwise, your e-VISA will be invalid. In this regard, you must create and complete a new application. If the persons recorded to the accompanying section of your passport are to travel with you, it is essential that they also get e-VISA. 3. Issuance of e-VISA does not guarantee entry to the Republic of Indonesia, the decision of entry remains the right of the Immigration Officer at the port of entry. 4. Holders of e-VISA are not required to queue at the visa payment counter and can proceed directly to Immigration Counter at the port of entry upon arrival. You must present passport that is valid for more than 6 (six) months and return ticket to the Immigration Officer. 5. E-VISA shall not be valid for purposes other than tourism, government visit, business meeting, goods purchasing, or transit. Visa applications such as work, study, etc. must be made via e-VISA application. It is your own responsibility to check whether your residence permit has expired or not. 6. If your period of stay exceed 30 (thirty) days in Indonesia, overstay fine will be applied. 7. For more information, please visit http://www.imigrasi.go.id. EVISA RECEIPT
