KEMENTERIAN HUKUM DAN HAK ASASI MANUSIA

REPUBLIK INDONESIA
KANTOR WILAYAH JAWA TENGAH
KANIM KELAS I TPI SURAKARTA
JL. ADI SUCIPTO NO. 8 COLOMADU

IZIN TINGGAL TERBATAS ELEKTRONIK

ELECTRONIC LIMITED STAY PERMIT

NIORA : JFGAA30339
Permit Number : 2C21LD0333-V
Stay/Multiple Entries Permit Expiry : 22-09-2022
Stay Permit Index : IV B

Full Name : DON HWAN KIM

Place / Date of Birth : KOREA SELATAN / 15-01-1966
Passport Number : M31576633
Passport Expiry : 07-01-2026
Nationality : KOREA SELATAN
Gender : MALE
Address : JL.TEGAL SARI DUSUN 3 RT.03/RW.05, NO.21, KEL.LANGEN HARJO,
KEC.GROGOL, KABUPATEN SUKOHARJO
Occupation : INVESTOR
Status : INVESTMENT
Guarantor Name : PT SUNWOO GARMENT INDONESIA

DISCLAIMER :
1. According to Article 71 Act Number 6 Year 2011 concerning Immigration, every changes of civil status, citizenship, occupation,
Guarantor, or change of address must be reported to Local Immigration Office in an immediate period of time.
2. This Limited Stay Permit (online) must be attach to the bearer’s Passport at all times
3. For further information please do not hesitate to contact Local Immigration Office or do visit our website www.imigrasi.go.id
4. This Electronic Limited Stay Permit is generated automatically by the Immigration Information Management System

Surakarta, 15-09-2021
Head of Kelas I TPI Surakarta Immigration Office.