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KEMENTERIAN HUKUM DAN HAK ASASI MANUSIA

REPUBLIK INDONESIA
KANTOR WILAYAH DKI JAKARTA
KANIM KELAS I KHUSUS
NON TPI JAKARTA SELATAN
JL. WARUNG BUNCIT RAYA
NO 207 JAKARTA SELATAN

IZIN TINGGAL TERBATAS ELEKTRONIK


ELECTRONIC LIMITED STAY PERMIT

NIORA : JEGAC30709
Permit Number : 2C21JE3716AW
Stay/Multiple Entries Permit Expiry : 27-12-2023
Stay Permit Index : II B

Full Name : HEE JUNG SEO


Place / Date of Birth : SEOUL / 14-05-1981
Passport Number : M07590693
Passport Expiry : 17-06-2031
Nationality : KOREA SELATAN
Gender : FEMALE
Address : TOWER B LANTAI 16 UNIT C APARTEMEN ASTON RASUNA JALAN
HR RASUNA SAID MENTENG ATAS SETIABUDI
Occupation : NONE
Status : FAMILY UNION
Guarantor Name : PT. MEGA BANGUN CAHAYA

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

Jakarta, 15-12-2022
Head of Kelas I Khusus Non TPI Jakarta Selatan Immigration Office.

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