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 : J1U1MJU84395
Permit Number : 2C11JE3951-W
Stay/Multiple Entries Permit Expiry : 05-07-2023
Stay Permit Index : IB

Full Name : KYOUNG SIK KIM

Place / Date of Birth : SEOUL / 19-08-1974
Passport Number : M707F6609
Passport Expiry : 22-04-2032
Nationality : KOREA SELATAN
Gender : MALE
Address : APARTEMEN BOTANICA TOWER 2 LT. 33 UNIT BH JL. TEUKU NYAK
ARIEF NO. 8 KEL. GROGOL SELATAN KEC. KEBAYORAN LAMA
JAKARTA SELATAN
Occupation : KOMISARIS
Status : WORK
Guarantor Name : PT. LX INTERNATIONAL 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

Jakarta, 05-07-2022
Head of Kelas I Khusus Non TPI Jakarta Selatan Immigration Office.