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  • Izin Tinggal Terbatas Elektronik

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    wawan suryawan
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    This document is an Electronic Limited Stay Permit issued by the Ministry of Law and Human Rights of the Republic of Indonesia to Sam Jones. It provides details such as his full name, date and place of birth, passport information, nationality, gender, occupation, address in Indonesia, and guarantor. The permit is valid until October 28, 2024 and allows multiple entries. It notes the holder must report any changes in civil status, citizenship, occupation, guarantor or address and that the permit must be attached to the passport at all times.

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    This document is an Electronic Limited Stay Permit issued by the Ministry of Law and Human Rights of the Republic of Indonesia to Sam Jones. It provides details such as his full name, date and place of birth, passport information, nationality, gender, occupation, address in Indonesia, and guarantor. The permit is valid until October 28, 2024 and allows multiple entries. It notes the holder must report any changes in civil status, citizenship, occupation, guarantor or address and that the permit must be attached to the passport at all times.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    29 views1 page

    Izin Tinggal Terbatas Elektronik

    Uploaded by

    wawan suryawan
    This document is an Electronic Limited Stay Permit issued by the Ministry of Law and Human Rights of the Republic of Indonesia to Sam Jones. It provides details such as his full name, date and place of birth, passport information, nationality, gender, occupation, address in Indonesia, and guarantor. The permit is valid until October 28, 2024 and allows multiple entries. It notes the holder must report any changes in civil status, citizenship, occupation, guarantor or address and that the permit must be attached to the passport at all times.

    Copyright:

    © All Rights Reserved
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    KEMENTERIAN HUKUM DAN HAK ASASI MANUSIA

    REPUBLIK INDONESIA
    KANTOR WILAYAH NUSA TENGGARA BARAT
    KANIM KELAS II TPI SUMBAWA BESAR
    JL. GARUDA NO. 131 SUMBAWA BESAR

    IZIN TINGGAL TERBATAS ELEKTRONIK


    ELECTRONIC LIMITED STAY PERMIT

    NIORA : J1U1NNR72368
    Permit Number : 2C12EE0020-W
    Stay/Multiple Entries Permit Expiry : 28-10-2024
    Stay Permit Index : IC

    Full Name : SAM JONES


    Place / Date of Birth : TRURO / 10-07-1987
    Passport Number : 120358509
    Passport Expiry : 21-09-2030
    Nationality : INGGRIS
    Gender : MALE
    Address : DESA KUANG RT 001 RW 007, KEC. TALIWANG, KAB. SUMBAWA
    BARAT, NUSA TENGGARA BARAT
    Occupation : INVESTOR
    Status : INVESTMENT
    Guarantor Name : PT EASTERN OPPORTUNITIES 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

    Sumbawa Besar, 28-10-2022


    Head of Kelas II TPI Sumbawa Besar Immigration Office.

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