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FORM 18 ZY199006

IMMIGRATION ACT WP No. : 0 82152806


(CHAPTER 133) DOA : 04/02/2022
IMMIGRATION REGULATIONS :
SPECIAL PASS SB No. B300552345QMS
REGULATION 15(3) SB EXPIRY : 25/05/2024
FIN : M3023565N
To : DOMINA ESTERIA NAIBAHO

Nationality: INDONESIAN Sex: Female Date of birth: M3023565NX


06/03/1976

Your legal stay in Singapore has been extended to 02/07/2022, when you will need to leave the country.

GHATAK PRITI SUBIR


46 CHOA CHU KANG STREET 64
#09-22 THE QUINTET
SINGAPORE 689106
Tel No. : 91072405
EA Tel No. :

Special Pass Issue Date: 02/07/2022


Special Pass Expiry Date: 02/07/2022

CHOW CHOON YEN


for Controller Of
Immigration
Singapore

Note: Please surrender this pass to the Immigration Duty Officer's counter at the time of departure.

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