KEMENTERIAN HUKUM DAN HAK ASASI MANUSIA

REPUBLIK INDONESIA
KANTOR WILAYAH JAWA TENGAH
KANIM KELAS I TPI SEMARANG
JL. SILIWANGI NO. 514 SEMARANG

IZIN TINGGAL TERBATAS ELEKTRONIK

ELECTRONIC LIMITED STAY PERMIT

NIORA : IM2TCH73239
Permit Number : 2C22LC0028-W
Stay/Multiple Entries Permit Expiry : 04-11-2024
Stay Permit Index : II C

Full Name : GENG XIANGYANG

Place / Date of Birth : HENAN / 05-07-1991
Passport Number : E61046579
Passport Expiry : 28-09-2025
Nationality : CHINA
Gender : MALE
Address : KAWASAN INDUSTRI BSB BLOK A3 NO 6, KEL. JATIBARANG, KEC.
MIJEN, KOTA SEMARANG
Occupation : INVESTOR
Status : INVESTMENT
Guarantor Name : NEWSTAR KONJAC NUSANTARA

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

Semarang, 30-09-2022
Head of Kelas I TPI Semarang Immigration Office.