MINISTRY OF LAW AND HUMAN RIGHTS OF THE REPUBLIC OF INDONESIA

DIRECTORATE GENERAL OF IMMIGRATION

LILIIA SINITSYNA
Stay Permit Index 2B21

NIORA : VOA-00611211
Permit Number : B2132A2200EB230008909
Stay Permit Expiry : 27/07/2023
SCAN ME

Place / Date of Birth : RUSSIA / 29-10-2015

Passport Number : 736145042
Passport Expiry : 18-04-2026
Nationality : RUSIA
Gender : FEMALE
City : KAB. BADUNG
District : MENGWI
Address : JL. TANAH BARAK NO.29, CANGGU, KEC. KUTA UTARA, KABUPATEN
BADUNG, BALI 80351
Occupation :

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 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 http://www.imigrasi.go.id.
4. This Electronic Limited Stay Permit is generated automatically by the Immigration Information
Management System.

Jakarta, 12 June 2023

KANTOR IMIGRASI KLAS I DENPASAR

KANTOR IMIGRASI KLAS I DENPASAR