APPOINTMENT CONFIRMATION

APPLICANT DETAILS

Applicant Name: Jufri, Baharuddin Visa Class: B1/B2

Passport Number: C7386517 Visa Category: Business/Tourism

Appointment Made By: Baharuddin Jufri Visa Priority: Regular

Number of Applicants: 1

CONSULAR APPOINTMENT DETAILS

Date: Monday July 25, 2022 JAKARTA

Time: 09:15 (105) Jl. Medan Merdeka Selatan No. 3 - 5

Jakarta,10110

DOCUMENT DELIVERY INFORMATION:

Document Delivery Type: Pick Up Free - Palbatu - RPX

Jl. Palbatu I No. 19, Menteng Dalam, Tebet

Tebet, Jakarta 12870

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MRV FEE PAYMENTS

Jufri, Baharuddin IDR2400000.00 - 9709001682653300

DS-160 Confirmation Number: UID:

Appt-76477409-e7aee0084f9d850aeea3f5e0cf42959b78318df24da760cb6ac34aae452b1b9a
Instructions

Effective August 26, 2019, there will be an additional $220 reciprocity fee for approved F1/F2 student
visa applications. You will only pay this fee if your F1/F2 student visa application is approved.
Please be prepared to pay this additional fee in-person at the Embassy at the conclusion of your
interview. You may pay in Rupiah or with a credit card.

You must arrive at the Embassy no earlier than 15 minutes before your appointment time. If you
arrive at the Embassy 15 minutes after your appointment time, you will not be interviewed and you
will have to reschedule your appointment. Please do not arrive too early or too late.

Please bring the following documents with you to the Embassy for your interview:

This appointment letter.

The completed DS-160 confirmation page printed on letter or A4 paper in portrait format with a
readable barcode.
Your passport valid for six months beyond your initial U.S. stay, as well as any previous
passports.
The receipt from CIMB Niaga or from the bank where you made the EFT payment for the visa
fee for each visa applicant.
One color front view 5x5 cm passport photo in glossy format on white background which was
taken in the past six months.
Any other forms required in the requested visa category. (Form I-20 for F and M visas; form
DS-2019 for J visas; SEVIS fee payment receipt; form I-797 for H, L, O, P, or Q visas;
guarantee letter for C1/D visas; etc.)

Please leave prohibited items at home. Applicants who bring devices on the prohibited list will be
denied entry. Applicants may not bring large personal electronic devices to the Embassy. This
includes but is not limited to: laptops, iPads, tablet devices, handheld gaming devices, cameras,
digital watches, etc.

Additional information can be found at http://www.ustraveldocs.com/id/ and the US Embassy Jakarta

website: https://id.usembassy.gov/.

Instruksi

Efektif 26 Agustus 2019, untuk warga negara Indonesia akan ada tambahan biaya timbal balik visa
sebesar $220 untuk jenis visa pelajar F1/F2. Anda hanya perlu membayar biaya ini jika visa anda
disetujui. bersiaplah untuk membayar biaya tambahan ini secara langsung di Kedutaan pada akhir
wawancara. Anda dapat membayar dalam Rupiah atau kartu kredit.

Anda harus tiba di Kedutaan 15 menit sebelum jadwal wawancara anda. Jika anda tiba di Kedutaan
15 menit setelah jam wawancara anda, anda tidak akan diwawancara dan harus membuat jadwal
yang baru. Mohon jangan datang terlalu awal atau terlambat.

Harap membawa dokumen-dokumen berikut ini ke Kedutaan Besar untuk wawancara Anda:

Jadwal wawancara ini

Halaman konfirmasi DS-160 yang lengkap dan dicetak pada kertas berukuran ‘letter’ atau
kertas ukuran A4 dalam format portrait dengan barcode yang dapat di baca
Paspor yang masih berlaku berlaku setidaknya enam bulan dari periode tinggal di AS dan
paspor lama.
Bukti pembayaran dari CIMB Niaga atau dari bank dimana Anda melakukan EFT untuk biaya
visa bagi setiap pemohon
Satu foto berwarna menghadap depan berukuran 5x5 cm, dicetak di kertas mengkilap/glossy
dengan latar belakang putih, yang diambil tidak lebih dari enam bulan terakhir
Dokumen tambahan lain sesuai dengan jenis visa (formulir I-20 untuk visa F1; formulir
DS-2019 untuk visa J1; bukti pembayaran SEVIS; petisi I-797 untuk visa H, L, O, P dan Q;
guarantee letter untuk visa C1/D, dll)

Tinggalkan barang terlarang di rumah. Pemohon yang membawa perangkat dalam daftar terlarang
akan ditolak masuk. Pemohon dilarang membawa barang elektronik berukuran besar ke Kedutaan.
Ini termasuk, tapi tidak terbatas, laptop, iPad, tablet, perangkat game genggam, kamera, jam digital,
dst.

Informasi tambahan dapat ditemukan di www.ustraveldocs.com/id/ dan website Kedutaan Besar

Amerika di Jakarta, https://id.usembassy.gov/.

Reminder to all Visa Applicants

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