‫‪6/8/2019‬‬ ‫طﺑﺎﻋﺔ ﺗﺄﺷﯾرة‬

‫‪Visa No.‬‬ ‫‪6061345029‬‬ ‫رﻗﻢ اﻟﺘﺄﺷﻴﺮة‬

‫‪Date of Issue‬‬ ‫‪2019/06/08‬‬ ‫ﺗﺎرﻳﺨﻬﺎ‬

‫‪Valid until‬‬ ‫‪2019/06/23‬‬ ‫ﺻﺎﻟﺤﺔ ﻟﻐﺎﻳﺔ‬

‫‪Duration of Stay‬‬ ‫‪30‬‬ ‫ﻣﺪة اﻹﻗﺎﻣﺔ‬

‫‪Passport No.‬‬ ‫‪C0067322‬‬ ‫رﻗﻢ ﺟﻮاز اﻟﺴﻔﺮ‬

‫‪Place of issue‬‬ ‫ﺟﺎﻛﺮﺗﺎ ‪Jakarta -‬‬ ‫ﻣﺼﺪر اﻟﺘﺄﺷﻴﺮة‬

‫‪Name‬‬ ‫ﺣﺴﺎن ﻧﺰار اﺳﺴﻴﺠﺎف ‪HASAN NIZAR ASSEGAF‬‬ ‫اﻻﺳﻢ‬

‫‪Nationality‬‬ ‫إﻧﺪوﻧﺴﻴﺎ ‪Indonesia -‬‬ ‫اﻟﺠﻨﺴﻴﺔ‬

‫‪Type Of Visa‬‬ ‫ﻋﻤﺮة ‪Umrah -‬‬ ‫ﻧﻮع اﻟﺘﺄﺷﻴﺮة‬

‫‪Mahram Name‬‬ ‫اﺷﻤﺎد اﺳﺴﻴﺠﺎف‬ ‫اﺳﻢ اﻟﻤﺤﺮم‬

‫‪Umrah Operator‬‬ ‫ﻣﺆﺳﺴﺔ اﻛﺮام ﻟﺨﺪﻣﺎت اﻟﻤﻌﺘﻤﺮﻳﻦ‬ ‫ﻣﻜﺘﺐ اﻟﻌﻤﺮة‬

‫‪External Agent‬‬ ‫ﺷﺮﻛﺔ اﻟﻔﻴﺪا ﻟﻠﺴﻴﺎﺣﺔ واﻟﺴﻔﺮ‬ ‫اﻟﻮﻛﻴﻞ اﻟﺨﺎرﺟﻲ‬

‫‪Border No.‬‬ ‫‪5962063458‬‬ ‫رﻗﻢ اﻟﺤﺪود‬

‫‪Visa No.‬‬ ‫رﻗﻢ اﻟﺘﺄﺷﻴﺮة‬

‫‪6061345029‬‬

‫‪Application No.‬‬ ‫رﻗﻢ اﻟﻄﻠﺐ‬

‫‪E258633594‬‬

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