Z1A4102818

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KEMENTERIAN HUKUM DAN HAM RI

DIREKTORAT JENDERAL IMIGRASI

Dear Mr.
SANJEEV MEHTA
B1
EVOA

Name : SANJEEV MEHTA Reference No. : 2291124B1202526


Nama Nomor Referensi

Sex : MALE Visa No. : Z1A4102818


Jenis Kelamin Nomor Visa

Place of Birth : Varanasi, Uttar Payment Receipt No. : XC1117549


Tempat Lahir Pradesh Nomor Resi Pembayaran

Date of Birth : 17/04/1964 Visa Type : Electronic Visa on


Tanggal Lahir
Tipe Visa Arrival

Nationality : INDIA Date of issue : 29/11/2024


Kebangsaan Tanggal Penerbitan

Must be used before : 26/02/2025


Passport No. : S2892250 Harus digunakan paling lambat
No. Paspor sebelum

Passport Expiry Date : 12/07/2028


Tgl. Habis Berlaku Paspor

Address in Indonesia :
Alamat di Indonesia

KUTA PARADISO JL. KARTIKA PLAZA, TUBAN,


KEC. KUTA, KABUPATEN BADUNG, BALI ,
INDONESIA
KUTA KAB. BADUNG PROVINSI BALI

You are eligible to use Indonesia Autogate at Arrival and Departure Immigration Checkpoint
(aged 14 and above with electronic passport)

DISCLAIMER:
1. Please note that, information on any processed e-voa cannot be changed and the fee paid for an e-VOA is not refundable.
2. The information on your e-VOA must match the information on your valid passport completely, otherwise, your e-VOA will
be invalid. In this regard, you must create and complete a new application. If the persons recorded to the accompanying
section of your passport are to travel with you, it is essential that they also get e-VOA.
3. Issuance of e-VOA does not guarantee entry to the Republic of Indonesia, the decision of entry remains the right of the
Immigration Officer at the port of entry.
4. Holders of e-VOA are not required to queue at the visa payment counter and can proceed directly to Immigration Counter
at the port of entry upon arrival. You must present passport that is valid for more than 6 (six) months and return ticket to
the Immigration Officer.
5. E-VOA shall not be valid for purposes other than tourism, government visit, business meeting, goods purchasing, or
transit. Visa applications such as work, study, etc. must be made via e-VISA application. It is your own responsibility to
check whether your residence permit has expired or not.
6. If your period of stay exceed 30 (thirty) days in Indonesia, overstay fine will be applied.
7. For more information, please visit http://www.imigrasi.go.id.

EVOA RECEIPT

29/11/2024 12:52:38
Please scan this qrcode to extend your visa.

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