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Application Information
Visa Information
Reference No.
: 2280426B1151154
Payment Receipt No.
: XC7559590
Visa No.
: Z1A9466654
Valid From
: 28/04/2026
Valid Until
: 26/07/2026
Visa Code
: VOA

Personal Information
HANNAH MARY SPATAFORE
FEMALE
CALIFORNIA USA
06/02/1992
6085760214
Passport (or other travel document) Information
Passport
667283516
AMERIKA SERIKAT
24/04/2031
AMERIKA SERIKAT
Residence Information
OTHERS
JALAN RAYA GUSTI NGURAH RAI,TUBAN,KEC. KUTA,KABUPATEN BADUNG,BALI 80362,INDONESIA
BALI
KAB. BADUNG
KUTA SELATAN
JIMBARAN
80362


Passport (or other travel document) Information
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Payment Information
Type of Visa B1
IDR
25D832G50C6GMC36
28/04/2026
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