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Application Information
Visa Information
Reference No.
: 2270226B1415046
Payment Receipt No.
:
Visa No.
:
Valid From
:
Valid Until
:
Visa Code
: VOA

Personal Information
VICTORIA RICE
FEMALE
FLORIDA USA
30/06/1999
9546816320
Passport (or other travel document) Information
Passport
A73481902
AMERIKA SERIKAT
18/08/2035
UNITED STATES OF AMERICA (THE)
Residence Information
OTHERS
JALAN RAYA GUSTI NGURAH RAI,TUBAN,KEC. KUTA,KABUPATEN BADUNG,BALI 80362,INDONESIA
BALI
KAB. BADUNG
KUTA SELATAN
JIMBARAN
80362


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Type of Visa B1
IDR
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