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Application Information
Visa Information
Reference No.
: 2270326B1127673
Payment Receipt No.
: XC7114930
Visa No.
: Z1A9103764
Valid From
: 27/03/2026
Valid Until
: 24/06/2026
Visa Code
: VOA

Personal Information
JOCELYNE ETHIER
FEMALE
Montreal
07/06/1952
5146779390
Passport (or other travel document) Information
Passport
AW533067
KANADA
05/04/2033
CANADA
Residence Information
HOTEL
KAWASAN WISATA NUSA DUA LOT S-3, JL. PANTAI PEMINGE, BENOA, KEC. KUTA SEL., KABUPATEN BADUNG, BALI 80363, INDONESIA
BALI
KAB. BADUNG
KUTA UTARA
KEROBOKAN
80363


Passport (or other travel document) Information
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Payment Information
Type of Visa B1
IDR
BFB271JNGHH3FM40
27/03/2026
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