Visa Application

Apply
Payment
Download E-Visa
Application Information
Visa Information
Reference No.
: 2120326B1744628
Payment Receipt No.
: XC6964383
Visa No.
: Z1A8973611
Valid From
: 12/03/2026
Valid Until
: 09/06/2026
Visa Code
: VOA

Personal Information
ALBERT AVI SAVAR
MALE
ISRAEL
11/07/1973
9176271830
Passport (or other travel document) Information
Passport
A32295234
AMERIKA SERIKAT
28/10/2033
UNITED STATES OF AMERICA (THE)
Residence Information
HOTEL
JL. RAYA KEDEWATAN NO.BANJAR, KEDEWATAN, KECAMATAN UBUD, KABUPATEN GIANYAR, BALI 80571, INDONESIA
BALI
KAB. GIANYAR
UBUD
UBUD
80571


Passport (or other travel document) Information
Return TicketShow File
Passport Valid for at Least 6 MonthsShow File

DOCUMENT AUDIT


Payment Information
Type of Visa B1
IDR
E75803CIG6LDLVV2
12/03/2026
-