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Visa Information
Reference No.
: 2260525B1543562
Payment Receipt No.
:
Visa No.
:
Valid From
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Valid Until
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Visa Code
: VOA

Personal Information
VAN REISENBERGER
MALE
st leonards
03/01/2018
0403293980
Passport (or other travel document) Information
Passport
PB5469194
AUSTRALIA
30/10/2027
AUSTRLAIA
Residence Information
VILLA
GG. JALAK NO.16B, TIBUBENENG, KEC. KUTA UTARA, KABUPATEN BADUNG, BALI 80361, INDONESIA
BALI
KAB. BADUNG
KUTA
TUBAN
80361


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Type of Visa B1
IDR
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